Primary care medical home experience and health-related quality of life among adult medicaid patients with type 2 diabetes.
Primary care medical home experience and health-related quality of life among adult medicaid patients with type 2 diabetes.
复制标题
患有 2 型糖尿病的成年医疗补助患者的初级保健医疗之家经验和与健康相关的生活质量。
DOI：
10.1007/s11606-014-3033-4
复制
发表时间：
2015
影响因子：
5.7
通讯作者：
Peters,AnneL
中科院分区：
文献类型：
--
作者：
Stevens,GregoryD;Shi,Leiyu;Vane,Christina;Nie,Xiaoyu;Peters,AnneL
PurposeTo研究是否与健康相关的生活质量（HRQOL）在成人2型diabetes.MethodsCross-sectional调查的540例患者与医疗补助保险和2型糖尿病在洛杉矶县的患者报告的指标的医疗家庭的性能。初级保健评估工具被用来衡量医疗家庭性能的七个特点。EuroQol EQ-5D-3L（EQ-5D）被用来衡量HRQOL.ResultsHigher总医疗家庭性能与更好的整体HRQOL。总医疗家庭评分的1分变化与EQ-5D指数的0.06分升高相关[95%置信区间（CI）：0.01-0.11]，这是一个具有临床意义的差异。总分也与EQ-5D（疼痛）一个领域问题的可能性较低显著相关。纵向性是与较好的一般健康状况相关的唯一医疗家庭特征（排序优势比= 1.78; 95% CI：1.04-3.03）。医疗之家与EQ-5D的积极关系似乎主要存在于women.ConclusionOverall medical home experience is positively associated with HRQOL among attacking adults with type 2 diabetes.提供者努力改善患者的整体医疗家庭体验可能有助于改善HRQOL。
PurposeTo examine whether patient-reported indicators of medical home performance are associated with health-related quality of life (HRQOL) among adults with type 2 diabetes.MethodsCross-sectional survey of 540 patients with Medicaid insurance and type 2 diabetes in Los Angeles County. The Primary Care Assessment Tool was used to measure seven features of medical home performance. The EuroQol EQ-5D-3L (EQ-5D) was used to measure HRQOL.ResultsHigher total medical home performance was correlated with better overall HRQOL. A one-point change in total medical home score was associated with a 0.06-point higher score on the EQ-5D index [95 % confidence interval (CI): 0.01–0.11], which is a clinically meaningful difference. The total score was also significantly associated with a lower likelihood of problems on one domain of the EQ-5D (pain). Longitudinality was the only medical home feature associated with better general health status (ordered odds ratio = 1.78; 95 % CI: 1.04–3.03). The positive relationship of medical home with the EQ-5D appears to be present predominantly among women.ConclusionOverall medical home experience is favorably associated with HRQOL among vulnerable adult patients with type 2 diabetes. Provider efforts to improve the overall medical home experience for patients may contribute to improvements in HRQOL.