Effects of FamilyDoctor Concept and Doctor-Patient Interaction Satisfaction on Glycaemic Control among Type 2 Diabetes Mellitus Patients in the Northeast Region of Peninsular Malaysia

Noorfariza Nordin, Suhaily Mohd Hairon, Najib Majdi Yaacob, Anees Abdul Hamid and Norzaihan Hassan
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Noorfariza Nordin: Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kelantan 16150, Malaysia
Suhaily Mohd Hairon: Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kelantan 16150, Malaysia
Najib Majdi Yaacob: Unit of Biostatistics and Research Methodology, School of Medical Sciences, Universiti Sains Malaysia, Kelantan 16150, Malaysia
Anees Abdul Hamid: Primer Health Unit, Kelantan State Health Department, Kelantan 15590, Malaysia
Norzaihan Hassan: Kota Bharu Health Clinic, Kota Bharu District Health Office, Kelantan State Health Department, Kelantan 15586, Malaysia

IJERPH, 2020, vol. 17, issue 5, 1-11

Abstract: The implementation of Family Doctor Concept (FDC) to restructure the primary healthcare systems in Malaysia were expected to enhance patient’s satisfaction on doctor-patient interaction and subsequently improved glycaemic control among Type 2 Diabetes Mellitus (T2DM) patients. Thus, this study aims to determine the difference in doctor-patient interaction satisfaction between T2DM patients attended FDC-implemented clinic vs non-FDC clinics, and to determine the association between FDC-implemented clinic and doctor-patient interaction satisfaction towards glycaemic control. A cross-sectional study was conducted throughout 10 districts in Kelantan from February until May 2019 using interview-guided Skala Kepuasan Interaksi Perubatan-11 (SKIP-11) and proforma checklist. Data were analyzed using SPSS ver.24. Chi-square statistic used to determine the difference in doctor-patient interaction satisfaction between both clinics type. Multiple logistic regression used to examine the association between FDC-implemented clinic and doctor-patient interaction satisfaction towards glycaemic control. Twenty primary health clinics involved, and 772 T2DM patients recruited. FDC clinics attendees has higher proportion of satisfaction (40.1%) compared to non-FDC attendees (33.7%) ( p = 0.070). Multiple logistic regression confirmed the association of FDC-implemented health clinics (Adj. OR 1.63, p = 0.021), and doctor-patients interaction satisfaction (Adj. OR 1.77, p = 0.005) towards glycaemic control. Hence, strengthening of FDC in primary healthcare and improve the doctor-patient interaction satisfaction were essential to escalate good glycaemic control.

Keywords: family doctor concept; primary healthcare; doctor-patient interaction; patient satisfaction; glycaemic control; Type 2 Diabetes Mellitus (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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