Type 2 Diabetes: Doctors Y. Patients.Different visions.

There is a notable difference in perception between doctor and patient regarding the adherence of the treatment of type 2 diabetes mellitus (DM2), according to the study reflects2, which has presented the Federation of Spanish Diabetics (FEDE) and the Diabetes Study Networkin primary health care (REDGDPS).For example, patients feel that their doctor cares about their treatment in 67.5% of cases, while 94% of doctors claim to maintain that interest.This difference shows that the doctor should make a greater effort for the patient to feel that he is interested in his treatment.

A good medical-patient relationship improves adherence to treatment.

"Both groups must be coordinated and work together," maintains Andoni Lorenzo Garmendia, president of the Fede.“They are a tandem that must be in perfect harmony since otherwise, the close relationship between them must be lost, and that it is key for the patient to know and control his pathology, adhere adequately to their treatment and,,In sum, get a higher quality of life for its direct and responsible involvement with your diabetes. ”

Regarding the frequency with which the doctor asks patients about satisfaction with treatment, there are also different perceptions.Patients state that it is adequate in 67.1% of cases, against 81.5% in that of doctors.On the other hand, patients emphasize that the treatment received by the doctor has improved their quality of life (62%) and, this perception, is lower in the case of doctors (52%).

It is essential to make decisions shared between the patient and the healthcare professional both in clinical follow -up and when choosing the best treatment option.

"In the case of diabetes, shared decision -making between the patient and the healthcare professional both in clinical monitoring and when choosing the best treatment option," says Dr. Josep Franch, primary care doctorand member of the redgdps.“There is usually a single certain approach and several possibilities that must be explored to try to contribute as much quality of life to all patients in general are opened.This will contribute to improving satisfaction and adhesion to treatment and will strengthen the essential medical-patient relationship. ”

Another aspect of the analysis is about whether patients follow the medical recommendations for routine glycemia control, and data leave no doubt: 80% of patients follow them frequently.More than half of the patients (57%) consider the monitoring of your doctor's recommendations for the control of pathology.While most doctors consider very important (57.8%) or important (42%) to achieve the disease control objectives that establish their patients.

To reach these conclusions, the study, which was supported by Abbott, consulted with 974 primary care doctors and 1,012 patients.In Spain, the prevalence of this type of diabetes is 14% of the population."This lack of communication directly influences the health system," concludes Lorenzo Garmendia.“A more determined commitment to focus on the chronic patient and abandon its reactive structure to become a preventive system must be made.This would be achieved, in addition to a higher quality of life, increase the sustainability and efficiency of health care and reduce indirect costs that amount to 17,630 million euros and the direct ones that are around 5,447 million euros. ”

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