Are general practitioners characteristics associated with the quality of type 2 diabetes care in general practice? Results from the Norwegian ROSA4 study from 2014.

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

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]

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