Discordance in perceptions of barriers to diabetes care between patients and primary care and secondary care.

Abstract:

OBJECTIVE:We sought to compare perceived barriers to diabetes care between people with diabetes and different health professional groups. RESEARCH DESIGN AND METHODS:This was a cross-sectional, postal, open-questionnaire survey conducted in the Waikato district, New Zealand. A total of 3,890 individuals with diabetes participated, as well as 436 primary and secondary health professionals. RESULTS:Barriers were reported in 69.7% of patients. Psychological barriers were most important (55.5%), followed by systems barriers (25.7%), and then knowledge as least important (15.3%). Psychological barriers were ranked first among general practitioners (91.0%), but systems barriers were ranked first by other health professionals (38.8-100%). General practitioner and patient barrier group rankings were similar (r(T) = 0.976, P < 0.05). Of specific barriers among individuals with diabetes, strictness of treatment regimen was the most frequently reported (42.3 vs. 0.1-16.8%) (P < 0.001) and 2.5 (95% CI 2.4-2.7)- to 3.4 (3.2-3.7)-fold more than the 2nd through 4th ranked barriers. Motivation was the most common specific barrier reported by general practitioners (86%), practice nurses (31.5%), and the diabetes team (85.7%). Practice and hospital nurse/dietitian rankings were most comparable with patients (r(T) = 0.457 and 0.466, respectively, both P < 0.05). A major area of patient-health professional discordance was the influence of other health problems, which was ranked 2nd among patients but 10th-18th among health professionals. CONCLUSIONS:The most important barriers to diabetes care perceived by patients are psychological and particularly relate to the strictness of the regimen. Discordance between patients and different health professionals exists in the perception of the importance of different barriers to diabetes care.

journal_name

Diabetes Care

journal_title

Diabetes care

authors

Simmons D,Lillis S,Swan J,Haar J

doi

10.2337/dc06-2338

subject

Has Abstract

pub_date

2007-03-01 00:00:00

pages

490-5

issue

3

eissn

0149-5992

issn

1935-5548

pii

30/3/490

journal_volume

30

pub_type

杂志文章
  • Reduced coronary artery and abdominal aortic calcification in Hispanics with type 2 diabetes.

    abstract:OBJECTIVE:To compare lifestyle factors, cardiovascular risk factors, and coronary artery calcium (CAC) and abdominal aortic calcium (AAC) levels in Hispanic and non-Hispanic white (NHW) individuals with type 2 diabetes. RESEARCH DESIGN AND METHODS:We recently demonstrated in a small group of nonreferred, healthy, nond...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.27.5.1115

    authors: Reaven PD,Sacks J,Investigators for the Veterans Affairs Cooperative Study of Glycemic Control and Complications in Diabetes Mellitus Type 2.

    更新日期:2004-05-01 00:00:00

  • Influence of type 2 diabetes on brain volumes and changes in brain volumes: results from the Women's Health Initiative Magnetic Resonance Imaging studies.

    abstract:OBJECTIVE:To study how type 2 diabetes adversely affects brain volumes, changes in volume, and cognitive function. RESEARCH DESIGN AND METHODS:Regional brain volumes and ischemic lesion volumes in 1,366 women, aged 72-89 years, were measured with structural brain magnetic resonance imaging (MRI). Repeat scans were col...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc12-0555

    authors: Espeland MA,Bryan RN,Goveas JS,Robinson JG,Siddiqui MS,Liu S,Hogan PE,Casanova R,Coker LH,Yaffe K,Masaki K,Rossom R,Resnick SM,WHIMS-MRI Study Group.

    更新日期:2013-01-01 00:00:00

  • Differential associations of oral glucose tolerance test-derived measures of insulin sensitivity and pancreatic β-cell function with coronary artery calcification and microalbuminuria in type 2 diabetes.

    abstract::OBJECTIVE We evaluated relationships of oral glucose tolerance testing (OGTT)-derived measures of insulin sensitivity and pancreatic β-cell function with indices of diabetes complications in a cross-sectional study of patients with type 2 diabetes who are free of overt cardiovascular or renal disease. RESEARCH DESIGN ...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc12-1880

    authors: Mulvey CK,McNeill AM,Girman CJ,Churchill TW,Terembula K,Ferguson JF,Shah R,Mehta NN,Qasim AN,Rickels MR,Reilly MP

