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首页> 外文学位 >Contributions of patient characteristics and organizational factors to patient outcomes of diabetes care in Hualien, Taiwan.
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Contributions of patient characteristics and organizational factors to patient outcomes of diabetes care in Hualien, Taiwan.

机译：台湾花莲的患者特征和组织因素对糖尿病护理患者预后的贡献。

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This cross-sectional study measured quality of diabetes care and explored the contributions of patient and organizational factors to patient outcomes of diabetes care in Hualien, Taiwan. Donabedian's structure-process-outcome framework was applied to examine the system of health care in Hualien County with respect to the quality and outcomes related to patients with diabetes.; One hundred-forty participants were randomly selected from the list of individuals with diabetes who were seen at the medical center in Hualien during 2000 and 2001. Data collection included administering questionnaires through the mail or by direct interview in early 2003 and reviewing medical records over the course of the year 2002.; Patient characteristics (gender, age, education, ethnicity, occupation, length of time since diagnosis, pattern of diabetes treatment, and comorbidity) and organizational factors in terms of structure (institute characteristics and physician specialty) and the care process (patient-physician relationships, organizational collaboration, and preventive monitoring and diabetes education) were examined in light of their contributions to patient outcomes: glycemic control, adherence to self-care regimen, and quality of care.; Findings included: three patient outcomes of diabetes care, diabetes professional performance, and contributions of patient and organizational factors to the outcomes. The average A1C level was 8.27%; patient adherence to self-care regimen was moderate. Scores of patient perception of quality of life were lower in physical and psychological domains but higher in social relations and environmental domains than scores in other studies. Data about professional performance showed a need to improve preventive care for patients.; Regression procedures highlighted the contributions of patient and organizational factors to patient outcomes. The structure of care (institute characteristics, and physician specialty) accounted for 8.1% of the variation in glycemic control. Patient characteristics (level of education and ethnicity) and organizational factors (structure and process, health institute characteristics and patient-professional relationships) accounted for 23.0% of the variance in adherence to self-care. Patient characteristics (patient ethnicity and comorbidity) and interpersonal processes of care (patient-professional relationships) accounted for 31.1% of the variance in perceptions of quality of life.
机译：这项横断面研究测量了台湾糖尿病患者的糖尿病护理质量，并探讨了患者和组织因素对糖尿病患者护理效果的影响。采用Donabedian的“结构－过程－结果”框架，对花莲县与糖尿病患者相关的质量和结局进行了检查。从2000年至2001年在花莲医疗中心看望的糖尿病患者名单中随机选择了一百四十名参与者。数据收集包括通过邮寄或在2003年初通过直接访谈的方式进行问卷调查，并回顾该病历。 2002年课程。患者特征（性别，年龄，学历，种族，职业，自诊断以来的时间长短，糖尿病的治疗方式和合并症）以及根据结构（研究所特征和医师专长）和护理过程（患者与医师的关系）的组织因素，组织协作以及预防性监测和糖尿病教育），根据其对患者预后的贡献进行检查：血糖控制，坚持自我护理方案和护理质量。研究结果包括：糖尿病护理的三个患者结局，糖尿病专业表现以及患者和组织因素对结局的贡献。平均A1C水平为8.27％；患者对自我护理方案的依从性中等。在身体和心理方面，患者对生活质量的感知得分较低，而在社会关系和环境领域中则高于其他研究。有关专业绩效的数据表明需要改善对患者的预防保健。回归程序强调了患者和组织因素对患者预后的贡献。护理结构（机构特征和医生专长）占血糖控制变化的8.1％。患者特征（教育程度和种族水平）和组织因素（结构和过程，卫生院特征以及患者与专业之间的关系）占坚持自我护理方差的23.0％。患者特征（患者种族和合并症）和人际护理过程（医患关系）占生活质量感知差异的31.1％。

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