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. 2012 Sep 6;12:303. doi: 10.1186/1472-6963-12-303

Table 2.

Distribution of problem indicator levels for the questions which caused difficulties to 15% or more of respondents

Questions Problem Indicators
Item non response/ missing Inadequate answer Request for clarification Answer with comments Do not know No improvement by probing
1. In the last 6 months, have you seen your primary care physician or have you had to ask for a house call? If Yes, please specify the number of contacts?
18
19
9
8
6
11
2. In the last 6 months, have you visited the emergency room or a medical emergency service or something similar due to an emergency? If Yes, please specify the number of contacts?
2
14
1
1
0
3
3. In the last 6 months, have you seen any of the following physicians having their own practice (a list provided)? If Yes, please specify the number of contacts?
10
13
7
2
2
5
4. Please provide an estimate of how much time you have spent on all your outpatient doctor visits in the last 6 months. Please also consider travel time to and from physicians and time spent waiting.
16
4
5
10
8
17
5. In the last 6 months, have you had any of the following special medical tests (a list provided)? Please check all that apply. If Yes, please specify how many times?
8
3
2
4
3
3
6. In the last 6 months, have you gone to see a physical therapist, naturopath, or other therapists (a list provided)? If Yes, please specify the number of contacts.
2
8
1
4
0
1
7. In the last 6 months, have there been any treatment changes with regard to your diabetes treatment? If Yes, please check all that apply (for each treatment a list of possible changes, i.e. newly prescribed, discontinued, dose reduced, dose increased was provided and participants were asked when the changes occurred).
5
10
4
5
1
0
8. If you are treated with blood-sugar lowering tablets at present, please provide the exact medication name and the daily dose.
9
3
1
0
1
4
9. If you are treated with insulin at present, please indicate how you administer insulin, the exact insulin product name and units per day.
7
1
1
1
0
1
10. Please indicate which medications you REGULARLY take in addition to your diabetes therapy at present. Please specify exact medication name, form of administration (tablets, liquid, etc.) and daily dose.
21
12
7
3
5
15
11. Are there any other medications that you have been taking AS NEEDED in the last 6 months? If Yes, please specify exact medication name, form of administration (tablets, liquid, etc.), daily dose and frequency of use in the last 6 months.
11
3
1
1
1
8
12. In the last 6 months, how much have you paid for all of your medications (including expenses for prescription fees)? If you are not able to indicate the exact amount, please provide an estimate. 14 10 10 11 8 18