Family practice
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Randomized Controlled Trial
More than measurement: practice team experiences of screening for type 2 diabetes.
The feasibility, cost-effectiveness and best means to implement population screening for type 2 diabetes remain to be established. ⋯ Although those developing screening programmes attempt to standardize them, primary care teams need to adapt the work to fit local circumstances. Staff need a sense of ownership, training, well-designed information technology systems and protected time. Furthermore, screening is more than measurement; at the individual level, it is a complete health care interaction, requiring individual explanations, advice on health-related behaviour and appropriate follow-up. The UK 'NHS Health Checks' programme should embrace these findings.