Patients' views on interactions with practitioners for type 2 diabetes: a longitudinal qualitative study in primary care over 10 years
Patients' views on interactions with practitioners for type 2 diabetes: a longitudinal qualitative study in primary care over 10 years
BACKGROUND: It has been suggested that interactions between patients and practitioners in primary care have the potential to delay progression of complications in type 2 diabetes. However, as primary care faces greater pressures, patient experiences of patient-practitioner interactions might be changing.
AIM: To explore the views of patients with type 2 diabetes on factors that are of significance to them in patient-practitioner interactions in primary care after diagnosis, and over the last 10 years of living with the disease.
DESIGN AND SETTING: A longitudinal qualitative analysis over 10 years in UK primary care.
METHOD: The study was part of a qualitative and quantitative examination of patient experience within the existing ADDITION-Cambridge and ADDITION-Plus trials from 2002 to 2016. The researchers conducted a qualitative descriptive analysis of free-text comments to an open-ended question within the CARE measure questionnaire at 1 and 10 years after diagnosis with diabetes. Data were analysed cross-sectionally at each time point, and at an individual level moving both backwards and forwards between time points to describe emergent topics.
RESULTS: At the 1-year follow-up, 311 out of 1106 (28%) participants had commented; 101 out of 380 (27%) participants commented at 10-year follow-up; and 46 participants commented at both times. Comments on preferences for face-to-face contact, more time with practitioners, and relational continuity of care were more common over time.
CONCLUSION: This study highlights issues related to the wider context of interactions between patients and practitioners in the healthcare system over the last 10 years since diagnosis. Paradoxically, these same aspects of care that are valued over time from diagnosis are also increasingly unprotected in UK primary care.
Adult, Continuity of Patient Care/statistics & numerical data, Diabetes Mellitus, Type 2/therapy, Disease Progression, Female, Follow-Up Studies, Humans, Longitudinal Studies, Male, Middle Aged, Patient Outcome Assessment, Patient Satisfaction/statistics & numerical data, Patient-Centered Care/standards, Physician-Patient Relations, Primary Health Care/standards, Qualitative Research, Surveys and Questionnaires
e36-e43
Dambha-Miller, Hajira
58961db5-31aa-460e-9394-08590c4b7ba1
Silarova, Barbora
7cd57d59-cc96-46ef-995d-79a2e8cde1b7
Irving, Greg
bb904c51-4253-4626-95ae-18bf0b57d926
Kinmonth, Ann Louise
bb512425-d66c-488f-b9d2-ed897bdcb73a
Griffin, Simon J.
1f8d5095-3c10-4973-a2c4-84ce6415d118
January 2018
Dambha-Miller, Hajira
58961db5-31aa-460e-9394-08590c4b7ba1
Silarova, Barbora
7cd57d59-cc96-46ef-995d-79a2e8cde1b7
Irving, Greg
bb904c51-4253-4626-95ae-18bf0b57d926
Kinmonth, Ann Louise
bb512425-d66c-488f-b9d2-ed897bdcb73a
Griffin, Simon J.
1f8d5095-3c10-4973-a2c4-84ce6415d118
Dambha-Miller, Hajira, Silarova, Barbora, Irving, Greg, Kinmonth, Ann Louise and Griffin, Simon J.
(2018)
Patients' views on interactions with practitioners for type 2 diabetes: a longitudinal qualitative study in primary care over 10 years.
British Journal of General Practice, 68 (666), .
(doi:10.3399/bjgp17X693917).
Abstract
BACKGROUND: It has been suggested that interactions between patients and practitioners in primary care have the potential to delay progression of complications in type 2 diabetes. However, as primary care faces greater pressures, patient experiences of patient-practitioner interactions might be changing.
AIM: To explore the views of patients with type 2 diabetes on factors that are of significance to them in patient-practitioner interactions in primary care after diagnosis, and over the last 10 years of living with the disease.
DESIGN AND SETTING: A longitudinal qualitative analysis over 10 years in UK primary care.
METHOD: The study was part of a qualitative and quantitative examination of patient experience within the existing ADDITION-Cambridge and ADDITION-Plus trials from 2002 to 2016. The researchers conducted a qualitative descriptive analysis of free-text comments to an open-ended question within the CARE measure questionnaire at 1 and 10 years after diagnosis with diabetes. Data were analysed cross-sectionally at each time point, and at an individual level moving both backwards and forwards between time points to describe emergent topics.
RESULTS: At the 1-year follow-up, 311 out of 1106 (28%) participants had commented; 101 out of 380 (27%) participants commented at 10-year follow-up; and 46 participants commented at both times. Comments on preferences for face-to-face contact, more time with practitioners, and relational continuity of care were more common over time.
CONCLUSION: This study highlights issues related to the wider context of interactions between patients and practitioners in the healthcare system over the last 10 years since diagnosis. Paradoxically, these same aspects of care that are valued over time from diagnosis are also increasingly unprotected in UK primary care.
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More information
Accepted/In Press date: 18 July 2017
e-pub ahead of print date: 28 December 2017
Published date: January 2018
Keywords:
Adult, Continuity of Patient Care/statistics & numerical data, Diabetes Mellitus, Type 2/therapy, Disease Progression, Female, Follow-Up Studies, Humans, Longitudinal Studies, Male, Middle Aged, Patient Outcome Assessment, Patient Satisfaction/statistics & numerical data, Patient-Centered Care/standards, Physician-Patient Relations, Primary Health Care/standards, Qualitative Research, Surveys and Questionnaires
Identifiers
Local EPrints ID: 433434
URI: http://eprints.soton.ac.uk/id/eprint/433434
ISSN: 0960-1643
PURE UUID: 51bf5d9e-049d-4298-9711-d407dd6d0383
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Date deposited: 22 Aug 2019 16:30
Last modified: 16 Mar 2024 04:39
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Contributors
Author:
Barbora Silarova
Author:
Greg Irving
Author:
Ann Louise Kinmonth
Author:
Simon J. Griffin
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