    更新日期:2014-01-01 00:00:00

  • Should Restrictions Be Relaxed for Metformin Use in Chronic Kidney Disease? Yes, They Should Be Relaxed! What's the Fuss?

    abstract::Metformin is and has been considered as first-line therapy for type 2 diabetes for over a quarter of a century. Like other biguanides, metformin can cause a lactic acidosis that is exceptionally rare but fatal. The likelihood of metformin-associated lactic acidosis is substantially higher in patients with kidney impai...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc15-2534

    authors: Bakris GL,Molitch ME

    更新日期:2016-07-01 00:00:00

  • Diabetes mellitus and its vascular complications in Japanese migrants on the Island of Hawaii.

    abstract::Japanese migrants and their offspring on the island of Hawaii and Japanese living in Hiroshima were examined for diabetes mellitus and its vascular complications. the same methods and investigators were used in both locations. Death certificates of Japanese and Caucasians dying on the island during the past 26 yr were...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.2.2.161

    authors: Kawate R,Yamakido M,Nishimoto Y,Bennett PH,Hamman RF,Knowler WC

    更新日期:1979-03-01 00:00:00

  • The efficacy and safety of imeglimin as add-on therapy in patients with type 2 diabetes inadequately controlled with sitagliptin monotherapy.

    abstract:OBJECTIVE:This 12-week study assessed the efficacy and tolerability of imeglimin as add-on therapy to the dipeptidyl peptidase-4 inhibitor sitagliptin in patients with type 2 diabetes inadequately controlled with sitagliptin monotherapy. RESEARCH DESIGN AND METHODS:In a multicenter, randomized, double-blind, placebo-c...

    journal_title:Diabetes care

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.2337/dc13-2349

    authors: Fouqueray P,Pirags V,Diamant M,Schernthaner G,Lebovitz HE,Inzucchi SE,Bailey CJ

    更新日期:2014-07-01 00:00:00

  • Excess BMI in Childhood: A Modifiable Risk Factor for Type 1 Diabetes Development?

    abstract:OBJECTIVE:We aimed to determine the effect of elevated BMI over time on the progression to type 1 diabetes in youth. RESEARCH DESIGN AND METHODS:We studied 1,117 children in the TrialNet Pathway to Prevention cohort (autoantibody-positive relatives of patients with type 1 diabetes). Longitudinally accumulated BMI abov...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc16-2331

    authors: Ferrara CT,Geyer SM,Liu YF,Evans-Molina C,Libman IM,Besser R,Becker DJ,Rodriguez H,Moran A,Gitelman SE,Redondo MJ,Type 1 Diabetes TrialNet Study Group.

    更新日期:2017-05-01 00:00:00

  • Effect of High-Deductible Insurance on High-Acuity Outcomes in Diabetes: A Natural Experiment for Translation in Diabetes (NEXT-D) Study.

    abstract:OBJECTIVE:High-deductible health plans (HDHPs) are now the predominant commercial health insurance benefit in the U.S. We sought to determine the effects of HDHPs on emergency department and hospital care, adverse outcomes, and total health care expenditures among patients with diabetes. RESEARCH DESIGN AND METHODS:We...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc17-1183

    authors: Wharam JF,Zhang F,Eggleston EM,Lu CY,Soumerai SB,Ross-Degnan D

    更新日期:2018-05-01 00:00:00

  • Dairy consumption and the incidence of hyperglycemia and the metabolic syndrome: results from a french prospective study, Data from the Epidemiological Study on the Insulin Resistance Syndrome (DESIR).

    abstract:OBJECTIVE:In the French Data from the Epidemiological Study on the Insulin Resistance Syndrome (DESIR) cohort, cross-sectional analyses have shown that a higher consumption of dairy products and calcium are associated with a lower prevalence of the metabolic syndrome (MetS). We assess the influence of dairy products on...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc10-1772

    authors: Fumeron F,Lamri A,Abi Khalil C,Jaziri R,Porchay-Baldérelli I,Lantieri O,Vol S,Balkau B,Marre M,Data from the Epidemiological Study on the Insulin Resistance Syndrome (DESIR) Study Group.

