2020
DOI: 10.1136/bmjdrc-2020-001415
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Change in clinical knowledge of diabetes among primary healthcare providers in Indonesia: repeated cross-sectional survey of 5105 primary healthcare facilities

Abstract: IntroductionIndonesia is experiencing a rapid rise in the number of people with diabetes. There is limited evidence on how well primary care providers are equipped to deal with this growing epidemic. This study aimed to determine the level of primary healthcare providers’ knowledge of diabetes, change in knowledge from 2007 to 2014/2015 and the extent to which changes in the diabetes workforce composition, geographical distribution of providers, and provider characteristics explained the change in diabetes kno… Show more

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Cited by 4 publications
(4 citation statements)
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“…to measure know-do gaps for CVD care in an LMIC context; however, our results are consistent with several studies from LMICs that find large overall and know-do gaps for a range of other clinical areas, including tuberculosis, child diarrhea, and sick child care [10][11][12]14].…”
Section: Plos Global Public Healthsupporting
confidence: 90%
See 1 more Smart Citation
“…to measure know-do gaps for CVD care in an LMIC context; however, our results are consistent with several studies from LMICs that find large overall and know-do gaps for a range of other clinical areas, including tuberculosis, child diarrhea, and sick child care [10][11][12]14].…”
Section: Plos Global Public Healthsupporting
confidence: 90%
“…Clinicians may simply not be aware of screening guidelines or what actions they should take. This hypothesis is consistent with emerging evidence across Asian countries that finds low levels of clinician care knowledge for common conditions such as diabetes, tuberculosis, and child diarrhea [10][11][12]. Alternatively, physicians may know that they should conduct opportunistic screenings, but not do so in actual clinical care (this discrepancy between clinicians' knowledge and behavior is referred to as the "know-do" gap [11,13,14]).…”
Section: Introductionsupporting
confidence: 74%
“…Indonesia ranks second among countries with the highest prevalence of hyperglycemia with 19.5 million cases, which is expected to increase to 28.6 million by 2045 [ 2 ]. With the epidemiological status of hyperglycemia, the risk of chronic wound occurrence in Indonesia has also risen due to hyperglycemia being a contributing factor [ 3 ]. Chronic wounds caused by hyperglycemia are susceptible to infections that may ultimately lead to amputation and mortality.…”
Section: Introductionmentioning
confidence: 99%
“…One study examined the connection between depression and other chronic diseases using national longitudinal and cross-sectional data from the IFLS-5 (Sinaga et al, 2022). Another study examined the clinical familiarity of primary healthcare professionals with diabetes using information from the 2007 and 2014/2015 waves of the IFLS (Stein et al, 2020). The IFLS was designed to give data for examining behaviors and outcomes.…”
Section: Introductionmentioning
confidence: 99%