Quality of diabetes care: problem of patient or doctor adherence?

Details

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State: Public
Version: Final published version
Serval ID
serval:BIB_7908737BB457
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Quality of diabetes care: problem of patient or doctor adherence?
Journal
Swiss medical weekly
Author(s)
Puder J.J., Keller U.
ISSN
1424-7860 (Print)
ISSN-L
0036-7672
Publication state
Published
Issued date
11/10/2003
Peer-reviewed
Oui
Volume
133
Number
39-40
Pages
530-534
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
Current guidelines for treatment of type 2 diabetes mellitus include disease prevention and the control of blood pressure and lipids in addition to blood glucose management. However, physician compliance with treatment guidelines is relatively poor. In any given year, HbA1c and blood lipids are measured only in about half of patients and are below target in even less, while blood pressure is frequently measured but controlled in less than 50%. Some reasons for this unsatisfactory situation are providers' beliefs, frustration and lack of knowledge, patient barriers and the fact that the guidelines are not easy to access and implement. Patient non-adherence can be changed by improving education, perception, motivation and self-management. Strategies for improving disease management are discussed.

Keywords
Blood Glucose/analysis, Blood Pressure, Diabetes Mellitus, Type 2/blood, Diabetes Mellitus, Type 2/prevention & control, Diabetes Mellitus, Type 2/therapy, Hemoglobin A, Glycosylated/analysis, Humans, Hypercholesterolemia/etiology, Hypercholesterolemia/prevention & control, Hypertension/etiology, Hypertension/prevention & control, Lipids/blood, Nutritional Physiological Phenomena, Patient Compliance, Physician-Patient Relations, Practice Guidelines as Topic
Pubmed
Web of science
Create date
15/02/2008 17:19
Last modification date
20/08/2019 14:35
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