Family doctors' knowledge and self-reported care of type 2 diabetes patients in comparison to the clinical practice guideline: cross-sectional study

Rätsep, Anneli; Kalda, Ruth; Oja, Ivika; Lember, Margus

doi:10.1186/1471-2296-7-36

Cited by 24 publications

(18 citation statements)

References 23 publications

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“…This study revealed high selfreported compliance to this test by both physicians and nurses (79.0%) every 3 to 6 months. This finding is much better than other countries, such as Estonia and the USA (4,19), but very similar to general practitioners' practice in South Africa (17).…”

Section: Services Provided and Referral To Specialized Servicesmentioning

confidence: 58%

“…The guidelines may directly or indirectly influence the care given by physicians to patients with diabetes (13). A number of studies have shown that the presence of guidelines is not a factor in determining physicians' knowledge and behaviour in the followup and treatment of diabetes patients and very few physicians report using them (4,6,14). Rätsep et al justified this by citing doubts held by some physicians about the guidelines, while others believed that the guidelines had been developed to save costs and not for the benefit of patients (4).…”

Section: Discussionmentioning

confidence: 99%

“…In addition, the health care system arrangements for diabetes patients at these centres were assessed. The questionnaires were based on questionnaires used previously in similar studies (4,12) Figure 1 shows that fairly low proportions of physicians and nurses reported having access to specialized physicians at the centre where they worked, and nurses reported less access to endocrinologists, ophthalmologists and nutritionists than did physicians. A high proportion of physicians and nurses reported the availability of health educators and educational materials, e.g.…”

Section: Data Collectionmentioning

confidence: 99%

“…Several studies have addressed the role of physicians' compliance with guidelines for improving the quality of care for patients with diabetes mellitus (1)(2)(3), including the awareness, attitudes and behaviour of physicians to such guidelines (4)(5)(6). However, nurses, who are in direct contact with diabetes patients, have been less targeted in research.…”

Section: Introductionmentioning

confidence: 99%

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Compliance with and knowledge about Diabetes guidelines among physicians and nurses in Palestine

Sharif

Samara²,

Titi³

et al. 2015

East Mediterr Health J

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Guidelines for the care of patients with diabetes mellitus are believed to improve clinical practice and patient care. This study aimed to analyse the pattern of diabetes care by physicians and nurses in primary care clinics in Palestine and their self-reported compliance with the local Palestinian guidelines. Questionnaires were used to collect data from 401 participants in 3 governorates in the West Bank. In total, 46.0% of participants knew about the existence of the Palestinian guidelines and about 60% believed these were partially used; 32.7% had received training on implementation of the guidelines. Multivariate analysis showed that training on the guidelines was the only factor significantly associated with self-reported compliance with guideline use. Respondents reported high commitment to the use of the guidelines, but their attitudes and behaviour varied with time constraints, availability of the guidelines, availability of laboratory tests and training on how to apply the guidelines. ‫فلسطني‬ Connaissances et respect des recommandations sur le diabète chez des médecins et des infirmières en PalestineRÉSUMÉ Les recommandations pour les soins aux patients atteints de diabète sont réputées améliorer la pratique clinique et les soins aux patients. La présente étude visait à analyser la tendance des soins aux diabétiques dispensés par des médecins et des infirmières en établissements de soins de santé primaires en Palestine ainsi que le respect autodéclaré des recommandations locales palestiniennes. Des questionnaires ont été utilisés pour recueillir les données de 401 participants dans trois gouvernorats de la Cisjordanie. Au total, 46,0 % des participants connaissaient l'existence des recommandations palestiniennes et 60 % pensaient qu'elles étaient appliquées en partie ; 32,7 % avaient reçu une formation sur leur mise en oeuvre. Une analyse multivariée a démontré qu'une formation aux recommandations était le seul facteur significativement associé au respect autodéclaré de l'application des recommandations. Les répondants ont déclaré des niveaux d'engagement élevés concernant l'utilisation de ces recommandations, mais leurs attitudes et leur comportement variaient en fonction des contraintes de temps, de la disponibilité des recommandations, de la disponibilité des analyses de laboratoires et de la formation sur l'application des recommandations.

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Section: Services Provided and Referral To Specialized Servicesmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Section: Data Collectionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Compliance with and knowledge about Diabetes guidelines among physicians and nurses in Palestine

Sharif

Samara²,

Titi³

et al. 2015

East Mediterr Health J

View full text Add to dashboard Cite

show abstract

“…Concerning secondary prevention of coronary heart disease, guideline knowledge led to improved cardiovascular risk factor treatment [16]. On the other hand, family doctors' knowledge and self-reported behaviour concerning treatment of type 2 diabetes mellitus was not related to the reported availability or usage of the guideline in Estonia [17]. However the survey was relatively small and the authors admitted that the concerned type of health care (use of laboratory tests) might also depend on financial resources.…”

Section: Discussionmentioning

confidence: 79%