Structured care of diabetes in general practice: A qualitative study of the barriers and facilitators

Hdl Handle:
http://hdl.handle.net/10147/274559
Title:
Structured care of diabetes in general practice: A qualitative study of the barriers and facilitators
Authors:
O’Connor, R; Mannix, M; Mullen, J; Powys, L; Mannion, M; Nolan, HA; Kearney, E; Cullen, W; Griffin, M; Saunders, J
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
Mar-2013
URI:
http://hdl.handle.net/10147/274559
Item Type:
Article
Language:
en
Description:
This qualitative study explored general practitioner s and practice nurse s perceptions of barriers and facilitators to the proposed transfer of diabetes care to general practice. Qualitative data were collected through five focus groups. Participants included GPs (n=55) and practice nurses (n=11) representing urban (44%), rural (29%) and mixed (27%) practices, in the Irish Mid-West region. Barriers and facilitators were mentioned 631 times (100%). Barriers were mentioned 461 times (73%), facilitators 170 times (27%). The most frequently identified barriers were lack of financial incentive (119/631; 19%), lack of access to secondary resources (93/631; 15%), lack of staff and increased workload (59/631; 9%) and time constraints (52/631; 8%). Identified facilitators were access to secondary care (49/631;7.8%), the holistic nature of general practice and continuity of care (48/631;7.6%). Although many are enthusiastic, there remains significant reluctance among GPs and practice nurses to take responsibility for diabetes care without addressing these barriers
Keywords:
PRIMARY CARE; DIABETES

Full metadata record

DC FieldValue Language
dc.contributor.authorO’Connor, Ren_GB
dc.contributor.authorMannix, Men_GB
dc.contributor.authorMullen, Jen_GB
dc.contributor.authorPowys, Len_GB
dc.contributor.authorMannion, Men_GB
dc.contributor.authorNolan, HAen_GB
dc.contributor.authorKearney, Een_GB
dc.contributor.authorCullen, Wen_GB
dc.contributor.authorGriffin, Men_GB
dc.contributor.authorSaunders, Jen_GB
dc.date.accessioned2013-03-21T12:38:15Z-
dc.date.available2013-03-21T12:38:15Z-
dc.date.issued2013-03-
dc.identifier.urihttp://hdl.handle.net/10147/274559-
dc.descriptionThis qualitative study explored general practitioner s and practice nurse s perceptions of barriers and facilitators to the proposed transfer of diabetes care to general practice. Qualitative data were collected through five focus groups. Participants included GPs (n=55) and practice nurses (n=11) representing urban (44%), rural (29%) and mixed (27%) practices, in the Irish Mid-West region. Barriers and facilitators were mentioned 631 times (100%). Barriers were mentioned 461 times (73%), facilitators 170 times (27%). The most frequently identified barriers were lack of financial incentive (119/631; 19%), lack of access to secondary resources (93/631; 15%), lack of staff and increased workload (59/631; 9%) and time constraints (52/631; 8%). Identified facilitators were access to secondary care (49/631;7.8%), the holistic nature of general practice and continuity of care (48/631;7.6%). Although many are enthusiastic, there remains significant reluctance among GPs and practice nurses to take responsibility for diabetes care without addressing these barriersen_GB
dc.language.isoenen
dc.publisherIrish Medical Journalen_GB
dc.subjectPRIMARY CAREen_GB
dc.subjectDIABETESen_GB
dc.titleStructured care of diabetes in general practice: A qualitative study of the barriers and facilitatorsen_GB
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen_GB
All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.