- Patients with diabetes say face-to-face contact with healthcare professionals, length of consultation time, and continuity of care are important aspects of patient-practitioner interactions.
- Preferences were met less over time as diabetes duration increased.
Why this matters
- An estimated 4 million people in the United Kingdom have type 2 diabetes, and a further 500,000 are undiagnosed.
- Previous evidence suggests better patient experiences with practitioners are associated with lower cardiovascular risk factors which, in turn, could lead to a delay in diabetes progression.
- This study shows that the aspects of care that are valued by patients are increasingly under threat in UK primary care.
- Early in the course of their disease, comments on the frequency of face-to-face interactions with healthcare professionals were largely positive.
- At 10-year follow-up, a large number of participants had not experienced any recent patient-practitioner interactions, and some reported no face-to-face contact with a practitioner over time periods ranging from 10 months to 5 years.
- Over 10 years, participants made frequent references to inadequate time being available during interactions with practitioners.
- Participants seemed to place great importance on relational continuity of care than face-to-face contact.
- Patient preferences were met less over time as diabetes duration increased.
- Longitudinal qualitative analysis over 10 years in UK primary care using data from the ADDITION-Cambridge and ADDITION-Plus trials from 2002 to 2016.
- Funding: Medical Research Council, Wellcome Trust, Diabetes UK, NHS, National Institute for Health Research.
- Response rates were low at both sampling points.
- Trial setting and intervention could have influenced patients’ perceptions of care.