Insulin initiation in patients with type 2 diabetes is often delayed, but access to a diabetes nurse may help—insights from Norwegian general practice
Autor: | Ibrahimu Mdala, Kjersti Nøkleby, Tore Julsrud Berg, John Cooper, Sverre Sandberg, Karianne Fjeld Løvaas, Tor Claudi, Anne Karen Jenum, Esben Selmer Buhl |
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Jazyk: | angličtina |
Rok vydání: | 2024 |
Předmět: | |
Zdroj: | Scandinavian Journal of Primary Health Care, Vol 42, Iss 1, Pp 132-143 (2024) |
Druh dokumentu: | article |
ISSN: | 02813432 1502-7724 0281-3432 |
DOI: | 10.1080/02813432.2023.2296118 |
Popis: | AbstractObjective: We opted to study how support staff operational capacity and diabetes competences may impact the timeliness of basal insulin-initiation in general practice patients with type 2 diabetes (T2D).Design/Setting/Outcomes: This was an observational and retrospective study on Norwegian primary care patients with T2D included from the ROSA4-dataset. Exposures were (1) support staff size, (2) staff size relative to number of GPs, (3) clinic access to a diabetes nurse and (4) share of staff with diabetes course (1 and 2 both relate to staff operational capacity, whereas 3 and 4 are both indicatory of staff diabetes competences). Outcomes were ‘timely basal insulin-initiation’ (primary) and ‘attainment of HbA1c |
Databáze: | Directory of Open Access Journals |
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