Patients with poorly controlled diabetes in primary care: healthcare clinicians' beliefs and attitudes

Jeavons, D; Hungin, A. P. S.; Cornford, Charles S.

doi:10.1136/pgmj.2005.039545

Cited by 45 publications

(69 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…42,58,60 Sometimes reluctant but empowered by greater involvement in their diabetes care; finding insulin treatment socially embarrassing. …”

Section: Professional Role and Identitymentioning

confidence: 99%

“…45 Influence of family and cultural beliefs, and specific problems with hard-to-reach or isolated groups. 32,37,42,45,47,48,51 Increased attention to diabetes in health care and the media but a lack of public health campaigns to highlight the seriousness of the condition. 40,51 Glycaemic control Perceived pressure to take on the responsibility for converting patients to insulin; nurses struggling to achieve external legitimacy in insulin initiation.…”

Section: Generalmentioning

confidence: 99%

“…30,33,39,43 Concern that those with impairments or older people could find complicated regimens difficult. 33,42 -…”

Section: Beliefs About Capabilitiesmentioning

confidence: 99%

See 2 more Smart Citations

Barriers to effective management of type 2 diabetes in primary care: qualitative systematic review

et al. 2016

View full text Add to dashboard Cite

BackgroundDespite the availability of evidence-based guidance, many patients with type 2 diabetes do not achieve treatment goals. AimTo guide quality improvement strategies for type 2 diabetes by synthesising qualitative evidence on primary care physicians' and nurses' perceived influences on care. Design and settingSystematic review of qualitative studies with findings organised using the Theoretical Domains Framework. MethodDatabases searched were MEDLINE, Embase, CINAHL, PsycInfo, and ASSIA from 1980 until March 2014. Studies included were Englishlanguage qualitative studies in primary care of physicians' or nurses' perceived influences on treatment goals for type 2 diabetes.

show abstract

“…42,58,60 Sometimes reluctant but empowered by greater involvement in their diabetes care; finding insulin treatment socially embarrassing. …”

Section: Professional Role and Identitymentioning

confidence: 99%

Section: Generalmentioning

confidence: 99%

See 1 more Smart Citation

Barriers to effective management of type 2 diabetes in primary care: qualitative systematic review

et al. 2016

View full text Add to dashboard Cite

show abstract

“…[15] The initiation and ongoing use of insulin is a stumbling block in non-hospital clinics, and non-specialist nurses cannot be expected to commence or monitor this therapy. [16,17] On the other hand, specialist diabetic nurses working in PHC clinics do help patients achieve therapeutic targets. [17] In Germany, disease-management programmes started in the 1990s and are run as secondary prevention programmes.…”

Section: Discussionmentioning

confidence: 99%

“…[16,17] On the other hand, specialist diabetic nurses working in PHC clinics do help patients achieve therapeutic targets. [17] In Germany, disease-management programmes started in the 1990s and are run as secondary prevention programmes. Diagnosed patients are entered into specialist-led disease programmes in their area.…”

Section: Discussionmentioning

confidence: 99%

Chronic diseases are not being managed effectively in either high-risk or low-risk populations in South Africa

et al. 2013

View full text Add to dashboard Cite

Background. Primary healthcare is the foundation of a country's healthcare system. Without an efficient and cost-effective programme, the level of healthcare offered across all levels of health management is adversely affected. Objective. To analyse the effectiveness of the management of hypertension and diabetes mellitus (DM) among two distinct patient populations, one with significant cardiovascular risk factors and the other without. Method. We performed a case control study of a high-risk group of patients presenting with chronic critical limb ischaemia (CLI) to the Divisions of Vascular Surgery at Charlotte Maxeke Johannesburg Academic Hospital and Chris Hani Baragwanath Academic Hospital, and a randomly selected group of 'healthy' community participants from Johannesburg's South Western Townships (Soweto). Results. We assessed 217 patients with CLI and 1 030 participants from the community. We assessed the number of patients who were not achieving their therapeuatic targets, among those known to be hypertensive (CLI: 44.7%; community: 59.9%) and diabetic (CLI: 83.5%; community: 66%). Undiagnosed diabetes affected 10.8% of patients with CLI and 11% of the community sample. Conclusion. Traditional vascular risk factors are managed poorly at both primary healthcare and at tertiary care levels. There is a need to identify factors that will address this issue.

show abstract

Professionals’ perceptions of type 2 diabetes in primary care during a service redesign

McDowell

Inverarity

Gilmour

et al. 2012

European Diabetes Nursing

View full text Add to dashboard Cite

The purpose of this study was to survey primary health care professionals' perceptions of type 2 diabetes, an evaluation during a service redesign. Management of people with type 2 diabetes has been led by hospital based secondary care. The objective of the service redesign was to transfer the management of the majority of people with type 2 diabetes from secondary care to general practitioner (GP) led, multidisciplinary primary care (comprising the GP, practice nurses, dietitians and podiatrists) delivered closer to the patients. Prior to implementation, all primary health care professionals undertook accredited educational preparation and there was infrastructure development by the creation of new posts and streamlining of IT systems to support the planned change. The study aim was to examine health care professionals' perspectives of diabetes, its management, the value of clinical guidelines and the impact of practice organisation. A cross‐sectional survey design was used. Primary health care professionals in one geographical area were sent the validated Perceptions of Diabetes Questionnaire (n=112). The response rate was 34% (n=38). Professionals attached great importance to ongoing education of people with type 2 diabetes in essential areas of care. Type 2 diabetes was perceived as more difficult to treat than other chronic conditions. There was a high level of satisfaction with the workload associated with the service redesign and a team approach is valued. There is an association between diabetes‐specific education and confidence in diabetes management. Professionals identified some barriers to using clinical guidelines. Overall, professionals were satisfied with the new model of multidisciplinary, GP led care management and their workload with the support of additional education in diabetes. Copyright © 2012 FEND. Published by John Wiley & Sons, Ltd.

show abstract

Patients with poorly controlled diabetes in primary care: healthcare clinicians' beliefs and attitudes

Cited by 45 publications

References 11 publications

Barriers to effective management of type 2 diabetes in primary care: qualitative systematic review

Barriers to effective management of type 2 diabetes in primary care: qualitative systematic review

Chronic diseases are not being managed effectively in either high-risk or low-risk populations in South Africa

Professionals’ perceptions of type 2 diabetes in primary care during a service redesign

Contact Info

Product

Resources

About