Abstract
The implementation of Family Doctor Concept (FDC) to restructure the primary healthcare systems in Malaysia were expected to enhance patient’s satisfaction on doctor-patient interaction and subsequently improved glycaemic control among Type 2 Diabetes Mellitus (T2DM) patients. Thus, this study aims to determine the difference in doctor-patient interaction satisfaction between T2DM patients attended FDC-implemented clinic vs non-FDC clinics, and to determine the association between FDC-implemented clinic and doctor-patient interaction satisfaction towards glycaemic control. A cross-sectional study was conducted throughout 10 districts in Kelantan from February until May 2019 using interview-guided Skala Kepuasan Interaksi Perubatan-11 (SKIP-11) and proforma checklist. Data were analyzed using SPSS ver.24. Chi-square statistic used to determine the difference in doctor-patient interaction satisfaction between both clinics type. Multiple logistic regression used to examine the association between FDC-implemented clinic and doctor-patient interaction satisfaction towards glycaemic control. Twenty primary health clinics involved, and 772 T2DM patients recruited. FDC clinics attendees has higher proportion of satisfaction (40.1%) compared to non-FDC attendees (33.7%) (p = 0.070). Multiple logistic regression confirmed the association of FDC-implemented health clinics (Adj. OR 1.63, p = 0.021), and doctor-patients interaction satisfaction (Adj. OR 1.77, p = 0.005) towards glycaemic control. Hence, strengthening of FDC in primary healthcare and improve the doctor-patient interaction satisfaction were essential to escalate good glycaemic control.
Highlights
Type 2 Diabetes Mellitus (T2DM) is a known non-communicable disease which is prevalent in Malaysia [1]
A total of 772 T2DM patients from 20 selected primary health clinics involved in this study
The number of healthcare personnel, including the medical officers, pharmacist and physiotherapists were higher in Family Doctor Concept (FDC) clinics, and it differs significantly between FDC and non-FDC
Summary
Type 2 Diabetes Mellitus (T2DM) is a known non-communicable disease which is prevalent in Malaysia [1]. This metabolic disorder causes major health issues, together with social and economic impacts. The Malaysian National Health & Morbidity Survey (NHMS) reported the prevalence of diabetes increased from 14.9% in 2006 to 17.5% in 2015, respectively [1,2], and it was projected to rise to 21.6% by the year 2020 [3]. The aim of managing T2DM is to achieve good glycaemic control. Res. Public Health 2020, 17, 1765; doi:10.3390/ijerph17051765 www.mdpi.com/journal/ijerph
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