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Forgone care in patients with type 2 diabetes: a cross-sectional study
BACKGROUND AND OBJECTIVE: Diabetes mellitus is a complex chronic disease requiring appropriate continuous medical care and delayed, or forgone care may exacerbate the severity of the disease. This study aimed to investigate the factors affecting forgone care in patients with type2 diabetes. MATERIAL...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8386068/ https://www.ncbi.nlm.nih.gov/pubmed/34429093 http://dx.doi.org/10.1186/s12889-021-11639-2 |
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author | Jalilian, Habib Heydari, Somayeh Mir, Nazanin Fehresti, Saeedeh Khodayari-Zarnaq, Rahim |
author_facet | Jalilian, Habib Heydari, Somayeh Mir, Nazanin Fehresti, Saeedeh Khodayari-Zarnaq, Rahim |
author_sort | Jalilian, Habib |
collection | PubMed |
description | BACKGROUND AND OBJECTIVE: Diabetes mellitus is a complex chronic disease requiring appropriate continuous medical care and delayed, or forgone care may exacerbate the severity of the disease. This study aimed to investigate the factors affecting forgone care in patients with type2 diabetes. MATERIALS AND METHODS: This was a cross-sectional study involving 1139 patients with type 2 diabetes aged> 18 years in 2019 in Tabriz, Iran. The researcher-made questionnaire was used for data collection. Data were analyzed using IBM SPSS software version 22 and IBM AMOS 22. Exploratory Factor Analysis (EFA) was performed for dimension reduction of the questionnaire, and Confirmatory Factor Analysis (CFA) used to verify the result of EFA. We applied the binary logistic regression model to assess the factors affecting forgone care. RESULTS: Of the 1139 patients, 510 patients (45%) reported forgone care during the last year. The percentage of forgoing care was higher in patients without supplementary insurance coverage (P = 0.01), those with complications (P = 0.01) and those with a history of hospitalization (P = 0.006). The majority of patients (41.5%) reported that the most important reason for forgoing care is financial barriers resulting from disease treatment costs. Of the main four factors affecting, quality of care had the highest impact on forgone care at 61.28 (of 100), followed by accessibility (37.01 of 100), awareness and attitude towards disease (18.52 of 100) and social support (17.22 of 100). CONCLUSION: The results showed that, despite the implementation of the Islamic Republic of Iran on a fast-track to beating non-communicable diseases (IraPEN), a considerable number of patients with type2 diabetes had a history of forgoing care, and the most important reasons for forgoing care were related to the financial pressure and dissatisfaction with the quality of care. Therefore, not only more financial support programs should be carried out, but the quality of care should be improved. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-021-11639-2. |
format | Online Article Text |
id | pubmed-8386068 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-83860682021-08-26 Forgone care in patients with type 2 diabetes: a cross-sectional study Jalilian, Habib Heydari, Somayeh Mir, Nazanin Fehresti, Saeedeh Khodayari-Zarnaq, Rahim BMC Public Health Research BACKGROUND AND OBJECTIVE: Diabetes mellitus is a complex chronic disease requiring appropriate continuous medical care and delayed, or forgone care may exacerbate the severity of the disease. This study aimed to investigate the factors affecting forgone care in patients with type2 diabetes. MATERIALS AND METHODS: This was a cross-sectional study involving 1139 patients with type 2 diabetes aged> 18 years in 2019 in Tabriz, Iran. The researcher-made questionnaire was used for data collection. Data were analyzed using IBM SPSS software version 22 and IBM AMOS 22. Exploratory Factor Analysis (EFA) was performed for dimension reduction of the questionnaire, and Confirmatory Factor Analysis (CFA) used to verify the result of EFA. We applied the binary logistic regression model to assess the factors affecting forgone care. RESULTS: Of the 1139 patients, 510 patients (45%) reported forgone care during the last year. The percentage of forgoing care was higher in patients without supplementary insurance coverage (P = 0.01), those with complications (P = 0.01) and those with a history of hospitalization (P = 0.006). The majority of patients (41.5%) reported that the most important reason for forgoing care is financial barriers resulting from disease treatment costs. Of the main four factors affecting, quality of care had the highest impact on forgone care at 61.28 (of 100), followed by accessibility (37.01 of 100), awareness and attitude towards disease (18.52 of 100) and social support (17.22 of 100). CONCLUSION: The results showed that, despite the implementation of the Islamic Republic of Iran on a fast-track to beating non-communicable diseases (IraPEN), a considerable number of patients with type2 diabetes had a history of forgoing care, and the most important reasons for forgoing care were related to the financial pressure and dissatisfaction with the quality of care. Therefore, not only more financial support programs should be carried out, but the quality of care should be improved. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-021-11639-2. BioMed Central 2021-08-24 /pmc/articles/PMC8386068/ /pubmed/34429093 http://dx.doi.org/10.1186/s12889-021-11639-2 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Jalilian, Habib Heydari, Somayeh Mir, Nazanin Fehresti, Saeedeh Khodayari-Zarnaq, Rahim Forgone care in patients with type 2 diabetes: a cross-sectional study |
title | Forgone care in patients with type 2 diabetes: a cross-sectional study |
title_full | Forgone care in patients with type 2 diabetes: a cross-sectional study |
title_fullStr | Forgone care in patients with type 2 diabetes: a cross-sectional study |
title_full_unstemmed | Forgone care in patients with type 2 diabetes: a cross-sectional study |
title_short | Forgone care in patients with type 2 diabetes: a cross-sectional study |
title_sort | forgone care in patients with type 2 diabetes: a cross-sectional study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8386068/ https://www.ncbi.nlm.nih.gov/pubmed/34429093 http://dx.doi.org/10.1186/s12889-021-11639-2 |
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