    更新日期:2011-04-01 00:00:00

  • The incidence of insulin-dependent diabetes mellitus in Israeli children and adolescents 0-20 years of age: a retrospective study, 1975-1980.

    abstract::A survey of the entire population of Israel revealed 392 newly diagnosed type I diabetic children and adolescents aged 0-20 for the period of 1975-80. The mean annual age specific incidence of type I (insulin-dependent) diabetes mellitus was 3.8/10(5) for the age group 0-14 yr and 4.2/10(5) for the age group 0-20 yr. ...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.8.1.s24

    authors: Laron ZV,Karp M,Modan M

    更新日期:1985-09-01 00:00:00

  • Association of ACE gene polymorphism with arterial stiffness in patients with type 2 diabetes.

    abstract:OBJECTIVE:To assess the relationship between the insertion (I)/deletion (D) polymorphism of the ACE gene and arterial distensibility in patients with type 2 diabetes and healthy control subjects. RESEARCH DESIGN AND METHODS:Aortic and carotid arterial distensibility were evaluated by measuring aortic pulse-wave veloci...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.22.11.1858

    authors: Taniwaki H,Kawagishi T,Emoto M,Shoji T,Hosoi M,Kogawa K,Nishizawa Y,Morii H

    更新日期:1999-11-01 00:00:00

  • IDDM and milk consumption. A case-control study in São Paulo, Brazil.

    abstract:OBJECTIVE:To test the hypothesis that breast-feeding is a protective factor against IDDM and that early exposure to cow's milk is a risk factor for the disease. RESEARCH DESIGN AND METHODS:A case-control study was conducted in São Paulo, Brazil. A total of 346 diabetic children, aged < 18 years, were identified in two...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.20.8.1256

    authors: Gimeno SG,de Souza JM

    更新日期:1997-08-01 00:00:00

  • One-year glycemic control with a sulfonylurea plus pioglitazone versus a sulfonylurea plus metformin in patients with type 2 diabetes.

    abstract:OBJECTIVE:The goal was to assess the 1-year efficacy and safety of the addition of pioglitazone or metformin to existing sulfonylurea (SU) therapy in patients with inadequately controlled type 2 diabetes. RESEARCH DESIGN AND METHODS:In this multicenter, double-blind study, patients were randomized to receive either pi...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.2337/diacare.27.1.141

    authors: Hanefeld M,Brunetti P,Schernthaner GH,Matthews DR,Charbonnel BH,QUARTET Study Group.

    更新日期:2004-01-01 00:00:00

  • One-year outcome of a combination of weight loss therapies for subjects with type 2 diabetes: a randomized trial.

    abstract:OBJECTIVE:The purpose of this study was to evaluate the effects of a combination weight loss program using intermittent low-calorie diets, energy-controlled meal replacement products, and sibutramine on weight loss, diabetes control, and cardiovascular risk factors in overweight or obese subjects with type 2 diabetes. ...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.2337/diacare.26.9.2505

    authors: Redmon JB,Raatz SK,Reck KP,Swanson JE,Kwong CA,Fan Q,Thomas W,Bantle JP

    更新日期:2003-09-01 00:00:00

  • Fulminant type 1 diabetes: a nationwide survey in Japan.

    abstract:OBJECTIVE:To describe the clinical and immunologic characteristics of fulminant type 1 diabetes, a novel subtype of type 1 diabetes, we conducted a nationwide survey. RESEARCH DESIGN AND METHODS:History and laboratory data, including islet-related autoantibodies, were examined in 222 patients with fulminant and nonful...

    journal_title:Diabetes care

    pub_type: 杂志文章,多中心研究

    doi:10.2337/diacare.26.8.2345

    authors: Imagawa A,Hanafusa T,Uchigata Y,Kanatsuka A,Kawasaki E,Kobayashi T,Shimada A,Shimizu I,Toyoda T,Maruyama T,Makino H

    更新日期:2003-08-01 00:00:00

  • Glycemic control in early IDDM. The Wisconsin Diabetes Registry.

    abstract:OBJECTIVE:A cohort (n = 277) was followed from diabetes diagnosis to evaluate longitudinal glycemic control, urinary C-peptide levels, and certain features of diabetes self-management. RESEARCH DESIGN AND METHODS:Unselected cases with IDDM, who were less than 30 yr of age, were identified at diagnosis from a 28-county...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.15.8.980

    authors: Allen C,Zaccaro DJ,Palta M,Klein R,Duck SC,D'Alessio DJ

    更新日期:1992-08-01 00:00:00

  • Effects of postmenopausal hormone replacement therapy on central abdominal fat, glycemic control, lipid metabolism, and vascular factors in type 2 diabetes: a prospective study.

