Diabetes care provision in UK primary care practices.

<h4>Background</h4>Although most people with Type 2 diabetes receive their diabetes care in primary care, only a limited amount is known about the quality of diabetes care in this setting. We investigated the provision and receipt of diabetes care delivered in UK primary care.<h4>M...

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Autores principales:	Gillian Hawthorne, Susan Hrisos, Elaine Stamp, Marko Elovainio, Jill J Francis, Jeremy M Grimshaw, Margaret Hunter, Marie Johnston, Justin Presseau, Nick Steen, Martin P Eccles
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6679ce696bd64b259f728230165d36cc
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spelling	oai:doaj.org-article:6679ce696bd64b259f728230165d36cc2021-11-18T07:10:27ZDiabetes care provision in UK primary care practices.1932-620310.1371/journal.pone.0041562https://doaj.org/article/6679ce696bd64b259f728230165d36cc2012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22859997/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Although most people with Type 2 diabetes receive their diabetes care in primary care, only a limited amount is known about the quality of diabetes care in this setting. We investigated the provision and receipt of diabetes care delivered in UK primary care.<h4>Methods</h4>Postal surveys with all healthcare professionals and a random sample of 100 patients with Type 2 diabetes from 99 UK primary care practices.<h4>Results</h4>326/361 (90.3%) doctors, 163/186 (87.6%) nurses and 3591 patients (41.8%) returned a questionnaire. Clinicians reported giving advice about lifestyle behaviours (e.g. 88% would routinely advise about calorie restriction; 99.6% about increasing exercise) more often than patients reported having received it (43% and 42%) and correlations between clinician and patient report were low. Patients' reported levels of confidence about managing their diabetes were moderately high; a median (range) of 21% (3% to 39%) of patients reporting being not confident about various areas of diabetes self-management.<h4>Conclusions</h4>Primary care practices have organisational structures in place and are, as judged by routine quality indicators, delivering high quality care. There remain evidence-practice gaps in the care provided and in the self confidence that patients have for key aspects of self management and further research is needed to address these issues. Future research should use robust designs and appropriately designed studies to investigate how best to improve this situation.Gillian HawthorneSusan HrisosElaine StampMarko ElovainioJill J FrancisJeremy M GrimshawMargaret HunterMarie JohnstonJustin PresseauNick SteenMartin P EcclesPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 7, p e41562 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Gillian Hawthorne Susan Hrisos Elaine Stamp Marko Elovainio Jill J Francis Jeremy M Grimshaw Margaret Hunter Marie Johnston Justin Presseau Nick Steen Martin P Eccles Diabetes care provision in UK primary care practices.
description	<h4>Background</h4>Although most people with Type 2 diabetes receive their diabetes care in primary care, only a limited amount is known about the quality of diabetes care in this setting. We investigated the provision and receipt of diabetes care delivered in UK primary care.<h4>Methods</h4>Postal surveys with all healthcare professionals and a random sample of 100 patients with Type 2 diabetes from 99 UK primary care practices.<h4>Results</h4>326/361 (90.3%) doctors, 163/186 (87.6%) nurses and 3591 patients (41.8%) returned a questionnaire. Clinicians reported giving advice about lifestyle behaviours (e.g. 88% would routinely advise about calorie restriction; 99.6% about increasing exercise) more often than patients reported having received it (43% and 42%) and correlations between clinician and patient report were low. Patients' reported levels of confidence about managing their diabetes were moderately high; a median (range) of 21% (3% to 39%) of patients reporting being not confident about various areas of diabetes self-management.<h4>Conclusions</h4>Primary care practices have organisational structures in place and are, as judged by routine quality indicators, delivering high quality care. There remain evidence-practice gaps in the care provided and in the self confidence that patients have for key aspects of self management and further research is needed to address these issues. Future research should use robust designs and appropriately designed studies to investigate how best to improve this situation.
format	article
author	Gillian Hawthorne Susan Hrisos Elaine Stamp Marko Elovainio Jill J Francis Jeremy M Grimshaw Margaret Hunter Marie Johnston Justin Presseau Nick Steen Martin P Eccles
author_facet	Gillian Hawthorne Susan Hrisos Elaine Stamp Marko Elovainio Jill J Francis Jeremy M Grimshaw Margaret Hunter Marie Johnston Justin Presseau Nick Steen Martin P Eccles
author_sort	Gillian Hawthorne
title	Diabetes care provision in UK primary care practices.
title_short	Diabetes care provision in UK primary care practices.
title_full	Diabetes care provision in UK primary care practices.
title_fullStr	Diabetes care provision in UK primary care practices.
title_full_unstemmed	Diabetes care provision in UK primary care practices.
title_sort	diabetes care provision in uk primary care practices.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/6679ce696bd64b259f728230165d36cc
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Diabetes care provision in UK primary care practices.

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