Impact of Physician-Patient Communication on Diabetes Self-Management and Glycemic Control: A Cross-Sectional Study in Tertiary Healthcare Centers - Abstract
Background: Diabetes mellitus (DM) is a rapidly growing global health challenge, particularly in India. Effective diabetes management requires a comprehensive approach, with the physician-patient relationship playing a crucial role. This cross-sectional study examines the impact of physician-patient communication on diabetes self-management and glycemic control among diabetic patients in tertiary healthcare centers in India.
Methods: Participants (n=364) with Type 1 and Type 2 diabetes were enrolled from JJ Hospital’s Medicine Outpatient Department in Mumbai. Demographics included age (mean 52.7 years), diabetes type (87.4% Type 2), and mean diabetes duration (8.6 years). The Physician-Patient Relationship Questionnaire (PDRQ-9) assessed the quality of the physician-patient relationship. Diabetes self-management behaviors were evaluated using the Diabetes Self-Management Questionnaire (DSMQ). Glycemic control was measured by HbA1c levels. Results: Participants perceived a favorable physician-patient relationship, emphasizing effective communication, understanding, and respect. Diabetes self-management behaviors, especially glucose management, were moderate. A significant positive correlation (r=0.367, p<0.001) was found between the physician-patient relationship and self-management. However, nearly half of the participants had poorly controlled diabetes (HbA1c>7%). Conclusions: Effective physician-patient communication positively influences diabetes self-management behaviors. However, achieving optimal glycemic control remains challenging. Prioritizing this relationship in diabetes care is essential, but comprehensive interventions are needed for better outcomes. Further research in diverse settings is warranted to validate and extend these findings.