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The management of Type 2 diabetes: A survey of Australian general practitioners

Citation

Jiwa, M and Meng, X and Sriram, D and Hughes, J and Colagiuri, S and Twigg, SM and Skinner, T and Shaw, T, The management of Type 2 diabetes: A survey of Australian general practitioners, Diabetes Research and Clinical Practice, 95, (3) pp. 326-332. ISSN 0168-8227 (2012) [Refereed Article]

Copyright Statement

Copyright 2011 Elsevier Ireland Ltd

DOI: doi:10.1016/j.diabres.2011.11.004

Abstract

Objective: To explore how clinical and demographic variables impact on the management of diabetes mellitus in general practice. Design: A structured vignette survey was conducted in Australia. This included nine vignettes chosen at random from 128 developed around seven clinical variables. Respondents were asked to recommend a change in treatment and make specific recommendations. A random sample of general practitioners (GPs) were recruited. Two diabetologists involved in the development of national guidelines also participated. Results: 125 (13.8%) GPs participated. Statistical analyses were used to generate outcome measures. GPs recommended a change in treatment for most (81.1%) cases; were less likely to prescribe a statin (68.5% GPs vs. 76.3% diabetologists), less likely to treat hypertension (66.7% vs.89%) and less likely to refer for lifestyle modification (82.3% vs. 96.5%). Significant disagreement occurred around prescribing or changing oral hypoglycaemics. No GP characteristics showed significant impact. The proportion of GPs who agreed with diabetiologists on dose and choice of drugs was 35.7% for statins, 49.6% for antihypertensives and 39.6% for oral hypoglycaemics. Conclusions: There were significant differences between diabetologists and GPs on the management of diabetes. The survey suggests significant under-dosing by GPs. These findings warrant further investigation. © 2011 Elsevier Ireland Ltd.

Item Details

Item Type:Refereed Article
Keywords:Diabetes melitus, management, general practice, primary health care, diagnosis, survey
Research Division:Medical and Health Sciences
Research Group:Public Health and Health Services
Research Field:Primary Health Care
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Diabetes
Author:Skinner, T (Professor Timothy Skinner)
ID Code:74492
Year Published:2012
Web of Science® Times Cited:11
Deposited By:Faculty of Health
Deposited On:2011-12-05
Last Modified:2014-12-17
Downloads:0

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