Guidelines for type 2 diabetes in Estonia:: knowledge, attitudes and self-reported behaviour among general practitioners.
Independent thesis Advanced level (degree of Master (Two Years))Student thesis
Introduction: The aim of this study was to assess the patient, practice and practice management related factors contributing to non-adherence of type 2 diabetes mellitus clinical practice guideline in Estonia.Methods: Descriptive postal survey using a self-administered questionnaire. Results: Of the 354 doctors who received the questionnaire 46% (n=163) responded. 76% of them have type 2 diabetes guidelines. Low awareness of diabetes and its complications among patients as well as their low motivation to change their lifestyle were considered to be the biggest difficulties in managing individual patients. In addition to the most often listed problems, non-compliance with medical regimen, patients’ financial problems and their non-attendance were mentioned. The greatest health care systems related barriers to practices providing desirable care wereinadequate number of patients` educational materials, the lack of special diabetes education for nurses and underfunding. The patient related issues were regarded as problems in 96% of the cases and health care system related factors were mentioned in 79% of the cases.
Place, publisher, year, edition, pages
2005. , 29 p.
Master of Public Health, MPH, ISSN 1104-5701 ; MPH 2005:26
Diabetes Mellitus, Guideline, Non-adherence, General Practice
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:norden:org:diva-3307OAI: oai:DiVA.org:norden-3307DiVA: diva2:733506
2005-09-29, Nordic School of Public Health NHV, Box 12133, 402 42 Göteborg, Sweden, 13:00 (English)
Lember, Margus, ProfessorMäntyranta, Taina
ISBN 91-7997-114-82014-07-102014-07-102014-07-10Bibliographically approved