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Diabetes self-care in primary health facilities in India - challenges and the way forward
India has approximately 73 million people living with diabetes and another 37 million with prediabetes while nearly 47% of the diabetes cases are undiagnosed. The high burden of poor glycemic control and early onset of complications with associated economic costs indicates a high prevalence of poor...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2019
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6571487/ https://www.ncbi.nlm.nih.gov/pubmed/31231457 http://dx.doi.org/10.4239/wjd.v10.i6.341 |
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author | Basu, Saurav Sharma, Nandini |
author_facet | Basu, Saurav Sharma, Nandini |
author_sort | Basu, Saurav |
collection | PubMed |
description | India has approximately 73 million people living with diabetes and another 37 million with prediabetes while nearly 47% of the diabetes cases are undiagnosed. The high burden of poor glycemic control and early onset of complications with associated economic costs indicates a high prevalence of poor self-management practices. It is well-established that achieving patient-centered primary care consistent with a chronic care model ensures optimum diabetes self-management support and improves long-term clinical and health outcomes in diabetes patients. The public sector primary care system in India provides services free of cost to beneficiaries but lacks patient-centered care that undermines diabetes self-management education and support. Furthermore, factors like poor patient knowledge of diabetes, suboptimal medication adherence, persistent clinical inertia, lack of data for monitoring and evaluation through clinical audit worsens the standards of diabetes care in primary care settings of India. There is a need for government initiatives to be directed towards the provision of comprehensive outpatient care that is inclusive of uninterrupted supply of drugs, provision of essential laboratory investigators, training and availability of qualified diabetes educators and availability of specialist support when required. Furthermore, the integration of depression screening and smoking cessation services at the primary care level is warranted. |
format | Online Article Text |
id | pubmed-6571487 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-65714872019-06-21 Diabetes self-care in primary health facilities in India - challenges and the way forward Basu, Saurav Sharma, Nandini World J Diabetes Minireviews India has approximately 73 million people living with diabetes and another 37 million with prediabetes while nearly 47% of the diabetes cases are undiagnosed. The high burden of poor glycemic control and early onset of complications with associated economic costs indicates a high prevalence of poor self-management practices. It is well-established that achieving patient-centered primary care consistent with a chronic care model ensures optimum diabetes self-management support and improves long-term clinical and health outcomes in diabetes patients. The public sector primary care system in India provides services free of cost to beneficiaries but lacks patient-centered care that undermines diabetes self-management education and support. Furthermore, factors like poor patient knowledge of diabetes, suboptimal medication adherence, persistent clinical inertia, lack of data for monitoring and evaluation through clinical audit worsens the standards of diabetes care in primary care settings of India. There is a need for government initiatives to be directed towards the provision of comprehensive outpatient care that is inclusive of uninterrupted supply of drugs, provision of essential laboratory investigators, training and availability of qualified diabetes educators and availability of specialist support when required. Furthermore, the integration of depression screening and smoking cessation services at the primary care level is warranted. Baishideng Publishing Group Inc 2019-06-15 2019-06-15 /pmc/articles/PMC6571487/ /pubmed/31231457 http://dx.doi.org/10.4239/wjd.v10.i6.341 Text en ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Minireviews Basu, Saurav Sharma, Nandini Diabetes self-care in primary health facilities in India - challenges and the way forward |
title | Diabetes self-care in primary health facilities in India - challenges and the way forward |
title_full | Diabetes self-care in primary health facilities in India - challenges and the way forward |
title_fullStr | Diabetes self-care in primary health facilities in India - challenges and the way forward |
title_full_unstemmed | Diabetes self-care in primary health facilities in India - challenges and the way forward |
title_short | Diabetes self-care in primary health facilities in India - challenges and the way forward |
title_sort | diabetes self-care in primary health facilities in india - challenges and the way forward |
topic | Minireviews |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6571487/ https://www.ncbi.nlm.nih.gov/pubmed/31231457 http://dx.doi.org/10.4239/wjd.v10.i6.341 |
work_keys_str_mv | AT basusaurav diabetesselfcareinprimaryhealthfacilitiesinindiachallengesandthewayforward AT sharmanandini diabetesselfcareinprimaryhealthfacilitiesinindiachallengesandthewayforward |