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I have read with interest the article titled, ‘Educational program for patients with type-1 diabetes mellitus receiving free monthly supplies of insulin improves knowledge and attitude, but not adherence,’ Vimalavathini et al. The authors mention in the second paragraph of introduction, “When a patient does not respond to an appropriately prescribed medicine, the reasons could be drug or patient-related factors”. I agree, but at the same time I want to add that, the reasons could also be communication-related factors. The authors already mention in the third paragraph that, “Planned interventional education programs have shown to provide a positive impact on improving the KAP scores in diabetic patients”.
Education is a broad concept, which encompasses both teaching and learning. Evidence-based studies show that doctors' interpersonal and communication skills have a significant impact on improved health outcomes.[2–4] To provide comprehensive care, many key qualities are essential, which include the ability to communicate effectively with the patient, act in a professional manner, cultivate an awareness of one's own values and prejudices, and provide care with an understanding of the cultural and spiritual dimensions of the patient's life.
Quality drugs, discipline, and diet (3D) are the principles of diabetic management. However, patients' adherence, compliance with medication, and disease outcome are closely associated with the quality of communication and a planned interventional education program.