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Patient and provider perceptions of diabetes: measuring and evaluating differences
James T Fitzgerald1, R Brent Stansfield, Tricia Tang
1Department of Medical Education, University of Michigan, United States. tfitz@umich.edu
Patient Education and Counseling
|November 13, 2007
Summary
Patients generally perceive diabetes care more positively than their providers do, with significant differences found in how both groups view diabetes concepts. Understanding these perception gaps is key for better patient-provider communication.
Area of Science:
- Healthcare disparities
- Patient-provider communication
- Diabetes management
Background:
- Patient and provider perceptions of diabetes care can significantly influence treatment adherence and outcomes.
- Existing research often focuses on objective measures, with less attention paid to subjective viewpoints.
Purpose of the Study:
- To measure and compare patient and healthcare provider perceptions of diabetes care.
- To identify and examine differences in perceptions between patient-provider pairs.
Main Methods:
- The Diabetes Semantic Differential Scales (DSDS) were used to assess patient and provider perceptions of diabetes care concepts.
- Respondents rated concepts using contrasting adjective pairs, with data analyzed using both mean scores and factor analysis.
- A snowball sampling strategy recruited 71 providers, forming 138 patient-provider pairs from patients aged 40+ with diabetes.
Main Results:
- Significant perception differences were found between patients and providers for 28% of mean-scored semantic differentials and 26% of factor-scored items.
- Effect sizes indicated that these differences were practically significant.
Conclusions:
- Substantial differences exist in how patients and providers perceive diabetes care, with patients generally holding more positive views.
- The DSDS is a valuable tool for identifying these perception gaps, aiding in more effective patient-provider communication and diabetes management strategies.
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