scholarly journals Effects of Patient-Initiated Visits on Patient Satisfaction and Clinical Outcomes in a Type 1 Diabetes Outpatient Clinic: A 2-Year Randomized Controlled Study

Diabetes Care ◽  
2021 ◽  
pp. dc203083
Author(s):  
Nina Drøjdahl Ryg ◽  
Jeppe Gram ◽  
Maryam Haghighi ◽  
Claus Bogh Juhl
Keyword(s):  
Type 1 Diabetes ◽  
Patient Satisfaction ◽  
Clinical Outcomes ◽  
Outpatient Clinic ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Randomized Controlled

scholarly journals Effects of Patient-Initiated Visits on Patient Satisfaction and Clinical Outcomes in a Type 1 Diabetes Outpatient Clinic: A 2-Year Randomized Controlled Study

2021 ◽  
Author(s):  
Nina Drøjdahl Ryg ◽  
Jeppe Gram ◽  
Maryam Haghighi ◽  
Claus Bogh Juhl
Keyword(s):  
Type 1 Diabetes ◽  
Patient Satisfaction ◽  
Outpatient Clinic ◽  
Intervention Group ◽  
Controlled Study ◽  
Clinical Variables ◽  
Randomized Controlled ◽  
Outpatient Visits ◽  
Patient Reported

Objective: We investigated the effects of replacing regular outpatient follow-up through prescheduled visits with patient-initiated visits on patient satisfaction and clinical variables of type 1 diabetes (T1D). <p> </p> <p>Research Design and Methods: A 24-month randomized controlled trial, where adults with T1D were allocated to either patient-initiated unlimited access to outpatient visits, or usual care through regular prescheduled visits. The primary outcome was 7 patient-reported experience measures of patient satisfaction focused on benefit of consultation and accessibility of the outpatient clinic. Secondary outcomes included clinical variables of diabetes and use of staff resources.</p> <p> </p> <p>Results: We enrolled 357 outpatients (intervention, n=178; control, n=179). After 24 months, participants in the intervention group experienced more benefit from consultations compared to baseline within groups (p<0.05) and fewer unnecessary visits compared to controls (p<0.05). Patient needs covered and satisfaction with the outpatient clinic was high and unchanged in both groups, and accessibility was increased (3 questions, all p<0.05). A calculated 7-item patient satisfaction sum score favored the intervention group over controls (p<0.001). There were no significant changes in HbA1c, LDL, blood pressure, and complication status. The mean number of outpatient visits over 24 months (±SD) was lower in the intervention group compared to controls (4.4±2.8 vs. 6.3±2.7, p<0.001), while the number of telephone contacts was higher (3.1±3.4 vs. 2.5±3.2, p<0.001).</p> <p> </p> <p>Conclusions: Patient satisfaction remained high or improved with patient-initiated on-demand use of the diabetes outpatient clinic, with no decline in the quality of diabetes care, and a reduction in the use of staff resources.</p>

scholarly journals Effects of Patient-Initiated Visits on Patient Satisfaction and Clinical Outcomes in a Type 1 Diabetes Outpatient Clinic: A 2-Year Randomized Controlled Study

2021 ◽  
Author(s):  
Nina Drøjdahl Ryg ◽  
Jeppe Gram ◽  
Maryam Haghighi ◽  
Claus Bogh Juhl
Keyword(s):  
Type 1 Diabetes ◽  
Patient Satisfaction ◽  
Outpatient Clinic ◽  
Intervention Group ◽  
Controlled Study ◽  
Clinical Variables ◽  
Randomized Controlled ◽  
Outpatient Visits ◽  
Patient Reported

Objective: We investigated the effects of replacing regular outpatient follow-up through prescheduled visits with patient-initiated visits on patient satisfaction and clinical variables of type 1 diabetes (T1D). <p> </p> <p>Research Design and Methods: A 24-month randomized controlled trial, where adults with T1D were allocated to either patient-initiated unlimited access to outpatient visits, or usual care through regular prescheduled visits. The primary outcome was 7 patient-reported experience measures of patient satisfaction focused on benefit of consultation and accessibility of the outpatient clinic. Secondary outcomes included clinical variables of diabetes and use of staff resources.</p> <p> </p> <p>Results: We enrolled 357 outpatients (intervention, n=178; control, n=179). After 24 months, participants in the intervention group experienced more benefit from consultations compared to baseline within groups (p<0.05) and fewer unnecessary visits compared to controls (p<0.05). Patient needs covered and satisfaction with the outpatient clinic was high and unchanged in both groups, and accessibility was increased (3 questions, all p<0.05). A calculated 7-item patient satisfaction sum score favored the intervention group over controls (p<0.001). There were no significant changes in HbA1c, LDL, blood pressure, and complication status. The mean number of outpatient visits over 24 months (±SD) was lower in the intervention group compared to controls (4.4±2.8 vs. 6.3±2.7, p<0.001), while the number of telephone contacts was higher (3.1±3.4 vs. 2.5±3.2, p<0.001).</p> <p> </p> <p>Conclusions: Patient satisfaction remained high or improved with patient-initiated on-demand use of the diabetes outpatient clinic, with no decline in the quality of diabetes care, and a reduction in the use of staff resources.</p>

Randomized Controlled Study to Evaluate the Impact of Flexible Patient‐controlled Visits in People with Type 1 Diabetes: The DiabetesFlex Trial

2022 ◽  
Author(s):  
Tinne Laurberg ◽  
Liv Marit Valen Schougaard ◽  
Niels Henrik Ingvar Hjollund ◽  
Kirsten Elisabeth Lomborg ◽  
Troels Krarup Hansen ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Randomized Controlled ◽  
The Impact
Sign in / Sign up

Export Citation Format

Share Document