    abstract:OBJECTIVE:To examine the effects of hormone replacement therapy (HRT) on lipid metabolism, glycemic control, total body and central abdominal fat, blood pressure (BP), and arterial pulse wave velocity (APWV) in overweight postmenopausal females with type 2 diabetes. RESEARCH DESIGN AND METHODS:This was a 12-month pros...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.2337/diacare.22.9.1401

    authors: Samaras K,Hayward CS,Sullivan D,Kelly RP,Campbell LV

    更新日期:1999-09-01 00:00:00

  • Cost-effectiveness of surgically induced weight loss for the management of type 2 diabetes: modeled lifetime analysis.

    abstract:OBJECTIVE:To estimate the cost-effectiveness of surgically induced weight loss relative to conventional therapy for the management of recently diagnosed type 2 diabetes in class I/II obese patients. RESEARCH DESIGN AND METHODS:This study builds on a within-trial cost-efficacy analysis. The analysis compares the lifeti...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc08-1749

    authors: Keating CL,Dixon JB,Moodie ML,Peeters A,Bulfone L,Maglianno DJ,O'Brien PE

    更新日期:2009-04-01 00:00:00

  • Counterregulation during spontaneous nocturnal hypoglycemia in prepubertal children with type 1 diabetes.

    abstract:OBJECTIVE:To examine counterregulatory responses during spontaneous nocturnal hypoglycemia in prepubertal children with type 1 diabetes. RESEARCH DESIGN AND METHODS:A total of 29 prepubertal patients with type 1 diabetes underwent two overnight profiles. Data were analyzed from 16 children (median [range] 8.7 [5.9-12....

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.22.7.1144

    authors: Matyka KA,Crowne EC,Havel PJ,Macdonald IA,Matthews D,Dunger DB

    更新日期:1999-07-01 00:00:00

  • Cellular ions in NIDDM: relation of calcium to hyperglycemia and cardiac mass.

    abstract:OBJECTIVE:To investigate the role of hyperglycemia in mediating the clinical association of NIDDM with hypertension and left ventricular dysfunction and hypertrophy. RESEARCH DESIGN AND METHODS:Since hyperglycemia elevates cytosolic free calcium (Cai) both in myocardial and vascular smooth muscle cells, we utilized nu...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.19.12.1393

    authors: Barbagallo M,Gupta RK,Resnick LM

    更新日期:1996-12-01 00:00:00

  • Does patient behavior or access factors have the largest influence on screening in type 1 diabetes?

    abstract:OBJECTIVE:Successful disease management is heavily influenced by access to care issues and patient behavior. Screening tests to detect chronic complications are part of diabetes management and may be influenced by access to care or patient decisions. The objective of this research was to examine how strongly access to ...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc06-1279

    authors: Dorsey R,Songer T,Zgibor J,Kelsey S,Ibrahim S,Orchard T

    更新日期:2007-04-01 00:00:00

  • Survey of physician practice behaviors related to diabetes mellitus in the U.S. Physician adherence to consensus recommendations.

    abstract:OBJECTIVE:To summarize the frequency of physician adherence to consensus recommendations for prevention of diabetic complications. RESEARCH DESIGN AND METHODS:Survey data from a nationwide stratified probability sample of primary-care physicians were analyzed. Adherence to recommendations were reported by physician sp...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.16.11.1507

    authors: Kenny SJ,Smith PJ,Goldschmid MG,Newman JM,Herman WH

    更新日期:1993-11-01 00:00:00

  • The evaluation of a pocket computer as an aid to insulin dose determination by patients.

    abstract::A small and inexpensive computer was programmed to assist patients in making decisions regarding insulin delivery using constant subcutaneous infusion systems. Insulin dosage was based on gender, pre- and postprandial blood glucose, between-meal blood glucose, patient weight, time of day, and when appropriate, the car...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.8.2.172

    authors: Chanoch LH,Jovanovic L,Peterson CM

    更新日期:1985-03-01 00:00:00

  • Factors determining the blood pressure response to enalapril and nifedipine in hypertension associated with NIDDM.

