Associations between family members' perceptions of the health care system and the health of youths with insulin-dependent diabetes mellitus

Cindy L. Hanson, Scott W. Henggeler, Michael Harris, Kelly A. Mitchell, Deborah L. Carle, George A. Burghen

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

This study examined family members' satisfaction with the health care system and the association between satisfaction and health outcomes in youths with insulin-dependent diabetes mellitus (IDDM). Subjects were 96 adolescents with IDDM and their parents. Satisfaction with the health care system was measured for physicians' personal qualities, physicians' professional competence, and the cost and convenience of medical care. Health outcome measures included the adolescents' adherence to treatment, metabolic control (HbA1c), and the number of diabetes-related hospitalizations during the previous year. Family members generally had favorable attitudes toward physicians' personal qualities and professional competence, and neutral attitudes regarding the cost and convenience of medical care Adolescents' adherence to treatment was positively associated with fathers' perceptions of physicians' professional competence, and marginally (p <.05) related to mothers' perceptions of physicians' professional competence and youths' perceptions of physicians' personal qualities. Youths' perceptions of physicians' professional competence correlated negatively with the number of hsopitalizations during the past year, and, unexpectedly, correlated positively with metabolic control. Interpretations of these findings and suggestions for future research and presented.

Original languageEnglish (US)
Pages (from-to)543-554
Number of pages12
JournalJournal of Pediatric Psychology
Volume13
Issue number4
DOIs
StatePublished - Dec 1988
Externally publishedYes

Fingerprint

Diabetes Mellitus
Insulin
Medical problems
Type 1 Diabetes Mellitus
Health care
Professional Competence
Healthcare
Health
Delivery of Health Care
Physicians
Dependent
Health Care Costs
Diabetes
Costs
Family
Health care system
Diabetes mellitus
Fathers
Hospitalization
Parents

Keywords

  • Diabetes
  • Family satisfaction
  • Health care

ASJC Scopus subject areas

  • Statistics, Probability and Uncertainty
  • Applied Mathematics
  • Genetics(clinical)
  • Biotechnology
  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology
  • Psychology(all)

Cite this

Associations between family members' perceptions of the health care system and the health of youths with insulin-dependent diabetes mellitus. / Hanson, Cindy L.; Henggeler, Scott W.; Harris, Michael; Mitchell, Kelly A.; Carle, Deborah L.; Burghen, George A.

In: Journal of Pediatric Psychology, Vol. 13, No. 4, 12.1988, p. 543-554.

Research output: Contribution to journalArticle

Hanson, Cindy L. ; Henggeler, Scott W. ; Harris, Michael ; Mitchell, Kelly A. ; Carle, Deborah L. ; Burghen, George A. / Associations between family members' perceptions of the health care system and the health of youths with insulin-dependent diabetes mellitus. In: Journal of Pediatric Psychology. 1988 ; Vol. 13, No. 4. pp. 543-554.
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