Title: How do people with diabetes describe their experiences in primary care? Evidence from 85,760 patients with self-reported diabetes from the English General Practice Patient Survey
Authors: Charlotte A.M. Paddison1, PhD Catherine L. Saunders1, PhD Gary A. Abel1, PhD Rupert A. Payne1, PhD Amanda I. Adler2, MD PhD Jonathan P. Graffy3, MD Martin O. Roland1, DM 1
Cambridge Centre for Health Services Research, Institute of Public Health, University of Cambridge, Forvie Site, Cambridge CB2 0SR United Kingdom
2
Wolfson Diabetes and Endocrine Clinic, Addenbrooke's Hospital, Institute of Metabolic Science, Cambridge, U.K
3
Primary Care Unit, Institute of Public Health, University of Cambridge, Forvie Site, Cambridge CB2 0SR United Kingdom
Author for correspondence: Charlotte Paddison Cambridge Centre for Health Services Research, Institute of Public Health, University of Cambridge, Forvie Site, Robinson Way Cambridge, CB2 0SR England e-mail:
[email protected] &
[email protected] Running title: Diabetes patients’ experience in primary care Word count: Abstract: 243 words. Paper: 3,567 words Tables and Figures: 3 tables, 1 figure Supplemental data (file uploaded separately): 4 tables, 1 figure
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Abstract
Objective: Developing primary care is an important current health policy goal in the United States and in England. Information on patients’ experience can help to improve the care of people with diabetes. We describe the experiences of people with diabetes in primary care, and examine how these experiences vary with increasing comorbidity. Research design and methods: Using data from 906,578 responders to the 2012 General Practice Patient Survey (England), including 85,760 with self-reported diabetes, we employed logistic regressions controlling for age, gender, ethnicity, and socio-economic status to analyze patient experience using seven items covering three domains of primary care: access, continuity, and communication. Results: People with diabetes were significantly more likely to report better experience on 6 out of 7 primary care items than people without diabetes after adjusting for age, gender, ethnicity and socio-economic status (adjusted differences 0.88-3.20%, odds ratios 1.07-1.18, p
