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
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 qualitativ...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2020-09-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/9/e037215.full |
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| author | Li Li Kaushik Chattopadhyay Josie Solomon Angharad Woolley Jialin Li Kai Huang Punam Chahal Priya Chahal Gloria Tu Pritpal Chahal |
| author_facet | Li Li Kaushik Chattopadhyay Josie Solomon Angharad Woolley Jialin Li Kai Huang Punam Chahal Priya Chahal Gloria Tu Pritpal Chahal |
| author_sort | Li Li |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-d59055fc341e4960bd7a657c73ed676c |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-d59055fc341e4960bd7a657c73ed676c2025-01-08T07:50:13ZengBMJ Publishing GroupBMJ Open2044-60552020-09-0110910.1136/bmjopen-2020-037215What are the development priorities for management of type 2 diabetes by general practitioners in Ningbo, China: a qualitative study of patients’ and practitioners’ perspectivesLi Li0Kaushik Chattopadhyay1Josie Solomon2Angharad Woolley3Jialin Li4Kai Huang5Punam Chahal6Priya Chahal7Gloria Tu8Pritpal Chahal9Central South University Xiangya School of Nursing, Changsha, Hunan, ChinaDivision of Epidemiology and Public Health, School of Medicine, University of Nottingham, Nottingham, UK4 School of Pharmacy, University of Lincoln, Lincoln, UKDepartment of Research and Knowledge Exchange, University of Nottingham, Ningbo, ChinaDepartment of Endocrinology and Metabolism, Ningbo First Hospital, Ningbo, ChinaDepartment of General Practice, Ningbo First Hospital, Ningbo, ChinaDepartment of Research and Knowledge Exchange, University of Nottingham, Ningbo, ChinaDepartment of Research and Knowledge Exchange, University of Nottingham, Ningbo, ChinaDepartment of Research and Knowledge Exchange, University of Nottingham, Ningbo, ChinaHealth Education England, Leeds, United KingdomObjectives 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.https://bmjopen.bmj.com/content/10/9/e037215.full |
| spellingShingle | Li Li Kaushik Chattopadhyay Josie Solomon Angharad Woolley Jialin Li Kai Huang Punam Chahal Priya Chahal Gloria Tu Pritpal Chahal 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 BMJ Open |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| url | https://bmjopen.bmj.com/content/10/9/e037215.full |
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