D Jeavons
Patients with poorly controlled diabetes in primary care: health care clinicians’ beliefs and attitudes
Jeavons, D; Hungin, APS; Cornford, CS
Authors
APS Hungin
CS Cornford
Abstract
Objective: To determine doctors’ and nurses’ attitudes and beliefs about treating patients with type 2 diabetes with less than ideal glycaemic control while receiving maximal oral treatment in primary care. Design: Focus groups. Setting: Primary care. Participants: Four focus groups of 23 GPs and practice nurses. Results: General practice was thought to be the best setting for managing all patients with type 2 diabetes but there were concerns about a lack of resources and unfamiliarity with starting insulin. Issues around compliance were extensively discussed; the "failing diabetic" had dual meanings of failing glycaemic control and failing compliance and effort by both patient and doctor. Although views about insulin therapy differed, patients were understood to be resistant to starting insulin, representing for them a more serious stage of diabetes, with fears of needles and hypoglycaemia. Conclusion: The role of diabetes specialist nurses working in primary care will be crucial in managing such patients to improve knowledge, for extra resources, for their experience of insulin use, and to change attitudes.
Citation
Jeavons, D., Hungin, A., & Cornford, C. (2006). Patients with poorly controlled diabetes in primary care: health care clinicians’ beliefs and attitudes. Postgraduate Medical Journal, 82(967), 347-350. https://doi.org/10.1136/pgmj.2005.039545
Journal Article Type | Article |
---|---|
Publication Date | May 1, 2006 |
Deposit Date | May 23, 2007 |
Journal | Postgraduate Medical Journal |
Print ISSN | 0032-5473 |
Electronic ISSN | 1469-0756 |
Publisher | BMJ Publishing Group |
Peer Reviewed | Peer Reviewed |
Volume | 82 |
Issue | 967 |
Pages | 347-350 |
DOI | https://doi.org/10.1136/pgmj.2005.039545 |
Keywords | Diabetes, Primary care. |
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