The impact of travel distance, travel time and waiting time on health-related quality of life of diabetes patients: An investigation in six European countries

Data de publicació: 01/04/2017

Autors de IIS La Fe

Raquel Faubel Cava

Autor

Autors aliens a IIS La Fe

Konerding, U
Bowen, T
Elkhuizen, SG
Forte, P
Karampli, E
Mahdavi, M
Malmström T
Pavi, E
Torkki, P

Grups d'Investigació

Unidad Mixta de Investigacion en TICs aplicadas a la reingeniería en procesos sociosanitarios (ERPSS)

Investigador Principal

María Eugenia Gas López

Abstract

Aims: The effects of travel distance and travel time to the primary diabetes care provider and waiting time in the practice on health-related quality of life (HRQoL) of patients with type 2 diabetes are investigated. Research design and methods: Survey data of 1313 persons with type 2 diabetes from six regions in England (274), Finland (163), Germany (254), Greece (165), the Netherlands (354), and Spain (103) were analyzed. Various multiple linear regression analyses with four different EQ-5D-3L indices (English, German, Dutch and Spanish index) as target variables, with travel distance, travel time, and waiting time in the practice as focal predictors and with control for study region, patient's gender, patient's age, patient's education, time since diagnosis, thoroughness of provider-patient communication were computed. Interactions of regions with the remaining five control variables and the three focal predictors were also tested. Results: There are no interactions of regions with control variables or focal predictors. The indices decrease with increasing travel time to the provider and increasing waiting time in the provider's practice. Conclusions: HRQoL of patients with type 2 diabetes might be improved by decreasing travel time to the provider and waiting time in the provider's practice. (C) 2017 Elsevier B.V. All rights reserved.

Dades de la publicació

ISSN/ISSNe:: 0168-8227, 1872-8227
Tipus:: Article
Pàgines:: 16-24
DOI:: 10.1016/j.diabres.2017.01.014
PubMed:: 28189950
Factor d'Impacte:: 1,538 SCImago ℠
Quartil:: Q1 SCImago ℠

Documents

No hi ha documents

Mètriques

Filiacions

Konerding, U:: Trimberg Research Academy, University of Bamberg, D-96045 Bamberg, Germany

Univ Bamberg, Trimberg Res Acad, D-96045 Bamberg, Germany
Bowen, T:: The Balance of Care Group, 39a Cleveland Road, London N1 3ES, UK

Balance Care Grp, 39a Cleveland Rd, London N1 3ES, England
Elkhuizen, SG:: Institute of Health Policy & Management, Erasmus University Rotterdam, PO Box 1738, 3000 DR Rotterdam, The Netherlands

Erasmus Univ, Inst Hlth Policy & Management, POB 1738, NL-3000 DR Rotterdam, Netherlands
Faubel, R:: Instituto de Investigación. REDISSEC and Joint Research Unit in Biomedical Engineering (IIS La Fe-Universitat Politècnica de València), Bulevar sur s/n, 46026 Valencia, Spain

Instituto de Investigación. Univ Politecn Valencia, IIS La Fe, REDISSEC, Bulevar S-N, Valencia 46026, Spain

Instituto de Investigación. Univ Politecn Valencia, IIS La Fe, Joint Res Unit Biomed Engn, Bulevar S-N, Valencia 46026, Spain
Forte, P:: The Balance of Care Group, 39a Cleveland Road, London N1 3ES, UK

Balance Care Grp, 39a Cleveland Rd, London N1 3ES, England
Karampli, E:: Department of Health Economics, National School of Public Health, 196 Alexandras Ave., 115 21 Athens, Greece

Natl Sch Publ Hlth, Dept Hlth Econ, 196 Alexandras Ave, Athens 11521, Greece
Mahdavi, M:: Institute of Health Policy & Management, Erasmus University Rotterdam, PO Box 1738, 3000 DR Rotterdam, The Netherlands

Erasmus Univ, Inst Hlth Policy & Management, POB 1738, NL-3000 DR Rotterdam, Netherlands
Malmström T:: Aalto University, Department of Industrial Engineering and Management, PO Box 15500, Aalto 00076, Espoo, Finland
Pavi, E:: Department of Health Economics, National School of Public Health, 196 Alexandras Ave., 115 21 Athens, Greece

Natl Sch Publ Hlth, Dept Hlth Econ, 196 Alexandras Ave, Athens 11521, Greece
Torkki, P:: Aalto University, Department of Industrial Engineering and Management, PO Box 15500, Aalto 00076, Espoo, Finland

Aalto Univ, Dept Ind Engn & Management, POB 15500, Espoo 00076, Finland

Keywords

Type 2 diabetes mellitus; Travel distance to provider; Travel time to provider; Waiting time in provider's practice; Health-related quality of life; EQ-5D

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