Woolley, A. orcid.org/0000-0003-3122-8713, Li, L. orcid.org/0000-0001-6301-3544, Solomon, J. orcid.org/0000-0003-1022-5759 et al. (7 more authors) (2020) What are the development priorities for management of type 2 diabetes by general practitioners in Ningbo, China: a qualitative study of patients’ and practitioners’ perspectives. BMJ Open, 10 (9). e037215. ISSN 2044-6055
Abstract
Objectives
To explore patients’ and general practitioners’ (GPs’) perspectives on primary care management of patients with type 2 diabetes mellitus (T2DM) in Ningbo, China. We aimed to understand the current benefits and challenges and to identify development priorities.
Design
Exploratory qualitative descriptive study using face-to-face interviews and analysed by thematic, inductive analysis.
Setting
11 primary care facilities spread across the city of Ningbo, China.
Participants
23 patients with T2DM and 20 GPs involved in caring for patients with T2DM.
Results
GPs were considered the first point of contact and providers of information. However, the care varied, and many GPs lacked confidence and felt overworked. The medication was a particularly weak area. The diagnostic screening commenced late, leading to crisis presentations. Patients were variably informed about their condition, contributing to poor adherence.
Conclusions
Future developments of primary care for T2DM in Ningbo should centre around improving GP confidence and workload and patient education and adherence.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
Keywords: | general diabetes; international health services; primary care; public health; qualitative research; Attitude of Health Personnel; China; Diabetes Mellitus, Type 2; General Practitioners; Humans; Qualitative Research |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > Health Sciences School (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 09 Oct 2024 11:10 |
Last Modified: | 09 Oct 2024 12:39 |
Status: | Published |
Publisher: | BMJ |
Refereed: | Yes |
Identification Number: | 10.1136/bmjopen-2020-037215 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:218060 |