Diabetes care in India: Physician practices and perspectives Público
Shah, Seema D. (2011)
Published
Abstract
Abstract
Diabetes care in India: Physician practices and perspectives
By Seema D Shah
Aims: To describe physicians' practice characteristics, services and views on diabetes care in India in context of the Chronic Care Model and Innovative Care for Chronic Conditions Framework.
Methods: 160 physicians attending a national diabetes conference in India in 2009 responded to an anonymous, self-administered paper survey regarding their clinic characteristics, diabetes management resources, clinical targets and patient performance, and barriers and needs for optimal diabetes care.
Results: The sample of predominantly male, urban private-practice specialists reported that providing optimal care is challenging in a resource- and time-constrained setting with high patient loads. Diabetes cases represent half of the physicians' patients, with an age range of 31-60 years, who are largely homemakers or have sedentary jobs. Proper patient follow-up and self-management education are lacking. Conferences, journals, internet, and the pharmaceutical industry are major education sources. Although 77% of physicians report using standardized guidelines, roughly 50% of patients are meeting the targets. At a clinic level, integration of electronic record-keeping (60% are paper only), decision-support, and more non-physician staff are areas of need. At the community level, improving public awareness and access to affordable medications and services are major issues.
Conclusion: Physicians in India are aware of the patient, healthcare organization and community/policy level issues that are resulting in sub-optimal quality of diabetes care. Research associations and training institutions, in collaboration with other sectors and the public, have the capacity and opportunity to provide access to quality resources and training to improve diabetes care delivery, advocate for regional and national quality assurance and capacity-building, and raise public awareness.
Table of Contents
TABLE OF CONTENTS
Page Chapter 1: Introduction 1 Terms 7 Chapter 2: Literature Review 10 Chapter 3: Methods 22 References 26Full Article (with tables and figure)
Table 1: Physician demographics and clinic and patient characteristics
Table 2: Physician IT use, record system, education and research
Table 3: Physician use of patient clinical targets compared to ADA 2009 guidelines and reported proportion of patients meeting designated targets
Table 4: Physician-reported barriers for optimal diabetes care and areas for improvement categorized according to Chronic Care Model elements
Figure 1: Innovative Care for Chronic Conditions framework
33 Appendix A: Questionnaire 61Listing of Figures and Tables
Figure 1: Chronic Care Model 4Figure 2: Innovative Care for Chronic Conditions framework
4Table 1: Comparison of American Diabetes Association (2009) and Indian Council of Medical Research (2005) targets for risk factor control and processes of diabetes care
14About this Master's Thesis
School | |
---|---|
Department | |
Degree | |
Submission | |
Language |
|
Research Field | |
Palabra Clave | |
Committee Chair / Thesis Advisor | |
Committee Members | |
Partnering Agencies |
Primary PDF
Thumbnail | Title | Date Uploaded | Actions |
---|---|---|---|
|
Diabetes care in India: Physician practices and perspectives () | 2018-08-28 12:01:35 -0400 |
|
Supplemental Files
Thumbnail | Title | Date Uploaded | Actions |
---|