Self-reported access to and quality of healthcare for diabetes: do the severely obese experience equal access?

John B Dixon, Jessica L Browne, Toni Rice, Kay Jones, Frans Pouwer, Jane Speight

Research output: Contribution to journalJournal articleResearchpeer-review


BACKGROUND: Given reported pejorative views that health professionals have about patients who are severely obese, we examined the self-reported views of the quality and availability of diabetes care from the perspective of adults with type 2 diabetes (T2DM), stratified by body mass index (BMI).

METHODS: 1795 respondents to the Diabetes MILES - Australia national survey had T2DM. Of these, 530 (30%) were severely obese (BMI ≥35 kg/m²) and these participants were matched with 530 controls (BMI <35 kg/m²). Data regarding participants' self-reported interactions with health practitioners and services were compared.

RESULTS: Over 70% of participants reported that their general practitioner was the professional they relied on most for diabetes care. There were no between-group differences in patient-reported availability of health services, quality of interaction with health practitioners, resources and support for self-management, or access to almost all diabetes services.

DISCUSSION: Participants who were severely obese did not generally report greater difficulty in accessing diabetes care.

Original languageEnglish
JournalAustralian family physician
Issue number8
Pages (from-to)552-556
Publication statusPublished - 2014
Externally publishedYes


  • Aged
  • Australia
  • Body Mass Index
  • Case-Control Studies
  • Diabetes Mellitus, Type 1
  • Diabetes Mellitus, Type 2
  • Female
  • Health Care Surveys
  • Health Services Accessibility
  • Healthcare Disparities
  • Humans
  • Male
  • Middle Aged
  • Obesity, Morbid
  • Patient Satisfaction
  • Quality of Health Care
  • Self Report
  • Journal Article

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