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Resource allocation and organisational features in Swedish primary diabetes care: Changes from 2006 to 2013
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Clinical Research, County of Västmanland. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Clinical diabetology and metabolism.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Clinical Research, County of Västmanland.ORCID iD: 0000-0003-3691-8326
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Clinical diabetology and metabolism.
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2017 (English)In: Primary Care Diabetes, ISSN 1751-9918, E-ISSN 1878-0210, Vol. 11, no 1, 20-28 p.Article in journal (Refereed) Epub ahead of print
Abstract [en]

AIMS: To compare the resource allocation and organisational features in Swedish primary diabetes care for patients with type 2 diabetes mellitus (T2DM) between 2006 and 2013.

METHODS: Using a repeated cross-sectional study design, questionnaires covering personnel resources and organisational features for patients with T2DM in 2006 and 2013 were sent to all Swedish primary health care centres (PHCCs) during the following year. In total, 684 (74.3%) PHCCs responded in 2006 and 880 (76.4%) in 2013.

RESULTS: Compared with 2006, the median list size had decreased in 2013 (p<0.001), whereas the median number of listed patients with T2DM had increased (p<0.001). Time devoted to patients with T2DM and diabetes-specific education levels for registered nurses (RNs) had increased, and more PHCCs had in-house psychologists (all p<0.001). The use of follow-up systems and medical check-ups had increased (all p<0.05). Individual counselling was more often based on patients' needs, while arrangement of group-based education remained low. Patient participation in setting treatment targets mainly remained low.

CONCLUSIONS: Even though the diabetes-specific educational level among RNs increased, the arrangement of group-based education and patient participation in setting treatment targets remained low. These results are of concern and should be prioritised as key features in the care of patients with T2DM.

Place, publisher, year, edition, pages
2017. Vol. 11, no 1, 20-28 p.
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Endocrinology and Diabetes
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URN: urn:nbn:se:uu:diva-304779DOI: 10.1016/j.pcd.2016.08.002ISI: 000392679200003PubMedID: 27578488OAI: oai:DiVA.org:uu-304779DiVA: diva2:1033994
Available from: 2016-10-10 Created: 2016-10-10 Last updated: 2017-11-29Bibliographically approved

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Husdal, RebeckaRosenblad, AndreasLeksell, JanethJerdén, LarsStålhammar, JanWallman, ThorneAdolfsson, Eva Thors

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Husdal, RebeckaRosenblad, AndreasLeksell, JanethJerdén, LarsStålhammar, JanWallman, ThorneAdolfsson, Eva Thors
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Centre for Clinical Research, County of VästmanlandClinical diabetology and metabolismCenter for Clinical Research DalarnaFamily Medicine and Preventive MedicineCentrum för klinisk forskning i Sörmland (CKFD)
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