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Are general practitioners characteristics associated with the quality of type 2 diabetes care in general practice? Results from the Norwegian ROSA4 study from 2014.
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- Author(s): Tran, Anh Thi (AUTHOR); Bakke, Åsne (AUTHOR); Berg, Tore J (AUTHOR); Gjelsvik, Bjørn (AUTHOR); Mdala, Ibrahimu (AUTHOR); Nøkleby, Kjersti (AUTHOR); Shakil Rai, Anam (AUTHOR); Cooper, John G (AUTHOR); Claudi, Tor (AUTHOR); Løvaas, Karianne (AUTHOR); Thue, Geir (AUTHOR); Sandberg, Sverre (AUTHOR); Jenum, Anne K (AUTHOR)
- Source:
Scandinavian Journal of Primary Health Care. Jun2018, Vol. 36 Issue 2, p170-179. 10p. - Source:
- Additional Information
- Subject Terms: TYPE 2 diabetes & psychology; BLOOD pressure; FAMILY medicine; GLYCOSYLATED hemoglobin; HEALTH status indicators; LOW density lipoproteins; MEDICAL care; MEDICAL quality control; MEDICAL screening; MEDICAL prescriptions; MEDICAL specialties & specialists; PATIENTS; GENERAL practitioners; POPULATION geography; SELF-evaluation; SEX distribution; SURVEYS; CROSS-sectional method; ELECTRONIC health records; GLYCEMIC control
- Subject Terms:
- Abstract: Objective: To explore the associations between general practitioners (GPs) characteristics such as gender, specialist status, country of birth and country of graduation and the quality of care for patients with type 2 diabetes (T2DM). Design: Cross-sectional survey. Setting and subjects: The 277 GPs provided care for 10082 patients with T2DM in Norway in 2014. The GPs characteristics were self-reported: 55% were male, 68% were specialists in General Practice, 82% born in Norway and 87% had graduated in Western Europe. Of patients, 81% were born in Norway and 8% in South Asia. Data regarding diabetes care were obtained from electronic medical records and manually verified. Main outcome measures: Performance of recommended screening procedures, prescribed medication and level of HbA1c, blood pressure and LDL-cholesterol stratified according to GPs characteristics, adjusted for patient and GP characteristics. Result: Female GPs, specialists, GPs born in Norway and GPs who graduated in Western Europe performed recommended procedures more frequently than their counterparts. Specialists achieved lower mean HbA1c (7.14% vs. 7.25%, p<0.01), a larger proportion of their patients achieved good glycaemic control (HbA1c=6.0%-7.0%) (49.1% vs. 44.4%, p=0.018) and lower mean systolic blood pressure (133.0mmHg vs. 134.7mmHg, p<0.01) compared with non-specialists. GPs who graduated in Western Europe achieved lower diastolic blood pressure than their counterparts (76.6mmHg vs. 77.8mmHg, p<0.01). Conclusion: Several quality indicators for type 2 diabetes care were better if the GPs were specialists in General Practice. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Scandinavian Journal of Primary Health Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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