BMC primary care最新文献

{"title":"Work-related stress and its associated factors among primary care doctors in Malaysia during the COVID-19 pandemic.","authors":"Muhammad Shah Shahrudin, Nik Munirah Nik-Nasir, Mohamed-Syarif Mohamed-Yassin","doi":"10.1186/s12875-024-02697-7","DOIUrl":"10.1186/s12875-024-02697-7","url":null,"abstract":"<p><strong>Background: </strong>In Malaysia, the recent COVID-19 pandemic had increased the workload of all health professionals, especially primary care doctors (PCDs). Hence, this study aimed to determine the level of work-related stress and factors associated with higher levels of work-related stress among PCDs in Malaysia during this pandemic.</p><p><strong>Methods: </strong>A cross-sectional study was conducted online using Google Forms™. Sociodemographic as well as work and workplace data were collected. The Job Demand Inventory, Physicians' Lack of Professional Autonomy, and Health Professions Stress Inventory questionnaires were used to assess the job demand score, job autonomy score, and the level of work-related stress, respectively. Multiple linear regression was performed to determine the significant factors associated with higher work-related stress.</p><p><strong>Results: </strong>A total of 301 PCDs participated in this study with the majority being female (76.1%), Malay (67.8%), married (73.1%), medical officers (68.8%), and worked in urban (70.4%) and public primary care clinics (83%). The mean (SD) score for work-related stress was 62.8 (18.4), (score range 0-120). PCDs who had any degree of worry about being alienated by friends and relatives because of close contact with COVID-19 patients had higher work-related stress levels compared to PCDs who did not have any worry [rarely (b = 10.23, 95% CI:5.57, 14.89), sometimes (b = 10.41, 95% CI:5.68, 15.13), often (b = 10.12, 95% CI:4.16, 16.08), and always (b = 14.65, 95% CI:7.43, 21.89)]. The other significant factor was higher job demand scores (b = 1.13, 95% CI:0.91, 1.35). In contrast, PCDs who always received support from supervisors at their workplace were found to have lower work-related stress levels compared to those who did not receive any support (b=-5.65, 95% CI:-10.38, -0.93).</p><p><strong>Conclusions: </strong>The level of work-related stress among Malaysian PCDs during the COVID-19 pandemic was higher compared to American PCDs and Malaysian physicians before the pandemic but lower compared to Australian emergency physicians during the pandemic. Urgent measures to address the above-mentioned associated factors should be implemented as another pandemic may be just around the corner.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"26 1","pages":"4"},"PeriodicalIF":2.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Innovations that helped with accessing and delivering primary care for infants and young children during COVID-19.","authors":"Kimberley McFadden, Helen Valkanas, Leslie Rourke, Patricia Li, Imaan Bayoumi","doi":"10.1186/s12875-024-02701-0","DOIUrl":"10.1186/s12875-024-02701-0","url":null,"abstract":"<p><strong>Background: </strong>For children under age six, regular preventative primary care is needed for administration of vaccinations, surveillance of development, and early diagnosis and intervention for any potential health conditions or developmental delays. The COVID-19 pandemic created many barriers to providing and accessing primary care. While many studies have explored these barriers, it is important to understand how primary care adapted to ensure these crucial early-years appointments were not missed throughout the pandemic. The objective of this study, therefore, was to discover innovative programs or services that were used, and suggestions for programs or services that could have been implemented, to facilitate delivery of, and access to, primary care for young children during the COVID-19 pandemic (March 2020-May 2023).</p><p><strong>Methods: </strong>This qualitative descriptive study used a survey and semi-structured interviews to discuss primary care programs or services with parents or caregivers of children who were under the age of 6 during the pandemic and with primary care providers who deliver care to young children. The survey was sent to parent groups and primary care providers across the Canadian provinces of Ontario and Quebec from May to October 2023. Survey participants who indicated interest in further participation were subsequently contacted for an interview. Results were analyzed using content and thematic analyses.</p><p><strong>Results: </strong>102 individuals (33 primary care providers and 69 parents or caregivers) responded to the survey and of those, 19 participated in the interviews. Six themes emerged from the innovative services or procedures that were discussed: Prioritization of young children; Creation or modification of primary care spaces; Clear decision-making guidelines; Virtual care integration; Proactive communication; and Interdisciplinary collaboration.</p><p><strong>Conclusions: </strong>This qualitative study explored some creative and positive solutions to the struggle of providing and accessing primary care for young children during the COVID-19 pandemic. The results from this research highlight the importance of flexibility and innovation within the primary care system, especially under circumstances of sudden and unexpected increases in barriers to providing and accessing care. On-going development of innovations that improve communication, take a more collaborative approach, and adapt systems, spaces, and methods will improve primary care access and delivery.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"26 1","pages":"5"},"PeriodicalIF":2.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The well-being of polish general practitioners during the COVID-19 pandemic-cross-sectional questionnaire-based study.","authors":"Katarzyna Nessler, Krzysztof Studziński, Esther Van Poel, Sara Willems, Ewa Wójtowicz, Elżbieta Kryj-Radziszewska, Adam Windak","doi":"10.1186/s12875-024-02699-5","DOIUrl":"10.1186/s12875-024-02699-5","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic has caused psychological distress to the population and healthcare workers. Physicians' well-being is essential and contributes significantly to overall health. This study aimed to assess the strain on Polish general practitioners from the effects of the COVID-19 pandemic and to ascertain the potential predictors of their distress.</p><p><strong>Methods: </strong>Data was collected using a self-reported online questionnaire from 162 GPs in Poland between December 2020 and August 2021 as part of the international PRICOV-19 study. General practitioners' well-being was evaluated using the validated Mayo Clinic's expanded 9-item well-being index (eWBI). Spearman's correlation was used to measure the strength and direction of association between general practitioners' distress level and continuous variables, and for ordinal variables, Gamma correlation was recommended for many tide ranks. We also checked the association of the level of distress with continuous variables by categorizing them and applying the Kruskal-Wallis test likewise for a comparison of the distress in different practice locations.</p><p><strong>Results: </strong>A vast majority (80%) of respondents were considered at risk of distress during the COVID-19 outbreak, with an eWBI score of 2 or more. Higher distress scores were exhibited among general practitioners who reported increased responsibilities during the COVID-19 pandemic and perceived need for additional training. The experience of collaboration with neighbouring practices and the provision of adequate governmental support emerged as significant protective factors against distress. No correlation was observed between Polish general practitioners' distress level and years of professional experience, number of patients in the practice, number of doctors working there, the practice's location, or working with more vulnerable patient populations.</p><p><strong>Conclusions: </strong>Our findings proved that COVID-19 placed an extraordinary emotional burden on Polish general practitioners and highlighted the importance of targeted support services and resource allocation to primary healthcare in Poland in case of any potential future crisis similar to the COVID-19 pandemic.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"26 1","pages":"3"},"PeriodicalIF":2.0,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11699793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of culturally-appropriate group education for migrants with type 2 diabetes in primary healthcare: pre-test-post-test design.","authors":"Katarina Hjelm, Emina Hadziabdic","doi":"10.1186/s12875-024-02689-7","DOIUrl":"10.1186/s12875-024-02689-7","url":null,"abstract":"<p><strong>Background: </strong>The global incidence of type 2 diabetes is rapidly rising, particularly among migrants in developed countries. Migrants bear a significant burden of diabetes. However, this study is the only to evaluate the effects of a culturally appropriate diabetes intervention for these migrants on diabetes knowledge and health outcomes, adding a novel perspective to the existing literature. The aim of the study was to evaluate the effects on diabetes knowledge, HbA1c, and self-rated health of a previously developed, culturally appropriate diabetes education model, based on individual beliefs about health and illness, underpinned by knowledge, and conducted through focus group discussions.</p><p><strong>Methods: </strong>Observational study evaluating the intervention using a pre-test-post-test design. It involved structured interviews and HbA1c measurements before, immediately after, and three months post-participation in the group-based intervention. The study included 22 migrants from the Middle East and Africa, divided into eight focus groups. The group education was conducted by a multi-professional team, led by a diabetes specialist nurse, in primary healthcare settings. Descriptive and analytical statistics applied in analysing data.</p><p><strong>Results: </strong>The findings showed that participation in the diabetes education significantly improved the knowledge levels, led to an initial change and possible short-term improvement in HbA1c (better immediate post-intervention), albeit statistically insignificant, but no change in glycaemic control over time and in self-rated health (SRH).</p><p><strong>Conclusions: </strong>The findings supported the hypothesis of improved knowledge. Moreover, the findings showed a possible initial change in glycaemic control, but no overall effect. The study showed no change in self-rated (perceived) health. Further studies involving other populations and long-term follow-ups are needed. This study highlights the importance of culturally tailored diabetes educational programmes in our multicultural society. By recognising individual beliefs about health and illness, this education programme can significantly increase knowledge and thereby contribute to improved self-care and thus, overall health. Furthermore, it is recommended for daily practice in primary healthcare, supporting healthcare professionals with a proven strategy to increase knowledge.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"26 1","pages":"2"},"PeriodicalIF":2.0,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11699762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recording practices of body mass index, overweight and obesity by Dutch general practitioners: an observational study.","authors":"Willemijn J van den Hout, Petra G van Peet, Mattijs E Numans, Dennis O Mook-Kanamori","doi":"10.1186/s12875-024-02696-8","DOIUrl":"10.1186/s12875-024-02696-8","url":null,"abstract":"<p><strong>Background: </strong>Routine body mass index (BMI) recording in electronic health records (EHR) could support general practitioners (GPs) in managing patients with obesity. This study aimed to evaluate recording practices of BMI, overweight, and obesity in adults including subgroup analysis of age, sex, and comorbidities in primary care in the Netherlands.</p><p><strong>Methods: </strong>An observational study of individuals aged ≥ 18 years and registered between 2007 and 2023, using routine healthcare data from the Extramural LUMC Academic Network (ELAN) in the Netherlands. Outcomes were (i) incidence rates of a recorded BMIs per 1000 person-years for sex and ten-year age categories (ii) proportions of recorded BMIs for different comorbidities and (iii) proportions of diagnosis of overweight (BMI between 25 and 30 kg/m²) and/or obesity (BMI ≥ 30 kg/m²) for a corresponding recorded BMI.</p><p><strong>Results: </strong>Approximately 30% of 676,708 individuals had a recorded BMI. Highest incidence rate (186 per 1000 person-years) was at age 71 to 80 years. At least one BMI was recorded in 68.5% individuals with chronic obstructive pulmonary disease, 70.6% with hypertension, 86.3% with type II diabetes, 42.4% with eating disorders, 36% with depression and 64.2% with osteoarthritis. Diagnoses of overweight and/or obesity were found in 11.5% individuals with a BMI between 25 and 30 kg/m² and in 36.4% with a BMI of ≥ 30 kg/m².</p><p><strong>Conclusion: </strong>In the Netherlands, GPs recorded BMIs in nearly one third of all adults, mainly in adults with chronic diseases. Routinely recording BMI is not currently standard practice. With the increasing prevalence of obesity and its related comorbidities, it may be beneficial to start routinely recording BMI in primary care.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"26 1","pages":"1"},"PeriodicalIF":2.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11697458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142924236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and attitudes of primary care physicians regarding acromegaly: a survey study with multinational participation.","authors":"Aysen Kutan Fenercioglu, Ebru Unur Demircan, Gunay Can, Cem Sulu, Nurver Turfaner Sipahioglu, Hande Mefkure Ozkaya, Pinar Kadioglu","doi":"10.1186/s12875-024-02692-y","DOIUrl":"10.1186/s12875-024-02692-y","url":null,"abstract":"<p><strong>Background: </strong>Acromegaly is a disease with high morbidity and mortality rates. The role of primary care physicians is very important in the early diagnosis of acromegaly. The present study aims to determine the knowledge and attitudes of primary care physicians about acromegaly in different countries worldwide.