OBJECTIVE: Our hypothesis was that patient-doctor relationship experienced positively by the patient is associated with adequate compliance behavior and thus to the long-term metabolic control of diabetes. METHOD: Cross-sectional study of 100 consecutive adult patients with Type 1 diabetes treated in a diabetes out-patient department. From a questionnaire, four scores (direct estimate of physician, satisfaction with the place of treatment, self-esteem score, security with the patient-doctor relationship) determining the patient-doctor relationship were formed. In score 3 (self-esteem score) the impact of the patient-doctor relationship to the patients' self-esteem was indirectly estimated. The anonymous data taken from diabetes register including information about treatment of diabetes, metabolic control and end-organ complications were returned together with the questionnaire. On the basis of GHbA1c diabetic patients were divided into two groups: with adequate metabolic control (GHbA1c < or = 8.0%) or with poor/moderate control (GHbA1c > 8.0%). RESULTS: In univariate analyses the score 3 associated with metabolic control (p < 0.001). In logistic regression analyses the nephropathy (t = 2.80, p < 0.05) and score 3 (t = 3.98, p < 0.001) were associated with metabolic control. CONCLUSION: Patient's positively-experienced patient-doctor relationship was associated with good metabolic control of diabetes.
No takes yet. Share an insight, caveat, or question.
Viinamäki et al. (1993) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: