Title
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Evidence-based early stage type 2 diabetes follow-up in Belgian primary care practices : impact of multi-professional teams and care protocols
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Author
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Abstract
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Aim The aim of this research is to explore the current early-stage diabetes mellitus type 2 care in Belgian general practices. This, to find out if the care is provided according to the proposed evidence-based national diabetes care guideline. Additionally, this research aims to detect which person and practice characteristics can be associated with a more evidence-based care provision. Methods People were included in the study if they were recently diagnosed with type 2 diabetes by the participating practice. Practice and person characteristics, and clinical parameter monitoring and lifestyle monitoring data were collected by using a questionnaire and a topic list. Results A total of 27 general practices participated and a total of 249 people were included through their patient records. People monitored in a practice according to a self-developed protocol were 5.5 times more likely to have a better clinical parameter follow-up. Larger practices (>2000 patients), follow-up by general practitioners and practice nurses together and according to self-developed protocols were associated with a significantly better lifestyle follow-up. Conclusion Practices providing multidisciplinary diabetes care, in collaboration with practice nurses, and with diabetes care based on self-developed protocols achieved a more comprehensive follow-up. |
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Language
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English
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Source (journal)
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Primary care diabetes. - Place of publication unknown
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Publication
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Place of publication unknown
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2021
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ISSN
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1751-9918
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DOI
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10.1016/J.PCD.2020.09.003
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Volume/pages
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15
:2
(2021)
, p. 249-256
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ISI
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000631703500009
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Pubmed ID
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33060036
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Full text (Publisher's DOI)
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Full text (open access)
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Full text (publisher's version - intranet only)
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