Rebecka Husdal1, Andreas Rosenblad2, Janeth Leksell3, Björn Eliasson4, Stefan Jansson5, Lars Jerdén6, Jan Stålhammar7, Lars Steen8, Thorne Wallman9, Eva Thors Adolfsson10. 1. Centre for Clinical Research Västmanland, Uppsala University, Västmanland County Hospital, Västerås, Sweden; Department of Medical Sciences, Uppsala University, Uppsala, Sweden. Electronic address: rebecka.husdal@ltv.se. 2. Centre for Clinical Research Västmanland, Uppsala University, Västmanland County Hospital, Västerås, Sweden. 3. Department of Medical Sciences, Uppsala University, Uppsala, Sweden. 4. Department of Medicine, Sahlgrenska University Hospital, University of Gothenburg, Gothenburg, Sweden. 5. University Health Care Research Centre, Region Örebro County, School of Medical Sciences, Örebro University, Örebro, Sweden. 6. School of Education, Health and Social Studies, Dalarna University, Falun, Sweden; Centre for Clinical Research Dalarna, Uppsala University, Falun, Sweden. 7. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden. 8. Drug and Therapeutics Committee, Södermanland County Council, Eskilstuna, Sweden. 9. Centre for Clinical Research Södermanland, Uppsala University, Eskilstuna, Sweden; Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine Section, Uppsala University, Uppsala, Sweden. 10. Centre for Clinical Research Västmanland, Uppsala University, Västmanland County Hospital, Västerås, Sweden; Department of Primary Health Care Västmanland, Västmanland County Hospital, Västerås, Sweden.
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.
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.
Authors: Wenjuan Duan; Ang Zheng; Xin Mu; Mingyang Li; Chunli Liu; Wenzhong Huang; Xin Wang Journal: Health Qual Life Outcomes Date: 2017-07-03 Impact factor: 3.186