Testing proximal, intermediate, and health outcomes of patient centered communication among non-pregnant women of childbearing age with diabetes mellitus: Findings from the Medical Expenditure Panel Survey 2012-2018

• Published in: PEC innovation Vol. 3; p. 100185
• Main Authors: Kindratt, Tiffany B., Boateng, Godfred O., Brannon, Grace Ellen, Sankuratri, Bala Yadu Vamsi, Brown, Kyrah K.
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier B.V 15.12.2023; Elsevier
• Subjects: Diabetes care self-efficacy; Diabetes mellitus; Diabetes self-management; Full length article; Health disparities; Maternal health; Medical expenditure panel survey; Patient provider communication; Patient-centered care; Patient provider communication; Diabetes mellitus; Patient-centered care; Medical expenditure panel survey; Diabetes self-management; Maternal health; Diabetes care self-efficacy; Health disparities
• ISSN: 2772-6282; 2772-6282
• DOI: 10.1016/j.pecinn.2023.100185

To determine associations between patient-centered communication (PCC) and overall healthcare ratings, self-efficacy, and management adherence among reproductive-age women with diabetes within the framework of Epstein and Street's conceptual model. We analyzed longitudinal data from the 2012–2018 Medical Expenditure Panel Survey. The sample included 493 non-pregnant women of childbearing age (18–45 years) with diabetes. Independent variables were domains of PCC (listening, explaining, respecting, spending time, giving instructions, among others). Dependent variables were overall healthcare ratings, self-efficacy, and management adherence. Crude and adjusted associations were evaluated. Non-pregnant women of childbearing age who reported that their provider always listened to them, explained things, showed respect, and spent enough time with them had greater odds of reporting high overall healthcare ratings. Those who reported their provider always listened to them and spent enough time with them had greater odds of reporting better diabetes care adherence than those whose health care providers did not. Findings demonstrate that non-pregnant women of childbearing age who report having optimal PCC are more likely to adhere to their diabetes care regimen. This is the first known study using a nationally representative sample of non-pregnant women of childbearing age to examine multiple layers of PCC. •Non-pregnant, women of childbearing age with diabetes are understudied.•Patient-centered communication quality improves diabetes care management adherence.•Other factors contribute to overall healthcare ratings and diabetes self-efficacy.