ArticleImplementation science : IS2009
Barriers and facilitators to evidence based care of type 2 diabetes patients: experiences of general practitioners participating to a quality improvement program.
Article in Implementation science : IS, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Integrating Self-Management Education and Support in Routine Care of People With Type 2 Diabetes Mellitus: A Conceptional Model Based on Critical Interpretive Synthesis and A Consensus-Building Participatory Consultation.Frontiers in clinical diabetes and healthcare · 2022Pooled it
- Can autonomy support have an effect on type 2 diabetes glycemic control? Results of a cluster randomized controlled trial.BMJ open diabetes research & care · 2020Trial
- Patient and provider acceptance of telecoaching in type 2 diabetes: a mixed-method study embedded in a randomised clinical trial.BMC medical informatics and decision making · 2016Trial
- 'They leave at least believing they had a part in the discussion': understanding decision aid use and patient-clinician decision-making through qualitative research.Patient education and counseling · 2013Trial
- Implementation science promotes clinical practice of guidelines: a scoping review.BMC health services research · 2025Article
- Insulin therapy in type 2 diabetes: Insights into clinical efficacy, patient-reported outcomes, and adherence challenges.World journal of diabetes · 2024Review
- Scale-up of a chronic care model-based programme for type 2 diabetes in Belgium: a mixed-methods study.BMC health services research · 2023Article
- Strategies for the implementation of the living guidelines for cochlear implantation in adults.Frontiers in public health · 2023Article
- A mixed-methods study of challenges experienced by clinical teams in measuring improvement.BMJ quality & safety · 2021Article
- Developing a program to enhance health professionals' readiness to evidence utilization in diabetes care: A mixed-methods protocol study.Journal of education and health promotion · 2021Article
- Evidence-based medicine among health-care workers in hospitals in Iran: A nationwide survey.Journal of education and health promotion · 2020Review
- Barriers to Self-Management of Type 2 Diabetes During COVID-19 Medical Isolation: A Qualitative Study.Diabetes, metabolic syndrome and obesity : targets and therapy · 2020Article
- Barriers to Effective Diabetes Mellitus Self-Management (DMSM) Practice for Glycemic Uncontrolled Type 2 Diabetes Mellitus (T2DM): A Socio Cultural Context of Indonesian Communities in West Sulawesi.European journal of investigation in health, psychology and education · 2019Article
- Data-driven modeling of diabetes care teams using social network analysis.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- Perceptions of insulin use in type 2 diabetes in primary care: a thematic synthesis.BMC family practice · 2018Review
- Attitudes of Palestinian Health-Care Professionals in Gaza to Clinical Practice Guideline for Diagnosis and Treatment of Diabetes Mellitus.Frontiers in endocrinology · 2017Article
- Diabetes Knowledge Translation Status in Developing Countries: A Mixed Method Study Among Diabetes Researchers in Case of Iran.International journal of preventive medicine · 2016Article
- 'PICO-D Management'; a decision-aid for evidence-based chiropractic education and clinical practice.Chiropractic & manual therapies · 2016Article
- Barriers to the Prevention and Treatment of Geriatric Diabetes.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2015Article
- Implementation of integrated care for type 2 diabetes: a protocol for mixed methods research.International journal of integrated care · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the barriers and facilitators to high-quality diabetes care as experienced by general practitioners (GPs) who participated in an 18-month quality improvement program (QIP). This QIP was implemented to promote compliance with international guidelines.
methodsTwenty out of the 120 participating GPs in the QIP underwent semi-structured interviews that focused on three questions: 'Which changes did you implement or did you observe in the quality of diabetes care during your participation in the QIP?' 'According to your experience, what induced these changes?' and 'What difficulties did you experience in making the changes?'
resultsMost GPs reported that enhanced knowledge, improved motivation, and a greater sense of responsibility were the key factors that led to greater compliance with diabetes care guidelines and consequent improvements in diabetes care. Other factors were improved communication with patients and consulting specialists and reliance on diabetes nurse educators. Some GPs were reluctant to collaborate with specialists, and especially with diabetes educators and dieticians. Others blamed poor compliance with the guidelines on lack of time. Most interviewees reported that a considerable minority of patients were unwilling to change their lifestyles.
conclusionQualitative research nested in an experimental trial may clarify the improvements that a QIP may bring about in a general practice, provide insight into GPs' approach to diabetes care and reveal the program's limits. Implementation of a QIP encounters an array of cognitive, motivational, and relational obstacles that are embedded in a patient-healthcare provider relationship.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.