Prediabetes screening, treatment, and follow-up in primary health care: a cross-sectional survey

被引:3
作者
Harcke, Katri [1 ,2 ]
Graue, Marit [3 ]
Skinner, Timothy Charles [4 ,5 ,6 ]
Olsson, Christina B. [2 ,7 ]
Stattin, Nouha Saleh [1 ,2 ]
机构
[1] Karolinska Inst, Div Family Med & Primary Care, Dept Neurobiol Care Sci & Soc, Huddinge, Sweden
[2] Acad Primary Hlth Care Ctr, Solnavagen 1E Torsplan,Plan 7, S-11365 Stockholm, Sweden
[3] Western Norway Univ Appl Sci, Dept Hlth & Caring Sci, Bergen, Norway
[4] Univ Copenhagen, Inst Psychol, Copenhagen, Denmark
[5] La Trobe Univ, La Trobe Rural Hlth Sch, Bendigo, Australia
[6] Australian Ctr Behav Res Diabet, Melbourne, Vic, Australia
[7] Karolinska Inst, Div Physiotherapy, Dept Neurobiol Care Sci & Soc, Huddinge, Sweden
关键词
prediabetes; screening; treatment; follow-up; guidelines; primary health care; DIABETES RISK;
D O I
10.1002/pdi.2425
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Aim: This study aimed to describe routines for screening, treatment, and follow-up for prediabetes at primary health care centres in Region Stockholm, Sweden. Methods: The study had a cross-sectional design. We sent a questionnaire about prediabetes screening, treatment, and follow-up to diabetes nurses working at primary health care centres in Region Stockholm. Data collection started in October 2019 and ended in June 2021. Results: A total of 84 of the 224 centres that received an invitation responded (37.5%). Routines for screening, treatment, and follow-up varied widely. This variation meant that people with prediabetes received different care, and the care depended on clinical practice routines at the primary health care centre they attended. Conclusions: A first step toward more consistent, adequate and equitable care should involve developing national and regional guidelines that include a clear and systematic approach to prediabetes screening, treatment and follow-up. Sufficient funding and human resources will be crucial to implementing these guidelines in primary care to help prevent type 2 diabetes and its complications. Copyright (c) 2022 John Wiley & Sons.
引用
收藏
页码:17 / 23
页数:7
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