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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.


ABSTRACT: OBJECTIVES:To explore patients' and general practitioners' (GPs') perspectives on primary care management of patients with type 2 diabetes mellitus (T2DM) in Ningbo, China. We aimed to understand the current benefits and challenges and to identify development priorities. DESIGN:Exploratory qualitative descriptive study using face-to-face interviews and analysed by thematic, inductive analysis. SETTING:11 primary care facilities spread across the city of Ningbo, China. PARTICIPANTS:23 patients with T2DM and 20 GPs involved in caring for patients with T2DM. RESULTS:GPs were considered the first point of contact and providers of information. However, the care varied, and many GPs lacked confidence and felt overworked. The medication was a particularly weak area. The diagnostic screening commenced late, leading to crisis presentations. Patients were variably informed about their condition, contributing to poor adherence. CONCLUSIONS:Future developments of primary care for T2DM in Ningbo should centre around improving GP confidence and workload and patient education and adherence.

SUBMITTER: Woolley A 

PROVIDER: S-EPMC7485253 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature

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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.

Woolley Angharad A   Li Li L   Solomon Josie J   Li Jialin J   Huang Kai K   Chahal Punam P   Chahal Priya P   Tu Gloria G   Chahal Pritpal P   Chattopadhyay Kaushik K  

BMJ open 20200910 9


<h4>Objectives</h4>To explore patients' and general practitioners' (GPs') perspectives on primary care management of patients with type 2 diabetes mellitus (T2DM) in Ningbo, China. We aimed to understand the current benefits and challenges and to identify development priorities.<h4>Design</h4>Exploratory qualitative descriptive study using face-to-face interviews and analysed by thematic, inductive analysis.<h4>Setting</h4>11 primary care facilities spread across the city of Ningbo, China.<h4>Pa  ...[more]

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