</p><p><strong>Methods: </strong>The survey consisted of 33 questions prepared in English and Turkish and was administered to a total of 396 primary care physicians, 280 of whom were from Turkey, 84 from European countries, 28 from Asian countries, and 4 from Nigeria. Mostly, the survey was administered via Google Forms sent to social media groups of primary care physicians. Some of the surveys were administered in person. The survey included 12 questions about the clinical manifestations, six questions about the diagnosis, 12 questions about the comorbidities, one question about the treatment, and two questions about the prognosis of acromegaly. Data of acromegaly knowledge and the attitudes of physicians were evaluated using the chi-square test.</p><p><strong>Results: </strong>The presence of acral findings in acromegaly was better known by Turkish physicians (96.8%) compared to Asian/African (84.4%) and European (84.5%) physicians (p < 0.001). The presence of generalized visceromegaly and excessive sweating was better known by Asian/African physicians (p = 0.01 and p = 0.009, respectively). The rate of correct answers to the question \"Old photographs can be informative in patients suspected to have acromegaly\" was higher in the Turkish and Asian/African groups (p < 0.001). Only 36.1% of the Turkish physicians, 29.8% of the European physicians, and 31.3% of the Asian/African physicians knew that serum growth hormone (GH) and insulin-like growth factor-1 (IGF-1) levels were diagnostic indicators for acromegaly. Colon cancer and goitre incidences were increased in acromegaly patients. These comorbidities were better known by Asian/African primary care physicians than by Turkish and European primary care physicians (p < 0.001 and p = 0.032, respectively). Only 18.6% of Turkish and 13% of European physicians knew that surgery was the treatment of choice for acromegaly patients. The rate of correct answers to this question was higher for Asian/African physicians (59.4%) (p = 0.003).</p><p><strong>Conclusion: </strong>Knowledge of primary care physicians regarding acromegaly should be increased through workshops, seminars, and subject-focused courses.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"25 1","pages":"443"},"PeriodicalIF":2.0,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11686905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"GPs' perspectives on care models integrating medical and non-medical services in primary care-a representative survey in Germany.","authors":"Wolfram J Herrmann, Hendrik Napierala","doi":"10.1186/s12875-024-02693-x","DOIUrl":"10.1186/s12875-024-02693-x","url":null,"abstract":"<p><strong>Background: </strong>Health-related social problems are common in primary care. Different care models integrating medical and non-medical services in primary care have been tested and established nationally and internationally, such as social prescribing, social work in primary care, health kiosks and integrated primary care centres. The aim of our study was to explore the perspective of general practitioners (GPs) working in Germany on these four care models regarding their meaningfulness and if they would like to use them. Secondary objective was to explore factors influencing this assessment.</p><p><strong>Methods: </strong>We conducted a survey of a representative sample of GPs working in Germany. The questionnaire included questions on the assessment of the care models' meaningfulness and whether the GPs would like to use them. The analysis was carried out descriptively and using linear regression.</p><p><strong>Results: </strong>One thousand four hundred thirty-nine GPs took part in the survey. Social prescribing and social work in primary care were rated as the most meaningful concepts. Over 65% of the GPs believed that using at least one of the care models would be beneficial. One in four GPs would even welcome the idea of integrating their practice into an integrated primary care center. Older age and male gender were associated with a more negative assessment of the care models.</p><p><strong>Conclusions: </strong>German GPs consider integrating medical and non-medical services in primary care to be meaningful, yet they are somewhat skeptical about its practical implementation in daily practice. However, younger GPs in Germany are significantly more receptive to these models.</p><p><strong>Trial registration: </strong>German Register of Clinical Studies (DRKS-ID: DRKS00032585; Registration Date: September 1, 2023).</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"25 1","pages":"441"},"PeriodicalIF":2.0,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The moderating role of e-health literacy and patient-physician communication in the relationship between online diabetes information-seeking behavior and self-care practices among individuals with type 2 diabetes.","authors":"Maryam Peimani, Anita L Stewart, Robabeh Ghodssi-Ghassemabadi, Ensieh Nasli-Esfahani, Afshin Ostovar","doi":"10.1186/s12875-024-02695-9","DOIUrl":"10.1186/s12875-024-02695-9","url":null,"abstract":"<p><strong>Background: </strong>This study examined the moderating role of e-health literacy (eHL) and patient-physician communication in the relationship between online diabetes information-seeking behavior (online DISB) and self-care practices.