Highlights
- •Examined changes in Swedish primary diabetes care between 2006 and 2013 using self-reported data.
- •List size decreased while the number of patients with type 2 diabetes (T2DM) increased.
- •RNs’ time devoted to patients with T2DM and diabetes-specific education levels increased.
- •Use of follow-up systems and medical check-ups for risk factors increased.
- •Use of group education programmes and patient participation in setting treatment targets remained low.
Abstract
Aims
To compare the resource allocation and organisational features in Swedish primary
diabetes care for patients with type 2 diabetes mellitus (T2DM) between 2006 and 2013.
Methods
Using a repeated cross-sectional study design, questionnaires covering personnel resources
and organisational features for patients with T2DM in 2006 and 2013 were sent to all
Swedish primary health care centres (PHCCs) during the following year. In total, 684
(74.3%) PHCCs responded in 2006 and 880 (76.4%) in 2013.
Results
Compared with 2006, the median list size had decreased in 2013 (p < 0.001), whereas the median number of listed patients with T2DM had increased (p < 0.001). Time devoted to patients with T2DM and diabetes-specific education levels
for registered nurses (RNs) had increased, and more PHCCs had in-house psychologists
(all p < 0.001). The use of follow-up systems and medical check-ups had increased (all p < 0.05). Individual counselling was more often based on patients’ needs, while arrangement
of group-based education remained low. Patient participation in setting treatment
targets mainly remained low.
Conclusions
Even though the diabetes-specific educational level among RNs increased, the arrangement
of group-based education and patient participation in setting treatment targets remained
low. These results are of concern and should be prioritised as key features in the
care of patients with T2DM.
Abbreviations:
ECTS (European Credit Transfer and Accumulation System), GP (general practitioner), NDR (National Diabetes Register), PHC (primary health care), PHCC (primary health care centre), RN (registered nurse), Swed-QOP (The Swedish National Survey of the Quality and Organisation of Diabetes Care in Primary Healthcare), T2DM (type 2 diabetes mellitus), WC (waist circumference), WTE (whole time equivalent)Keywords
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Article info
Publication history
Published online: August 28, 2016
Accepted:
August 2,
2016
Received in revised form:
June 12,
2016
Received:
December 1,
2015
Identification
Copyright
© 2016 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.
