Type

Journal Article

Authors

Colin Bradley
Ivan J. Perry
Monica O'Mullane
Sheena M Mc Hugh

Subjects

Education

Topics
qualitative study attitudes group practice national general practice health service general practitioners local level

'It sounds like a great idea but…': a qualitative study of GPs' attitudes towards the development of a national diabetes register. (2014)

Abstract The aim of this study was to investigate the attitudes of general practitioners (GPs) to the development of a national diabetes register as a way of improving the quality of care. Qualitative study using semistructured interviews. General practice, Ireland. Purposive sample of 29 GPs and two practice nurses. Participants' practices varied by (a) location (rural/urban), (b) size (single-handed/group practice) and (c) extent of computerisation. The semistructured topic guide focused on experiences of change in the health system at a local and national level and attitudes towards the development of a national diabetes register. Analysis was conducted using the Framework approach. Participants were sceptical about the development of a national diabetes register. The main advantage was 'knowing the numbers' for epidemiological and policy purposes. However, participants questioned the benefits for their practice and patients. There were concerns that it would drain resources from other priorities and distract from patient management. These attitudes were strongly influenced by previous experience of change in the health system. Participants felt that remuneration would be necessary to ensure full engagement, reflecting wider frustrations with payment structures for general practice. There was a sense of wariness towards health service administration which was not specific to diabetes care but which coloured some participants' attitudes towards a national register. In contrast, participants referred to positive experiences of change at a local level, facilitated by a 'practice ethos' and professional leadership. This study highlights the growing sense of scepticism and inertia towards change within the health system. This inertia stems from previous experience and the competing demands of maintaining versus improving care in a system with dwindling resources.
Collections Ireland -> University College Cork -> PubMed

Full list of authors on original publication

Colin Bradley, Ivan J. Perry, Monica O'Mullane, Sheena M Mc Hugh

Experts in our system

1
Colin P. Bradley
University College Cork
Total Publications: 62
 
2
Ivan J Perry
University College Cork
Total Publications: 188
 
3
Sheena Mc Hugh
University College Cork
Total Publications: 9