</p><p><strong>Methods: </strong>A total of 1143 individuals with type 2 diabetes mellitus completed a cross-sectional survey assessing sociodemographic characteristics, data relating to diabetes clinical history, online DISB, eHL (eHealth Literacy Scale), aspects of patient-physician communication (IPC survey), patient self-care (Self-Care Inventory-Revised), and medication adherence (measure of adherence to prescribed diabetes medications). The data were analyzed using both bivariate (correlation) and multivariate (multiple linear regression) analyses using maximum likelihood estimation procedures in Mplus.</p><p><strong>Results: </strong>Our results showed online DISB significantly predicted diabetes self-care (p < 0.001) and medication adherence behaviors (p = 0.005). Lower Hurried Communication (p < 0.001, p = 0.03), higher Elicited Concerns (p = 0.005, p = 0.03), higher Explained Results (p = 0.03, p = 0.008), and higher eHL (p = 0.02, p = 0.02) were significantly associated with better self-care and medication adherence. Explained Results and eHL moderated the relationship between online DISB and both self-care and medication adherence.</p><p><strong>Conclusions: </strong>Findings support the role of patient eHL and patient-physician communication in amplifying the positive impact of online DISB on patients' behavioral outcomes in diabetes.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"25 1","pages":"442"},"PeriodicalIF":2.0,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Effectiveness and cost‑effectiveness of an intervention to improve Initial Medication Adherence to treatments for cardiovascular diseases and diabetes in primary care: study protocol for a pragmatic cluster randomised controlled trial and economic model (the IMA‑cRCT study).","authors":"Alba Sanchez-Vinas, Carmen Corral-Partearroyo, Montserrat Gil-Girbau, M Teresa Penarrubia-Maria, Carmen Gallardo-Gonzalez, Maria-Del-Carmen Olmos-Palenzuela, Ignacio Aznar-Lou, Antoni Serrano-Blanco, Maria Rubio-Valera","doi":"10.1186/s12875-024-02694-w","DOIUrl":"10.1186/s12875-024-02694-w","url":null,"abstract":"","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"25 1","pages":"437"},"PeriodicalIF":2.0,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11673825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of the covid-19 pandemic on perceived diabetes care and regulation, with a focus on ethnic minorities: a mixed-methods study.","authors":"Saskia E van Grondelle, Bilal Güzel, Manon D Mijnsbergen, Paul Uitewaal, Janet M Kist, Sytske van Bruggen, Hedwig M M Vos, Mattijs E Numans, Rimke C Vos","doi":"10.1186/s12875-024-02691-z","DOIUrl":"10.1186/s12875-024-02691-z","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to explore the impact of the COVID-19 pandemic and resulting changes to diabetes care, especially concerning disease control, the use of (tele)consultation and lessons worth implementing to improve diabetes care, with a specific focus on ethnic minority groups.</p><p><strong>Methods: </strong>A mixed-methods prospective cohort study among people with type 2 Diabetes Mellitus (T2DM) treated in primary care during the COVID-19 pandemic. A survey was sent regionally, including items related to teleconsultation and amount of contact with the healthcare professional. We conducted interviews based on the chronic care model with individuals from various ethnic backgrounds living in a deprived neighbourhood. Change in diabetes control (HbA1c, fasting glucose, LDL, systolic BP, BMI, eGFR) was evaluated based on routine care data. Latent class analysis was performed to identify groups who were more at risk for decreased glycaemic control.</p><p><strong>Results: </strong>Most people maintained face-to-face (59%) or telephone (44%) contact with their healthcare provider. A decrease in consultations was observed. Based on the interviews, factors important for maintaining good glycaemic control were the use of medical devices, religion, routines and social support from family and friends. We did not find a clinically relevant change in diabetes control and no specific group was identified as at risk for worse diabetes regulation.</p><p><strong>Conclusions: </strong>In the context of proactive care, remote healthcare and self-regulation have a crucial role for people with T2DM. It is important to identify barriers and facilitators for maintaining good glycaemic control among vulnerable groups, such as ethnic minority groups.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"25 1","pages":"438"},"PeriodicalIF":2.0,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11674499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}