title: Towards patient-oriented diabetes care: results from two KORA surveys in southern Germany.
abstract: OBJECTIVE
  This study aims to examine the relationship of diabetes care processes and patient outcomes with an expanded set of indicators regarding patient-oriented care delivery, such as treatment satisfaction, the quality of patient-physician relationship, and a wider range of patient outcomes such as self-management, health behaviour, disease-related burden, and health-related quality of life (HRQL).
  
  
  METHODS
  The study population consisted of 486 participants with type 2 diabetes in two population-based follow-up surveys, conducted in 2003 to 2005 and 2006 to 2008 in Southern Germany. Data were self-reported and questionnaire-based, including the SF-12 for HRQL. Multiple regression models were used to identify associations between care processes and outcomes with adjustment for confounders.
  
  
  RESULTS
  Frequent medical examinations increased the likelihood of self-monitoring activities, such as foot care. A positive patient experienced relationship with their physician is associated with higher adherence to medical recommendations, such as medication intake, and the score of the SF-12 mental component. Participants with diabetes-related complications reported higher levels of medical examinations and multiprofessional care.
  
  
  CONCLUSIONS
  Indicators of patient-oriented care should become an indispensable part of diabetes clinical practice guidelines with the aim of striving for more effective support of patients.
authors: Institute of Health Economics and Health Care Management, Helmholtz Zentrum Munich, 85764 Neuherberg, Germany.
authors: Michaela
authors: 0000-0002-1200-1903
authors: M
authors: Schunk
authors: Institute of Health Economics and Health Care Management, Helmholtz Zentrum Munich, 85764 Neuherberg, Germany.
authors: Renée
authors: R
authors: Stark
authors: Institute of Health Economics and Health Care Management, Helmholtz Zentrum Munich, 85764 Neuherberg, Germany.
authors: Peter
authors: 0000-0001-8619-5248
authors: P
authors: Reitmeir
authors: Institute of Epidemiology II, Helmholtz Zentrum Munich, 85764 Neuherberg, Germany ; German Center for Diabetes Research (DZD e.V.), 85764 Neuherberg, Germany.
authors: Christa
authors: C
authors: Meisinger
authors: Institute of Health Economics and Health Care Management, Helmholtz Zentrum Munich, 85764 Neuherberg, Germany ; German Center for Diabetes Research (DZD e.V.), 85764 Neuherberg, Germany.
authors: Rolf
authors: R
authors: Holle
mesh_terms: D000368:Aged; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D005260:Female; D005858:Germany; D015438:Health Behavior; D006801:Humans; D007328:Insulin / Q000378:metabolism; D008297:Male; D008875:Middle Aged; D018802:Patient-Centered Care; D010817:Physician-Patient Relations; D011787:Quality of Health Care; D012044:Regression Analysis; D012107:Research Design; D012648:Self Care; D012923:Social Class; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
chemical_list: D007328:Insulin