Type

Journal Article

Authors

Colin Bradley
Ivan Perry
Monica O'Mullane
Anna de Siún
Anne Fitzpatrick
Jo O'Keeffe
Sheena Mc Hugh

Subjects

Medicine & Nursing

Topics
physicians family delivery of health care education questionnaires diabetes mellitus type 2 registries diabetes mellitus type 1 physician s practice patterns standards epidemiology diabetes mellitus therapy ireland humans statistics numerical data data collection health services accessibility

Diabetes care in Ireland: a survey of general practitioners. (2009)

Abstract To investigate the organisation of diabetes care in general practice in Ireland and identify areas for future development. Survey of a representative sample of 600 general practitioners (GPs). The questionnaire contained closed and open-ended questions addressing 4 topics; characteristics of the practice, diabetes care delivery, use of services and opportunities for developing diabetes care. The response rate was 44% (n=262). There were an additional 86 responses to a follow-up shortened version of the survey resulting in a 58% response rate for 9 key questions. The majority of respondents were from an urban (43%, n=112) or a mixed area (39%, n=101) and 19% of practices were single-handed (n=66). The reported prevalence in participating practices was 0.7% for Type 1 diabetes and 2.8% for Type 2 diabetes. Forty-five percent of GPs maintained a diabetes register (n=157) while 53% reported using guidelines (n=140). A formal call recall system was reported by 30% (n=78) with a further 20% (n=54) reporting a regular if informal approach to calling patients for review. With regard to the use of diabetes related services 63% reported direct access to a dietician (n=165), 57% direct access to chiropody services (n=149) and 89% had direct access to retinopathy screening (n=234). There was a significant association between maintaining a diabetes register and other aspects of care delivery such as engaging in formal recall (p<0.001), using guidelines (p<0.001) and a declared special interest in diabetes (p=0.001). Of a number of choices 75% of GPs thought that training was the principal opportunity for improving diabetes care. In response to the open-ended questions GPs cited lack of resources, time constraints and workload as barriers to effective care delivery. Delivery of diabetes care in Ireland remains largely unstructured. Key challenges to improving diabetes care appear to extend to the system and organisational level of care delivery.
Collections Ireland -> University College Cork -> PubMed

Full list of authors on original publication

Colin Bradley, Ivan Perry, Monica O'Mullane, Anna de Siún, Anne Fitzpatrick, Jo O'Keeffe, Sheena 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