    abstract:OBJECTIVE:To examine the factors that determine the blood pressure response to enalapril and nifedipine monotherapy in the treatment of hypertension associated with non-insulin-dependent diabetes mellitus (NIDDM). RESEARCH DESIGN AND METHODS:After a 6-week placebo baseline period, 102 hypertensive NIDDM patients were ...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.2337/diacare.18.7.1001

    authors: Chan JC,Nicholls MG,Cheung CK,Law LK,Swaminathan R,Cockram CS

    更新日期:1995-07-01 00:00:00

  • Reinterpreting Cardiorenal Protection of Renal Sodium-Glucose Cotransporter 2 Inhibitors via Cellular Life History Programming.

    abstract::Cardiovascular outcome trials have provided evidence that sodium-glucose cotransporter 2 inhibitor (SGLT2i) treatment is associated with remarkably favorable cardiovascular outcomes. Here, we offer a novel hypothesis that may encompass many of these hypothetical mechanisms, i.e., the ability of SGLT2i to modify the tr...

    journal_title:Diabetes care

    pub_type: 评论,杂志文章

    doi:10.2337/dc19-1410

    authors: Avogaro A,Fadini GP,Del Prato S

    更新日期:2020-03-01 00:00:00

  • Pancreas transplantation improves vascular disease in patients with type 1 diabetes.

    abstract:OBJECTIVE:Pancreas transplantation (PTX) normalizes glucose and improves microvascular complications, but its impact on macrovascular disease is still debated. RESEARCH DESIGN AND METHODS:Carotid intima-media thickness (IMT), shown to correlate with cardiovascular disease (CVD) risk and events, was determined prospect...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.27.7.1706

    authors: Larsen JL,Colling CW,Ratanasuwan T,Burkman TW,Lynch TG,Erickson JM,Lyden ER,Lane JT,Mack-Shipman LR

    更新日期:2004-07-01 00:00:00

  • Cognitive function in younger type II diabetes.

    abstract:OBJECTIVE:To examine central nervous system involvement as a possible complication of diabetes by performing a comprehensive neuropsychological evaluation of relatively young (age < 55 years) NIDDM patients and a group of control subjects. RESEARCH DESIGN AND METHODS:A cross-sectional comparative study of 28 patients,...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.20.1.32

    authors: Dey J,Misra A,Desai NG,Mahapatra AK,Padma MV

    更新日期:1997-01-01 00:00:00

  • Impaired endothelial function in preadolescent children with type 1 diabetes.

    abstract:OBJECTIVE:We evaluated the prevalence of endothelial dysfunction as measured by flow-mediated dilatation (FMD) of the brachial artery and carotid intima-media thickness (c-IMT) in relationship to vascular inflammatory biomarkers in preadolescent children with type 1 diabetes. RESEARCH DESIGN AND METHODS:We studied 21 ...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc10-2134

    authors: Babar GS,Zidan H,Widlansky ME,Das E,Hoffmann RG,Daoud M,Alemzadeh R

    更新日期:2011-03-01 00:00:00

  • Nonalcoholic fatty liver disease is a risk factor for type 2 diabetes in middle-aged Japanese men.

    abstract:OBJECTIVE:To determine the association between nonalcoholic fatty liver disease and the risk for development of diabetes. RESEARCH DESIGN AND METHODS:We conducted an observational cohort study in male workers > or = 40 years old in a Japanese company from 1997 to 2005. We excluded workers with alcohol intake > or = 20...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc07-0792

    authors: Shibata M,Kihara Y,Taguchi M,Tashiro M,Otsuki M

    更新日期:2007-11-01 00:00:00

  • Life years lost and lifetime health care expenditures associated with diabetes in the U.S., National Health Interview Survey, 1997-2000.

    abstract:OBJECTIVE:This study analyzed the lifetime health care expenditures and life years lost associated with diabetes in the U.S. RESEARCH DESIGN AND METHODS:Data from the National Health Interview Survey (NHIS), the Medical Expenditure Panel Survey from 1997 to 2000, and the NHIS Linked Mortality Public-use Files with a m...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc14-1453

    authors: Leung MY,Pollack LM,Colditz GA,Chang SH

    更新日期:2015-03-01 00:00:00