The British journal of general practice : the journal of the Royal College of General Practitioners
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Review
Barriers to effective management of type 2 diabetes in primary care: qualitative systematic review.
Despite the availability of evidence-based guidance, many patients with type 2 diabetes do not achieve treatment goals. ⋯ Although resources are important, many barriers to improving care are amenable to behaviour change strategies. Improvement strategies need to account for differences between clinical targets and consider tailored rather than 'one size fits all' approaches. Training targeting knowledge is necessary but insufficient to bring about major change; approaches to improve diabetes care need to delineate roles and responsibilities, and address clinicians' skills and emotions around treatment intensification and facilitation of patient behaviour change.
-
Review
Barriers to effective management of type 2 diabetes in primary care: qualitative systematic review.
Despite the availability of evidence-based guidance, many patients with type 2 diabetes do not achieve treatment goals. ⋯ Although resources are important, many barriers to improving care are amenable to behaviour change strategies. Improvement strategies need to account for differences between clinical targets and consider tailored rather than 'one size fits all' approaches. Training targeting knowledge is necessary but insufficient to bring about major change; approaches to improve diabetes care need to delineate roles and responsibilities, and address clinicians' skills and emotions around treatment intensification and facilitation of patient behaviour change.