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

Read more

Summary

Introduction

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

Objectives
Methods
Results
Discussion
Conclusion
Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call