Patient Experience of Quality on Diabetes Mellitus Care in Primary Health Care: Integrative Literature Review
Abstract
This review aims to summarize the evidence from previous studies on patients' experiences of quality diabetes mellitus care in primary healthcare. Methods: Referring to Whittemore & Knafl's methodology for integrative literature review by searching articles in six databases namely: PubMed, CINAHL, EBSCOhost, ProQuest, ScienceDirect, Garuda; Google Scholar search engine; and one publisher website (Wiley Online Library) between 2017-2022. Inclusion criteria included: original articles, samples of DM patients aged >18 years, from all countries with English and Indonesian text. Results: Data were analyses by assessing the similarity of results between studies, then synthesized using narrative analysis. Seven studies met the inclusion criteria, five of which reported patients' experiences of low-quality DM care in primary healthcare due to inadequate structures, suboptimal care processes and clinical outcomes. Only two studies reported experiences of high-quality DM care due to adequate equipment, schedule organization, care coordination and good doctor-patient interaction.Conclusions: Patients' experiences of low-quality DM care in primary healthcare were attributed to inadequate structures, suboptimal care processes and poor clinical outcomes, whereas high quality DM care was associated with adequate equipment, good scheduling, care coordination and good doctor-patient interactions.
References
American Diabetes Association. (2022). Standards of Medical Care in Diabetes—2022 Abridged for Primary Care Providers. Clinical Diabetes, 40(1), 10–39. https://doi.org/https://doi.org/10.2337/cd22-as01
Birabwa, C., Bwambale, M. F., Waiswa, P., & Mayega, R. W. (2019). Quality and Barriers of Outpatient Diabetes Care in Rural Health Facilities in Uganda – A Mixed Methods Study. BMC Health Services Research, 19(706), 1–10. https://doi.org/10.1186/s12913-019-4535-x
Busetto, L., Luijkx, K. G., Elissen, A. M. J., & Vrijhoef, H. J. M. (2016). Context, Mechanisms and Outcomes of Integrated Care for Diabetes Mellitus Type 2: A Systematic Review. BMC Health Services Research, 16(18), 1–14. https://doi.org/10.1186/s12913-015-1231-3
Cramm, J. M., & Nieboer, A. P. (2013). High-Quality Chronic Care Delivery Improves Experiences of Chronically Illness Patients Receiving Care. International Journal for Quality in Health Care, 25(6), 689–695. https://doi.org/10.1093/intqhc/mzt065
Delavari, A., Alikhani, S., Nili, S., Birjandi, R. H., & Birjandi, F. (2009). Quality of Care of Diabetes Mellitus Type II patients in Iran. Archives Of Iranian Medicine, 12(6), 492–495.
El-shareif, H. J. (2018). Quality of Care for Type 2 Diabetes Mellitus in Tripoli Medical Center: A Retrospective Study of 628 Patients. Clinical Diabetology, 6(6), 204–210. https://doi.org/10.5603/DK.2017.0033
Hoque, D. M. E., Kumari, V., Hoque, M., Ruseckaite, R., Romero, L., & Evans, S. M. (2017). Impact of clInical regIstries on Quality of Patient Care and Clinical Outcomes: A Systematic Review. PLoS ONE, 12(9), 1–20. https://doi.org/10.1371/journal.pone.0183667
International Diabetes Federation. (2022). Atlas Diabetes IDF 2021. International Diabetes Federation. https://idf.org/aboutdiabetes/what-is-diabetes.html
Irawandi, D. (2020). The Correlation of Time Span of Suffering and Anxiety Level in Patient with Diabetes Melitus. Indonesian Contemporary Nursing Journal, 5(1), 21–26. https://doi.org/https://doi.org/10.20956/icon.v5i1.9970
Jalil, A., Zakar, R., Zakar, M. Z., & Fischer, F. (2017). Patient Satisfaction With Doctor-Patient Interactions: A Mixed Methods Study Among Diabetes Mellitus Patients in Pakistan. BMC Health Services Research, 17(155), 1–13. https://doi.org/10.1186/s12913-017-2094-6
Kruk, M. E., Gage, A. D., Arsenault, C., Jordan, K., Leslie, H. H., Roder-dewan, S., Adeyi, O., Barker, P., Twum-danso, N. A. Y., & Pate, M. (2018). High-Quality Health Systems in the Sustainable Development Goals Era: Time for a Revolution. The Lancet Global Health Commission, 6(11), 1196–1252. https://doi.org/10.1016/S2214-109X(18)30386-3
Mira, J. J., Nuño-Solinís, R., Guilabert-Mora, M., Solas-Gaspar, O., Fernández-Cano, P., González-Mestre, M. A., Contel, J. C., & Río-Cámara, M. Del. (2016). Development and Validation of an Instrument for Assessing Patient Experience of Chronic Illness Care. International Journal of Integrated Care, 16(3), 1–13. https://doi.org/10.5334/ijic.2443
