Estimating the influence of physicians on the underuse of drugs in diabetic nephropathy in Taiwan

Abstract

Management of DN patients is less than optimal due to unfamiliarity on the part of physicians regarding treatment guidelines and a lack of awareness among the general population with regard to DN. Educational initiatives are required to ensure adherence to clinical practice guidelines in the evaluation and care of DN patients.

A model measuring therapeutic inertia and the associated factors among diabetes patients: A nationwide population‐based study in Taiwan

“…This makes it possible to deal with error attributed to the characteristics of patients and healthcare providers separately . In addition to producing reasonable estimates for standard error, multilevel methods are also advantageous in patient–physician relationships, in which the influence and variation at various levels can be reflected in the method of estimation …”

Chronic kidney disease intervention in primary health care: integrative review

“…The countries of origin of the surveys analyzed were: Australia (N=3) (Clement Lo et al 2016;Sinclair et al 2017;Sinclair et al 2019); the United States of America (N=3) (Vest et al 2015;Haley et al 2015;Sequist et al 2018); the Netherlands (N=2) (van Gelder et al 2016;van Dipten et al 2018); Canada (N=2) (Pang et al 2016;Nash et al 2017); and one article for each of the countries: Israel, Taiwan, Cameroon, Nigeria, England and Pakistan (Huang et al 2013;Yaqub et al 2013;Eilat-Tsanani et al 2014;Choukem et al 2016;Pang et al 2016;Simmonds et al 2016;Adejumo et al 2018).…”

“…As for the methodological design, articles with qualitative methods predominated (13 altogether), classified as Evidence Level VI: (Yaqub et al 2013;Eilat-Tsanani et al 2014;Vest et al 2015;Haley et al 2015;Van Gelder et al 2016;Choukem et al 2016;Clement Lo et al 2016;Pang et al 2016;Simmonds et al 2016;Sinclair et al 2017;Adejumo et al 2018;Nash et al 2017;van Dipten et al 2018). Only two articles were from randomized clinical trials, with level of evidence II (Sequist et al 2018;Sinclair et al 2019); and one article was an observational cohort with level of evidence IV (Huang et al 2013).…”

“…Articles based on qualitative methods predominated. The studies sought to understand, interpret, explain data, indicators and trends present in studies on the relationships, beliefs, perceptions, and opinions that subjects reproduce in their lives (Yaqub et al 2013;Huang et al 2013).…”

“…Although PHC professionals are ideally suited to identify and manage CKD in its early stages, there is still low understanding, awareness, and management in this area, pointing to the need to address barriers that limit the quality of care at local levels (Huang et al 2013;Vest et al 2015;Sinclair et al 2017;Sinclair et al 2019).…”