Primary Care Diabetes
Volume 1, Issue 2 , Pages 93-97 , June 2007

Family doctors’ assessment of patient- and health care system-related factors contributing to non-adherence to diabetes mellitus guidelines

  • A. Rätsep

      Affiliations

    • Department of Polyclinic and Family Medicine, University of Tartu, Estonia
    • Corresponding Author InformationCorresponding author at: Puusepa 1a, Tartu 50406, Estonia. Tel.: +372 7319 214; fax: +372 7319 213.
    • ,
  • I. Oja

      Affiliations

    • Centre of Laeva, Tartu County, Estonia
    • ,
  • R. Kalda

      Affiliations

    • Department of Polyclinic and Family Medicine, University of Tartu, Estonia
    • ,
  • M. Lember

      Affiliations

    • Department of Internal Medicine, University of Tartu, Estonia

Received 30 January 2007 ,Accepted 12 March 2007.

References 

  1. Diamond J. The double puzzle of diabetes. Nature. 2003;423:599–602
  2. Adler AI, Stratton IM, Neil HA, et al. Association of systolic blood pressure with macrovascular and microvascular complications of type 2 diabetes (UKPDS 36): prospective observational study. BMJ. 2000;321:412–419
  3. Khunti K. Use of multiple methods to determine factors affecting quality of care of patients with diabetes. Fam. Pract. 1999;16:489–494
  4. Worrall G, Freake D, Kelland J, et al. Care of patients with type II diabetes: a study of family physicians’ compliance with clinical practice guidelines. J. Fam. Pract. 1997;44:374–381
  5. Feder G, Griffiths C, Highton C, et al. Do clinical guidelines, introduced with practice based education, improve care of asthmatic and diabetic patients? A randomised controlled trial in general practices in East London. Br. Med. J. 1995;311:1473–1478
  6. Brown JR, Harris SB, Webster-Bogaert S, et al. The role of patient, physicians and systemic factors in the management of type 2 diabetes mellitus. Fam. Pract. 2002;19:344–349
  7. Larme AC, Pugh JA. Attitudes of primary care providers toward diabetes: barriers to guideline implementation. Diabetes Care. 1998;21:1391–1396
  8. Grol R, Dalhuijsen J, Thomas S, et al. Attributes of clinical guidelines that influence use of guidelines in general practice: observational study. BMJ. 1998;317:858–861
  9. Khunti K, Ganguli S, Baker R, Lowyet A. Features of primary care associated with variations in process and outcome of care of people with diabetes. Br. J. Gen. Pract. 2001;51:356–360
  10. Lember M. Family practice training in Estonia. Fam. Med. 1996;282–286
  11. European Diabetes Policy Group. A desktop guide to type 2 diabetes mellitus. Diabetic Med. 1999;16:716–730
  12. Rätsep A. Teist tüüpi diabeediga haigete ravikuulekust mõjutavad patsiendipoolsed tegurid—kvalitatiivne uuring. Eesti Arst. 2003;5:353–356
  13. Drass J, Kell S, Osborn M, et al. Diabetes care for medicare beneficiaries. Diabetes Care. 1998;8:1282–1287
  14. Khunti K, Baker R, Ganguli S. Clinical governance for diabetes in primary care: use of practice guidelines and participation in multi-practice audit. Br. J. Gen. Pract. 2000;50:877–881
  15. Cabana MD, Rand CS, Powe N, et al. Why didn’t physicians follow clinical practice guidelines?. JAMA. 1999;282:1458–1465
  16. Larme CA, Pugh JA. Evidence-based guidelines meet the real world. Diabetes Care. 2001;24:1728–1733
  17. Agarwal G, Pierce M, Ridout D. The FD perspective: problems experienced in providing diabetes care in UK general practice. Diabetic Med. 2002;19:13–20
  18. Kenny SJ, Smith PJ, Goldschmid MG, et al. Survey of physician practice behaviours related to diabetes mellitus in the U.S. Physician adherence to consensus recommendations. Diabetes Care. 1993;16:1507–1510
  19. Spann SJ, Nutting PA, Galliher JM, et al. Management of type 2 diabetes in the primary care setting: a practice-based research network study. Ann. Fam. Med. 2006;4:23–31
  20. Rothenbacher D, Ruter G, Brenner H. Prognostic value of physicians’ assessment of compliance regarding all-cause mortality in patients with type 2 diabetes: primary care follow-up study. BMC Fam. Pract. 2006;7:42

PII: S1751-9918(07)00035-6

doi: 10.1016/j.pcd.2007.03.002

Primary Care Diabetes
Volume 1, Issue 2 , Pages 93-97 , June 2007

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