ArticleScandinavian journal of primary health care2018
Are general practitioners characteristics associated with the quality of type 2 diabetes care in general practice? Results from the Norwegian ROSA4 study from 2014.
Article in Scandinavian journal of primary health care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Role of Physician and Practice Characteristics in the Quality of Diabetes Management in Primary Care: Systematic Review and Meta-analysis.Journal of general internal medicine · 2020Pooled it
- Are hypertensive women with type 2 diabetes treated with RAS inhibitors as often as men? A cross-sectional study in France.BMJ open · 2025Article
- High prevalence of retinopathy in young-onset type 2 diabetes and possible sex differences: insights from Norwegian general practice.BMJ open diabetes research & care · 2024Article
- Challenges faced by patients with dyslipidemia and systemic arterial hypertension in Brazil: a design of the patient journey.BMC cardiovascular disorders · 2022Review
- Variability in the Control of Type 2 Diabetes in Primary Care and Its Association with Hospital Admissions for Vascular Events. The APNA Study.Journal of clinical medicine · 2021Article
- Factors associated with potential over- and undertreatment of hyperglycaemia and annual measurement of HbADiabetic medicine : a journal of the British Diabetic Association · 2021Article
- Selection bias in general practice research: analysis in a cohort of pregnant Danish women.Scandinavian journal of primary health care · 2020Article
- Article
- Nationwide Survey on Actual Interventions for Type 2 Diabetes by Japanese Practitioners (NSAID Study-1): Glycemic, Weight, and Blood Pressure Management.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2020Article
- Ethnic and gender differences in the management of type 2 diabetes: a cross-sectional study from Norwegian general practice.BMC health services research · 2019Article
- The impact of general practitioners' gender on process indicators in Hungarian primary healthcare: a nation-wide cross-sectional study.BMJ open · 2019Article
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13 authors.
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Abstract
objectiveTo explore the associations between general practitioners (GPs) characteristics such as gender, specialist status, country of birth and country of graduation and the quality of care for patients with type 2 diabetes (T2DM).
designCross-sectional survey. SETTING AND SUBJECTS: The 277 GPs provided care for 10082 patients with T2DM in Norway in 2014. The GPs characteristics were self-reported: 55% were male, 68% were specialists in General Practice, 82% born in Norway and 87% had graduated in Western Europe. Of patients, 81% were born in Norway and 8% in South Asia. Data regarding diabetes care were obtained from electronic medical records and manually verified.
main outcome measuresPerformance of recommended screening procedures, prescribed medication and level of HbA1c, blood pressure and LDL-cholesterol stratified according to GPs characteristics, adjusted for patient and GP characteristics.
resultFemale GPs, specialists, GPs born in Norway and GPs who graduated in Western Europe performed recommended procedures more frequently than their counterparts. Specialists achieved lower mean HbA1c (7.14% vs. 7.25%, p < 0.01), a larger proportion of their patients achieved good glycaemic control (HbA1c = 6.0%-7.0%) (49.1% vs. 44.4%, p = 0.018) and lower mean systolic blood pressure (133.0 mmHg vs. 134.7 mmHg, p < 0.01) compared with non-specialists. GPs who graduated in Western Europe achieved lower diastolic blood pressure than their counterparts (76.6 mmHg vs. 77.8 mmHg, p < 0.01).
conclusionSeveral quality indicators for type 2 diabetes care were better if the GPs were specialists in General Practice. Key Points Research on associations between General Practitioners (GPs) characteristics and quality of care for patients with type 2 diabetes is limited. Specialists in General Practice performed recommended procedures more frequently, achieved better HbA1c and blood pressure levels than non-specialists. GPs who graduated in Western Europe performed screening procedures more frequently and achieved lower diastolic blood pressure compared with their counterparts. There were few significant differences in the quality of care between GP groups according to their gender and country of birth.
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