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Journal of Diabetes Research
Volume 2015, Article ID 368570, 14 pages
Research Article

Towards Patient-Oriented Diabetes Care: Results from Two KORA Surveys in Southern Germany

1Institute of Health Economics and Health Care Management, Helmholtz Zentrum Munich, 85764 Neuherberg, Germany
2Institute of Epidemiology II, Helmholtz Zentrum Munich, 85764 Neuherberg, Germany
3German Center for Diabetes Research (DZD e.V.), 85764 Neuherberg, Germany

Received 9 December 2014; Revised 22 February 2015; Accepted 25 February 2015

Academic Editor: Francis M. Finucane

Copyright © 2015 Michaela Schunk et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. This study aims to examine the relationship of diabetes care processes and patient outcomes with an expanded set of indicators regarding patient-oriented care delivery, such as treatment satisfaction, the quality of patient-physician relationship, and a wider range of patient outcomes such as self-management, health behaviour, disease-related burden, and health-related quality of life (HRQL). Methods. The study population consisted of 486 participants with type 2 diabetes in two population-based follow-up surveys, conducted in 2003 to 2005 and 2006 to 2008 in Southern Germany. Data were self-reported and questionnaire-based, including the SF-12 for HRQL. Multiple regression models were used to identify associations between care processes and outcomes with adjustment for confounders. Results. Frequent medical examinations increased the likelihood of self-monitoring activities, such as foot care. A positive patient experienced relationship with their physician is associated with higher adherence to medical recommendations, such as medication intake, and the score of the SF-12 mental component. Participants with diabetes-related complications reported higher levels of medical examinations and multiprofessional care. Conclusions. Indicators of patient-oriented care should become an indispensable part of diabetes clinical practice guidelines with the aim of striving for more effective support of patients.