Moradi, G., Shokri, A., Mohamadi-Bolbanabad, A., Zareie, B., & Piroozi, B. (2021). Evaluating the Quality of Care for Patients with Type 2 Diabetes Mellitus Based on the HbA1c: A National Survey in Iran. Heliyon, 7(3), 1–7. https://doi.org/10.1016/j.heliyon.2021.e06485
Nordin, N., Hairon, S. M., Yaacob, N. M., Hamid, A. A., Isa, S. A. M., & Hassan, N. (2021). Perceived Quality of Care Among People with Type 2 Diabetes Mellitus in the North East Region of Peninsular Malaysia. BMC Public Health, 21(268), 1–12. https://doi.org/10.1186/s12889-021-10320-y
Poeira, A. F., & Zangão, M. O. (2022). Construct of the Association between Sleep Quality and Perinatal Depression: A Literature Review. Healthcare (Switzerland), 10(7), 1–11. https://doi.org/10.3390/healthcare10071156
Santos, M. da P. R. dos, Albuquerque, M. do S. V. de, Lyra, T. M., Mendes, A. da C. G., Silva, F. L. da, & Diniz, G. T. N. (2020). Quality of Care for Patients with Diabetes Mellitus in the More Doctors Program, In A Municipality in the Metropolitan Region of Recife (PE), Brazil. Saúde Em Debate, 44(125), 384–399. https://doi.org/10.1590/0103-1104202012508i
Schiel, R., Hoffmann, A., & Muller, U. A. (1999). Quality of Care of Patients With Diabetes Mellitus Living in a Rural Area of Germany. Medizinische Klinik (Munich, Germany : 1983), 94(3), 127–132. https://doi.org/https://doi.org/10.1007/BF03044841
Schmittdiel, J. A., Gopalan, A., Lin, M. W., Banerjee, S., Chau, C. V., & Adams, A. S. (2017). Population Health Management for Diabetes: Health Care System-Level Approaches for Improving Quality and Addressing Disparities. Current Diabetes Reports, 17(31), 1–5. https://doi.org/10.1007/s11892-017-0858-3
Simão, C. C. A. L., Costa, M. B., Colugnati, F. A. B., Paula, E. A. de, Vanelli, C. P., & Paula, R. B. de. (2017). Quality of Care of Patients with Diabetes in Primary Health Services in Southeast Brazil. Journal of Environmental and Public Health, 1–7. https://doi.org/10.1155/2017/1709807
Stone, M. A., Charpentier, G., Doggen, K., Kuss, O., Lindblad, U., Kellner, C., Nolan, J., Pazderska, A., Rutten, G., Trento, M., & Khunti, K. (2013). Quality of Care of People with Type2 Diabetes in Eight European Countries. Diabetes Care, 36(9), 2628–2638. https://doi.org/10.2337/dc12-1759
Suplici, S. E. R., Meirelles, B. H. S., Lacerda, J. T. de, & Silva, D. M. G. V. da. (2021). Self-Care Among People With Diabetes Mellitus and Quality of Care in Primary Health Care. Revista Brasileira de Enfermagem (REBEN), 74(2), 1–8. https://doi.org/10.1590/0034-7167-2020-0351
Surianti, S., Majid, A., & Puspitha, A. (2017). The Effect of Active Range of Motion Exercise on Sensory Neuropathy in Diabetes Mellitus Patients. Indonesian Contemporary Nursing Journal, 1(2), 101–109. https://doi.org/https://doi.org/10.20956/icon.v1i2.3593
Tricco, A. C., Ivers, N. M., Grimshaw, J. M., David Moher, L. T., Galipeau, J., Halperin, I., Vachon, B., Ramsay, T., Manns, B., Tonelli, M., & Shojania, K. (2012). Effectiveness of Quality Improvement Strategies on the Management of Diabetes: A Systematic Review and Meta-Analysis. The Lancet, 379(9833), 2252–2261. https://doi.org/10.1016/S0140-6736(12)60480-2
Whittemore, R., Chao, A., Jang, M., Minges, K. E., & Park, C. (2014). Methods for Knowledge Synthesis: An Overview. Heart and Lung: Journal of Acute and Critical Care, 43(5), 453–461. https://doi.org/10.1016/j.hrtlng.2014.05.014
Whittemore, R., & Knafl, K. (2005). The Integrative Review: Updated Methodology. Journal of Advanced Nursing, 52(5), 546–553. https://doi.org/https://doi.org/10.1111/j.1365-2648.2005.03621.x
Wood, R., Viljoen, V., Merwe, L. Van Der, & Mash, R. (2015). Quality of Care for Patients With Non-Communicable Diseases in the Dedza District, Malawi. African Journal of Primary Health Care and Family Medicine, 7(1), 1–8. https://doi.org/10.4102/phcfm.v7i1.838
World Health Organization. (2020). Quality Health Services. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/quality-health-services
World Health Organization. (2021). Diabetes. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/diabetes
Copyright (c) 2026 Journal La Medihealtico

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.



