Cargando…

Clinical Inertia in Type 2 Diabetes Patients in Primary Health Care Clinics in Central Bosnia

BACKGROUND: The goal of this research was to determine the frequency of clinical inertia of general practice physicians in the region of Central Bosnia in healthcare for type 2 diabetes patients, to analyze characteristics of patients and physicians, as well as glucose regulation during clinical ine...

Descripción completa

Detalles Bibliográficos
Autores principales: Marjanović, Marijan, Vrdoljak, Davorka, Lang, Valerija Bralić, Polašek, Ozren, Đido, Vedran, Fišić, Marinka Kašćel, Šimić, Ivanka Mađar, Dodig, Danijela, Perić, Marina Radoš
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6243831/
https://www.ncbi.nlm.nih.gov/pubmed/30421728
http://dx.doi.org/10.12659/MSM.911286
_version_ 1783372002171551744
author Marjanović, Marijan
Vrdoljak, Davorka
Lang, Valerija Bralić
Polašek, Ozren
Đido, Vedran
Fišić, Marinka Kašćel
Šimić, Ivanka Mađar
Dodig, Danijela
Perić, Marina Radoš
author_facet Marjanović, Marijan
Vrdoljak, Davorka
Lang, Valerija Bralić
Polašek, Ozren
Đido, Vedran
Fišić, Marinka Kašćel
Šimić, Ivanka Mađar
Dodig, Danijela
Perić, Marina Radoš
author_sort Marjanović, Marijan
collection PubMed
description BACKGROUND: The goal of this research was to determine the frequency of clinical inertia of general practice physicians in the region of Central Bosnia in healthcare for type 2 diabetes patients, to analyze characteristics of patients and physicians, as well as glucose regulation during clinical inertia, and, on the basis of these indicators, give recommendations for reducing clinical inertia. MATERIAL/METHODS: This study included 29 doctors, family physicians, or general practitioners, who collected data in a total sample of 541 type 2 diabetes mellitus patients from July to November 2017. The research was conducted using 2 questionnaires. The glucose concentration in plasma and the percentage of glycosylated hemoglobin (HbA1c) were determined. Concertation of cholesterol, triglycerides, AST, and ALT were also measured. After the collection, new data were processed and the degree of clinical inertia was determined. RESULT: Levels of HbA1c ranged from 4.3% to 13.0%, and 38.4% of all patients had HbA1c level higher than 7.5%, while 8.3% of them had HbA1c level 9.0% or higher. Clinical inertia in our research was 12.6% out of all patients and 48.2% were referred to a specialist by their doctor. CONCLUSIONS: For better regulation of glycemia and reduction of clinical inertia with type 2 diabetes patients, more specialized training is needed for selected physicians. Strengthening of primary healthcare and encouraging doctors to perform procedures can contribute to better outcomes of treatment, lower clinical inertia, and better education of patients.
format Online
Article
Text
id pubmed-6243831
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher International Scientific Literature, Inc.
record_format MEDLINE/PubMed
spelling pubmed-62438312018-12-07 Clinical Inertia in Type 2 Diabetes Patients in Primary Health Care Clinics in Central Bosnia Marjanović, Marijan Vrdoljak, Davorka Lang, Valerija Bralić Polašek, Ozren Đido, Vedran Fišić, Marinka Kašćel Šimić, Ivanka Mađar Dodig, Danijela Perić, Marina Radoš Med Sci Monit Clinical Research BACKGROUND: The goal of this research was to determine the frequency of clinical inertia of general practice physicians in the region of Central Bosnia in healthcare for type 2 diabetes patients, to analyze characteristics of patients and physicians, as well as glucose regulation during clinical inertia, and, on the basis of these indicators, give recommendations for reducing clinical inertia. MATERIAL/METHODS: This study included 29 doctors, family physicians, or general practitioners, who collected data in a total sample of 541 type 2 diabetes mellitus patients from July to November 2017. The research was conducted using 2 questionnaires. The glucose concentration in plasma and the percentage of glycosylated hemoglobin (HbA1c) were determined. Concertation of cholesterol, triglycerides, AST, and ALT were also measured. After the collection, new data were processed and the degree of clinical inertia was determined. RESULT: Levels of HbA1c ranged from 4.3% to 13.0%, and 38.4% of all patients had HbA1c level higher than 7.5%, while 8.3% of them had HbA1c level 9.0% or higher. Clinical inertia in our research was 12.6% out of all patients and 48.2% were referred to a specialist by their doctor. CONCLUSIONS: For better regulation of glycemia and reduction of clinical inertia with type 2 diabetes patients, more specialized training is needed for selected physicians. Strengthening of primary healthcare and encouraging doctors to perform procedures can contribute to better outcomes of treatment, lower clinical inertia, and better education of patients. International Scientific Literature, Inc. 2018-11-13 /pmc/articles/PMC6243831/ /pubmed/30421728 http://dx.doi.org/10.12659/MSM.911286 Text en © Med Sci Monit, 2018 This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Clinical Research
Marjanović, Marijan
Vrdoljak, Davorka
Lang, Valerija Bralić
Polašek, Ozren
Đido, Vedran
Fišić, Marinka Kašćel
Šimić, Ivanka Mađar
Dodig, Danijela
Perić, Marina Radoš
Clinical Inertia in Type 2 Diabetes Patients in Primary Health Care Clinics in Central Bosnia
title Clinical Inertia in Type 2 Diabetes Patients in Primary Health Care Clinics in Central Bosnia
title_full Clinical Inertia in Type 2 Diabetes Patients in Primary Health Care Clinics in Central Bosnia
title_fullStr Clinical Inertia in Type 2 Diabetes Patients in Primary Health Care Clinics in Central Bosnia
title_full_unstemmed Clinical Inertia in Type 2 Diabetes Patients in Primary Health Care Clinics in Central Bosnia
title_short Clinical Inertia in Type 2 Diabetes Patients in Primary Health Care Clinics in Central Bosnia
title_sort clinical inertia in type 2 diabetes patients in primary health care clinics in central bosnia
topic Clinical Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6243831/
https://www.ncbi.nlm.nih.gov/pubmed/30421728
http://dx.doi.org/10.12659/MSM.911286
work_keys_str_mv AT marjanovicmarijan clinicalinertiaintype2diabetespatientsinprimaryhealthcareclinicsincentralbosnia
AT vrdoljakdavorka clinicalinertiaintype2diabetespatientsinprimaryhealthcareclinicsincentralbosnia
AT langvalerijabralic clinicalinertiaintype2diabetespatientsinprimaryhealthcareclinicsincentralbosnia
AT polasekozren clinicalinertiaintype2diabetespatientsinprimaryhealthcareclinicsincentralbosnia
AT đidovedran clinicalinertiaintype2diabetespatientsinprimaryhealthcareclinicsincentralbosnia
AT fisicmarinkakascel clinicalinertiaintype2diabetespatientsinprimaryhealthcareclinicsincentralbosnia
AT simicivankamađar clinicalinertiaintype2diabetespatientsinprimaryhealthcareclinicsincentralbosnia
AT dodigdanijela clinicalinertiaintype2diabetespatientsinprimaryhealthcareclinicsincentralbosnia
AT pericmarinarados clinicalinertiaintype2diabetespatientsinprimaryhealthcareclinicsincentralbosnia