What are the development priorities for management of type 2 diabetes by general practitioners in Ningbo, China: a qualitative study of patients’ and practitioners’ perspectives

Woolley, Angharad Kate; Li, Li; Solomon, Josie; Li, Jialin; Huang, Kai; Chahal, Punam; Chahal, Priya; Tu, Gloria; Chahal, Prit; Chattopadhyay, Kaushik

doi:10.1136/bmjopen-2020-037215

Cited by 4 publications

(8 citation statements)

References 23 publications

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“…The experiences of being promoted and linkage between income with CFDS directly satisfied the needs of health workers for career development and increased income, and so these factors could motivate better performance on diabetes care. The finding on the negative impact of higher workload on delivering diabetes management services is in consistent with other findings on the high workload as a demotivation factor [ 16 , 42 ]. The satisfaction on training was found as one important aspect contributing better performance on diabetes management services, which is consistent with previous studies [ 16 , 18 , 19 , 43 , 44 ].…”

Section: Discussionsupporting

confidence: 91%

Study on the determinants of health professionals’ performance on diabetes management care in China

Jing,

Yu,

Yuan

2023

BMC Prim. Care

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Background As the direct providers of diabetes management care in primary health care facilities (PHFs) in China, health professionals’ performance on management care of diabetes determines the quality of services and patients’ outcomes. This study aims to analyze the key determinants of health professionals’ performance on diabetes management care in PHFs in China. Methods We conducted a cross-sectional study in 72 PHFs in 6 cities that piloted the contracted family doctor service (CFDS). Self-developed questionnaire was used to measure three kinds of factors (capacity, motivation and opportunity) potentially influencing the performance of health professionals. The performance of diabetes management care in the study was measured as whether health professionals delivered 7 service items required by the National Basic Public Health Service Guideline with a total of 7 points and was divided into three grades of good, medium and bad. The questionnaire is self-administered by all the health professionals involved in the study with the number of 434. The Chi-square tests were used to compare differences of performance on diabetes management care among health professionals with different characteristics. The ordinal logistic regression was used to analyze the determinants on the performance of diabetes management care. Results Health professionals who got higher score on diabetes knowledge test had odds of better performance on diabetes management care (OR = 1.529, P < 0.001). health professionals with higher degree of self-reported satisfaction on training (OR = 1.224, P < 0.05) and perception of decreasing workload (OR = 3.336, P < 0.01) had odds of better performance on diabetes management care. While health professionals with negative feeling on information system support had odds of worse performance on diabetes management care (OR = 0.664, P < 0.01). Conclusions Attention should be paid to the training of health professionals’ knowledge on diabetes management capacity. Furthermore, measures to improve training for health professionals could satisfying their needs for self-growth and improve the motivation of health professionals. The information system supporting management care should be improved continuously to improve the health professionals’ working opportunities and decrease the workload.

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Section: Discussionsupporting

confidence: 91%

Study on the determinants of health professionals’ performance on diabetes management care in China

Jing,

Yu,

Yuan

2023

BMC Prim. Care

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“…13 (Continues) management of T2DM in primary care, including unacceptable variations in care. 26 In our study, the odds of dissatisfaction were higher in physically active people compared to those who were not physically active. The finding is inconsistent with other studies conducted among people with T2DM in China, and they found that those who were doing regular exercise were more satisfied.…”

Section: Discussionmentioning

confidence: 42%

“… 13 , 14 A qualitative study conducted among people with T2DM and general practitioners in Ningbo found several issues related to the diagnosis and management of T2DM in primary care, including unacceptable variations in care. 26 …”

Section: Discussionmentioning

confidence: 99%

“…A direct comparison between the findings should be avoided as different questionnaires were used in the studies—one had a short question on satisfaction and the other used a different standardized questionnaire 13,14 . A qualitative study conducted among people with T2DM and general practitioners in Ningbo found several issues related to the diagnosis and management of T2DM in primary care, including unacceptable variations in care 26 …”

Section: Discussionmentioning

confidence: 99%

“…Similarly, very satisfied (27)(28) and satisfied (19)(20)(21)(22)(23)(24)(25)(26) were combined as satisfied.…”

Section: Data Collection Tool and Proceduresmentioning

confidence: 99%

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Dissatisfaction of people with type 2 diabetes with the care received at a diabetes clinic in Ningbo, China: A cross‐sectional study

et al. 2022

Health Science Reports

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Aim The study aimed to assess the dissatisfaction of people with type 2 diabetes mellitus (T2DM) with the care that they received at a diabetes outpatient clinic in Ningbo, China and to determine the associated factors. Methods A cross‐sectional study was conducted among 406 adults with T2DM in 2020–2021. Those who were treated at the diabetes outpatient clinic for at least six consecutive months before the survey date were eligible. The Short Assessment of Patient Satisfaction scale was used to assess participants' dissatisfaction with the care that they received. Results Of the participants, 25.1% were not satisfied with the care that they received at the diabetes outpatient clinic in Ningbo. The odds of dissatisfaction were higher in physically active people compared to those who were not (odds ratio [OR]: 3.41; 95% confidence interval [CI]: 1.56–7.45) and those with >1–5 years of T2DM compared to ≤1 year (OR: 2.18; 95% CI: 1.05–4.53). Conclusion A quarter of people with T2DM were dissatisfied with the care that they received at the diabetes outpatient clinic in Ningbo, China, and the factors associated with dissatisfaction were identified.

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Type 2 diabetes mellitus: answering the call for need-sensitive, evidence-based interventions

Chattopadhyay

Leonardi‐Bee

2021

JBI Evidence Synthesis

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What are the development priorities for management of type 2 diabetes by general practitioners in Ningbo, China: a qualitative study of patients’ and practitioners’ perspectives

Cited by 4 publications

References 23 publications

Study on the determinants of health professionals’ performance on diabetes management care in China

Study on the determinants of health professionals’ performance on diabetes management care in China

Dissatisfaction of people with type 2 diabetes with the care received at a diabetes clinic in Ningbo, China: A cross‐sectional study

Type 2 diabetes mellitus: answering the call for need-sensitive, evidence-based interventions

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