Relationship of patient request fulfillment to compliance, glycemic control, and other health care outcomes in insulin-dependent diabetes

Richard F. Uhlmann, Thomas S. Inui, Roger E. Pecoraro, William B. Carter

Research output: Contribution to journalArticle

48 Scopus citations

Abstract

Patients' perceptions of the extent to which their health care needs have been met may affect compliance with prescribed health behaviors and related health outcomes. The authors examined the relationships of "patient request fulfillment" to patient compliance, glycemic control, and several other health care outcomes in 51 adult outpatients with insulin-dependent diabetes mellitus. On average, patients retrospectively cited 4.5 long-term requests, of which over three-fourths were fulfilled. Fulfillment of these requests was significantly associated with patient satisfaction, perceived health status, fewer insulin reactions, and greater insulin injection time reliability (p<0.05), but not with several other measures of compliance. Higher patient request fulfillment at single visits was correlated, as hypothesized, with subsequent reduction in glycosylated hemoglobin, but this association was not statistically significant. These results suggest that patient request fulfillment is associated with several aspects of health behavior and health status in adults with insulin-dependent diabetes. Further studies are needed to confirm these observations and determine whether strategies to enhance patient request fulfillment can enhance health care outcomes.

Original languageEnglish (US)
Pages (from-to)458-463
Number of pages6
JournalJournal of general internal medicine
Volume3
Issue number5
DOIs
StatePublished - Sep 1 1988
Externally publishedYes

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Keywords

  • compliance
  • diabetes mellitus, insulin-dependent
  • patien satisfaction
  • patient outcome assessment
  • patient participation
  • physicianpatient relations

ASJC Scopus subject areas

  • Internal Medicine

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