Quality of interaction between primary health-care providers and patients with type 2 diabetes in Muscat, Oman

An observational study

Nadia Abdulhadi, Mohammed Ali Al-Shafaee, Claes Göran Östenson, Åsa Vernby, Rolf Wahlström

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Background: A good patient-physician interaction is particularly important in chronic diseases like diabetes. There are so far no published data regarding the interaction between the primary health-care providers and patients with type 2 diabetes in Oman, where diabetes is a major and growing health problem. This study aimed at exploring how health-care providers interact with patients with type 2 diabetes at primary health-care level in Muscat, Oman, focusing on the consultation environment, and some aspects of care and information. Methods: Direct observations of 90 consultations between 23 doctors and 13 diabetes nurses concerned with diabetes management during their consultations with type 2 diabetes patients in six primary health-care centres in the Muscat region, using checklists developed from the National Diabetes Guidelines. Consultations were assessed as optimal if more than 75% of observed aspects were fulfilled and sub-optimal if less than 50% were fulfilled. Results: Overall 52% of the doctors' consultations were not optimal. Some important aspects for a positive consultation environment were fulfilled in only about half of the doctors' consultations: ensuring privacy of consultation (49%), eye contact (49%), good attention (52%), encouraging asking questions (47%), and emphasizing on the patients' understanding of the provided information (52%). The doctors enquired about adverse effects of anti-diabetes drugs in less than 10% of consultations. The quality of the nurses' consultations was sub-optimal in about 75% of 85 consultations regarding aspects of consultation environment, care and information. Conclusion: The performance of the primary health-care doctors and diabetes nurses needs to be improved. The role of the diabetes nurses and the teamwork should be enhanced. We suggest a multidisciplinary team approach, training and education to the providers to upgrade their skills regarding communication and care. Barriers to compliance with the guidelines need to be further explored. Improving the work situation mainly for the diabetes nurses and further improvement in the organizational efficiency of diabetes services such as lowering the number of patients in diabetes clinic, are suggested.

Original languageEnglish
Article number72
JournalBMC Family Practice
Volume7
DOIs
Publication statusPublished - Dec 7 2006

Fingerprint

Oman
Health Personnel
Type 2 Diabetes Mellitus
Observational Studies
Primary Health Care
Referral and Consultation
Nurses
Organizational Efficiency
Guidelines
Nurse's Role
Privacy
Checklist

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Quality of interaction between primary health-care providers and patients with type 2 diabetes in Muscat, Oman : An observational study. / Abdulhadi, Nadia; Al-Shafaee, Mohammed Ali; Östenson, Claes Göran; Vernby, Åsa; Wahlström, Rolf.

In: BMC Family Practice, Vol. 7, 72, 07.12.2006.

Research output: Contribution to journalArticle

Abdulhadi, Nadia ; Al-Shafaee, Mohammed Ali ; Östenson, Claes Göran ; Vernby, Åsa ; Wahlström, Rolf. / Quality of interaction between primary health-care providers and patients with type 2 diabetes in Muscat, Oman : An observational study. In: BMC Family Practice. 2006 ; Vol. 7.
@article{68dcb58edb734fc7b7ed1139cf595f03,
title = "Quality of interaction between primary health-care providers and patients with type 2 diabetes in Muscat, Oman: An observational study",
abstract = "Background: A good patient-physician interaction is particularly important in chronic diseases like diabetes. There are so far no published data regarding the interaction between the primary health-care providers and patients with type 2 diabetes in Oman, where diabetes is a major and growing health problem. This study aimed at exploring how health-care providers interact with patients with type 2 diabetes at primary health-care level in Muscat, Oman, focusing on the consultation environment, and some aspects of care and information. Methods: Direct observations of 90 consultations between 23 doctors and 13 diabetes nurses concerned with diabetes management during their consultations with type 2 diabetes patients in six primary health-care centres in the Muscat region, using checklists developed from the National Diabetes Guidelines. Consultations were assessed as optimal if more than 75{\%} of observed aspects were fulfilled and sub-optimal if less than 50{\%} were fulfilled. Results: Overall 52{\%} of the doctors' consultations were not optimal. Some important aspects for a positive consultation environment were fulfilled in only about half of the doctors' consultations: ensuring privacy of consultation (49{\%}), eye contact (49{\%}), good attention (52{\%}), encouraging asking questions (47{\%}), and emphasizing on the patients' understanding of the provided information (52{\%}). The doctors enquired about adverse effects of anti-diabetes drugs in less than 10{\%} of consultations. The quality of the nurses' consultations was sub-optimal in about 75{\%} of 85 consultations regarding aspects of consultation environment, care and information. Conclusion: The performance of the primary health-care doctors and diabetes nurses needs to be improved. The role of the diabetes nurses and the teamwork should be enhanced. We suggest a multidisciplinary team approach, training and education to the providers to upgrade their skills regarding communication and care. Barriers to compliance with the guidelines need to be further explored. Improving the work situation mainly for the diabetes nurses and further improvement in the organizational efficiency of diabetes services such as lowering the number of patients in diabetes clinic, are suggested.",
author = "Nadia Abdulhadi and Al-Shafaee, {Mohammed Ali} and {\"O}stenson, {Claes G{\"o}ran} and {\AA}sa Vernby and Rolf Wahlstr{\"o}m",
year = "2006",
month = "12",
day = "7",
doi = "10.1186/1471-2296-7-72",
language = "English",
volume = "7",
journal = "BMC Family Practice",
issn = "1471-2296",
publisher = "BioMed Central",

