title: Patient satisfaction with diabetes care.
abstract: OBJECTIVE
  The aim of this paper is to report the findings of a study that elucidated the experiences and reflections of people with type 2 diabetes about clinical encounters.
  
  
  BACKGROUND
  Several patient satisfaction surveys have focused on privacy, cheerfulness and amenities rather than on how the care was delivered. A great deal of research has also focused on communication and various consultation styles, particularly within health promotion and diabetes care, but how these factors tie up with patient satisfaction has rarely been discussed. This study was performed in order to elucidate patients' perspectives about clinical encounters in diabetes care.
  
  
  METHODS
  Interviews were carried out during 2001 with 44 patients with diabetes. The transcribed interviews were analysed using qualitative content analysis.
  
  
  RESULTS
  Five themes were connected to patient satisfaction and dissatisfaction, namely 'being in agreement vs. in disagreement about the goals'; 'autonomy and equality vs. feeling forced into adaptation and submission'; 'feeling worthy as a person vs. feeling worthless'; 'being attended to and feeling welcome vs. ignored'; and, lastly, 'feeling safe and confident vs. feeling unsafe and lacking confidence'.
  
  
  CONCLUSIONS
  Despite efforts to individualize diabetes care and find ways to communicate with patients, many people have experiences of clinical encounters that they find dissatisfying. Experiences of dissatisfying encounters have elements that may threaten their perception of self and identity, while elements included in satisfying encounters are those characterizing patient-centred care.
authors.affiliation: Department of Nursing, Umeå University, Umeå, Sweden. asa.hornsten@nurs.umu.se
authors.forename: Asa
authors.initials: A
authors.lastname: Hornsten
authors.forename: Berit
authors.initials: B
authors.lastname: Lundman
authors.forename: Eva Kihl
authors.initials: EK
authors.lastname: Selstam
authors.forename: Herbert
authors.initials: H
authors.lastname: Sandstrom
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D001786:Blood Glucose / Q000032:analysis; D002983:Clinical Competence; D003924:Diabetes Mellitus, Type 2 / Q000451:nursing / Q000523:psychology / Q000628:therapy*; D005260:Female; D006040:Goals; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D026684:Personal Autonomy; D011369:Professional-Patient Relations
chemical_list: D001786:Blood Glucose