Physician-patient interaction satisfaction and its influence on medication adherence and type-2 diabetic control in a primary care setting.
Methods This was a cross sectional study involving 197 T2DM patients on insulin from two
government primary health clinics in Gombak. Physician-patient interaction satisfaction was
assessed using Skala Kepuasan Interaksi Perubatan (SKIP-11) consisting of 3 subdomains
(Distress Relief, Rapport and Interaction Outcome). Medication adherence level was
measured using a single item selfreport question. Data analysis for descriptive, inferential
and multivariate analysis statistics were performed. Results The mean age of the study …
government primary health clinics in Gombak. Physician-patient interaction satisfaction was
assessed using Skala Kepuasan Interaksi Perubatan (SKIP-11) consisting of 3 subdomains
(Distress Relief, Rapport and Interaction Outcome). Medication adherence level was
measured using a single item selfreport question. Data analysis for descriptive, inferential
and multivariate analysis statistics were performed. Results The mean age of the study …
Methods
This was a cross sectional study involving 197 T2DM patients on insulin from two government primary health clinics in Gombak. Physician-patient interaction satisfaction was assessed using Skala Kepuasan Interaksi Perubatan (SKIP-11) consisting of 3 subdomains (Distress Relief, Rapport and Interaction Outcome). Medication adherence level was measured using a single item selfreport question. Data analysis for descriptive, inferential and multivariate analysis statistics were performed.
Results
The mean age of the study participants was 57.12 (SD: 9.27). Majority were Malay, female, unemployed with mean BMI of 27.5. Majority reported full adherence (62.9%). High scores in the Interaction Outcome subdomain was associated with better adherence. Factors associated with high scores in this subdomain included patient education level, number of oral hypoglycaemic agent and type of insulin regime taken. This study also found that high scores in the Interaction Outcome domain is associated with lower HbA1c (p< 0.05).
Conclusion
Physician-patient interaction satisfaction is an important factor in achieving better medication adherence which also leads to better glycaemic control in this group of patients. There is a need to identify strategies to improve satisfaction in this domain to improve patient adherence.
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