Seeing patient longer at each consultation will improve their knowledge on diabetes but may not necessarily improve their diabetic control and metabolic parameters
Objectives: To determine the association between consultation-time spent with doctors and patients’ knowledge, attitude and practice (KAP) on diabetic management, HbA1C and other metabolic parameters. Methods: This was a retrospective analysis of 291 type 2 diabetic patientswho attended our out-...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Malaysian Endocrine and Metabolic Society
2014
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/48023/ http://irep.iium.edu.my/48023/ http://irep.iium.edu.my/48023/5/OP-22.pdf |
| Summary: | Objectives: To determine the association between consultation-time
spent with doctors and patients’ knowledge, attitude and practice (KAP) on
diabetic management, HbA1C and other metabolic parameters.
Methods: This was a retrospective analysis of 291 type 2 diabetic
patientswho attended our out-patient clinic. Their consultation time
at previous two visits were reviewed and categorized into less or equal
to 15 minutes, 15 to 30 minutes and more than 30 minutes. They were
interviewed using a standardized KAP questionnaire on their diabetic
management and most recent HbA1C and other metabolic parameters
were recorded. Analysis was done using SPSS 19.
Results: The mean age of respondent was56.5 ± 10.4 years old, where
57.7% were female. Median duration of diabetes was 6.0 (3.0,11.0) years.
One third of patients completed primary level education and another third
completed secondary level education. Sixty percent were unemployed or
retired.Seventy-five percent of patients had 5-15 minutes spent seeing the
doctor in the consultation room. Twenty percent had longer consultationtime
(15 -30 min). Only 2% spent more than 30 minutes with the doctor
during a consultation.Those who had longer consultation had higher
knowledge and overall KAP score.However, there was no significant
difference between both groups in terms of attitude and practice score. No
significant difference were noted between longer and shorter consultations
in terms of HbA1C, fasting blood sugar, weight, body mass index and
cholesterol level.
Conclusion: Those who had longer consultation time with doctors had
better knowledge and overall KAP score. However, longer consultation time
was not associated with better HbA1C and other metabolic parameters.
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