}

TY - JOUR

T1 - Quality of interaction between primary health-care providers and patients with type 2 diabetes in Muscat, Oman

T2 - An observational study

AU - Abdulhadi, Nadia

AU - Al-Shafaee, Mohammed Ali

AU - Östenson, Claes Göran

AU - Vernby, Åsa

AU - Wahlström, Rolf

PY - 2006/12/7

Y1 - 2006/12/7

N2 - Background: A good patient-physician interaction is particularly important in chronic diseases like diabetes. There are so far no published data regarding the interaction between the primary health-care providers and patients with type 2 diabetes in Oman, where diabetes is a major and growing health problem. This study aimed at exploring how health-care providers interact with patients with type 2 diabetes at primary health-care level in Muscat, Oman, focusing on the consultation environment, and some aspects of care and information. Methods: Direct observations of 90 consultations between 23 doctors and 13 diabetes nurses concerned with diabetes management during their consultations with type 2 diabetes patients in six primary health-care centres in the Muscat region, using checklists developed from the National Diabetes Guidelines. Consultations were assessed as optimal if more than 75% of observed aspects were fulfilled and sub-optimal if less than 50% were fulfilled. Results: Overall 52% of the doctors' consultations were not optimal. Some important aspects for a positive consultation environment were fulfilled in only about half of the doctors' consultations: ensuring privacy of consultation (49%), eye contact (49%), good attention (52%), encouraging asking questions (47%), and emphasizing on the patients' understanding of the provided information (52%). The doctors enquired about adverse effects of anti-diabetes drugs in less than 10% of consultations. The quality of the nurses' consultations was sub-optimal in about 75% of 85 consultations regarding aspects of consultation environment, care and information. Conclusion: The performance of the primary health-care doctors and diabetes nurses needs to be improved. The role of the diabetes nurses and the teamwork should be enhanced. We suggest a multidisciplinary team approach, training and education to the providers to upgrade their skills regarding communication and care. Barriers to compliance with the guidelines need to be further explored. Improving the work situation mainly for the diabetes nurses and further improvement in the organizational efficiency of diabetes services such as lowering the number of patients in diabetes clinic, are suggested.

AB - Background: A good patient-physician interaction is particularly important in chronic diseases like diabetes. There are so far no published data regarding the interaction between the primary health-care providers and patients with type 2 diabetes in Oman, where diabetes is a major and growing health problem. This study aimed at exploring how health-care providers interact with patients with type 2 diabetes at primary health-care level in Muscat, Oman, focusing on the consultation environment, and some aspects of care and information. Methods: Direct observations of 90 consultations between 23 doctors and 13 diabetes nurses concerned with diabetes management during their consultations with type 2 diabetes patients in six primary health-care centres in the Muscat region, using checklists developed from the National Diabetes Guidelines. Consultations were assessed as optimal if more than 75% of observed aspects were fulfilled and sub-optimal if less than 50% were fulfilled. Results: Overall 52% of the doctors' consultations were not optimal. Some important aspects for a positive consultation environment were fulfilled in only about half of the doctors' consultations: ensuring privacy of consultation (49%), eye contact (49%), good attention (52%), encouraging asking questions (47%), and emphasizing on the patients' understanding of the provided information (52%). The doctors enquired about adverse effects of anti-diabetes drugs in less than 10% of consultations. The quality of the nurses' consultations was sub-optimal in about 75% of 85 consultations regarding aspects of consultation environment, care and information. Conclusion: The performance of the primary health-care doctors and diabetes nurses needs to be improved. The role of the diabetes nurses and the teamwork should be enhanced. We suggest a multidisciplinary team approach, training and education to the providers to upgrade their skills regarding communication and care. Barriers to compliance with the guidelines need to be further explored. Improving the work situation mainly for the diabetes nurses and further improvement in the organizational efficiency of diabetes services such as lowering the number of patients in diabetes clinic, are suggested.

UR - http://www.scopus.com/inward/record.url?scp=33846571488&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33846571488&partnerID=8YFLogxK

U2 - 10.1186/1471-2296-7-72

DO - 10.1186/1471-2296-7-72

M3 - Article

VL - 7

JO - BMC Family Practice

JF - BMC Family Practice

SN - 1471-2296

M1 - 72

ER -