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Resource allocation and organisational features in Swedish primary diabetes care: Changes from 2006 to 2013
Centre for Clinical Research Västmanland, Uppsala University, Västmanland County Hospital, Västerås, Sweden; Department of Medical Sciences, Uppsala University, Uppsala, Sweden.
Centre for Clinical Research Västmanland, Uppsala University, Västmanland County Hospital, Västerås, Sweden.
Department of Medical Sciences, Uppsala University, Uppsala, Sweden.
Department of Medicine, Sahlgrenska University Hospital, University of Gothenburg, Gothenburg, Sweden.
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2017 (English)In: Primary Care Diabetes, ISSN 1751-9918, E-ISSN 1878-0210, Vol. 11, no 1, p. 20-28Article in journal (Refereed) Published
Abstract [en]

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. (C) 2016 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
Elsevier, 2017. Vol. 11, no 1, p. 20-28
Keywords [en]
Organisational features, Primary diabetes care, Repeated cross-sectional survey, Resource allocation, Type 2 diabetes mellitus
National Category
Endocrinology and Diabetes
Identifiers
URN: urn:nbn:se:oru:diva-56109DOI: 10.1016/j.pcd.2016.08.002ISI: 000392679200003PubMedID: 27578488Scopus ID: 2-s2.0-84994418162OAI: oai:DiVA.org:oru-56109DiVA, id: diva2:1078824
Note

Funding Agencies:

Uppsala-Örebro Regional Research Council

Västmanland County Council

Available from: 2017-03-06 Created: 2017-03-06 Last updated: 2018-02-01Bibliographically approved

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Jansson, Stefan

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