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Resource allocation and organisational features in Swedish primary diabetes care : Changes from 2006 to 2013
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- Husdal, Rebecka (author)
- Uppsala universitet,Centrum för klinisk forskning, Västerås,Klinisk diabetologi och metabolism
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- Rosenblad, Andreas (author)
- Uppsala universitet,Centrum för klinisk forskning, Västerås
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- Leksell, Janeth, 1955- (author)
- Uppsala universitet,Högskolan Dalarna,Omvårdnad,Klinisk diabetologi och metabolism
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- Eliasson, Björn, 1959 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine
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- Jansson, Stefan, 1959- (author)
- Uppsala universitet,Örebro universitet,Institutionen för medicinska vetenskaper,University Health Care Research Centre, Region Örebro County, Örebro, Sweden,Allmänmedicin och preventivmedicin
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- Jerdén, Lars (author)
- Uppsala universitet,Högskolan Dalarna,Medicinsk vetenskap,Centre for Clinical Research Dalarna, Uppsala University, Falun,Centrum för klinisk forskning Dalarna
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- Stålhammar, Jan (author)
- Uppsala universitet,Allmänmedicin och preventivmedicin
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- Steen, Lars (author)
- Drug and Therapeutics Committee, Södermanland County Council, Eskilstuna, Sweden
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- Wallman, Thorne (author)
- Uppsala universitet,Centrum för klinisk forskning i Sörmland (CKFD),Allmänmedicin och preventivmedicin
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- Adolfsson, Eva Thors (author)
- Uppsala universitet,Centrum för klinisk forskning, Västerås
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(creator_code:org_t)
- Elsevier, 2017
- 2017
- English.
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In: Primary Care Diabetes. - : Elsevier. - 1751-9918 .- 1878-0210. ; 11:1, s. 20-28
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https://doi.org/10.1...
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Abstract
Subject headings
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- Aims: To compare the resource allocation and organisational features in Swedish primary diabetes care for patients with type 2 diabetes mellitus (T2DM) between 2006 and 2013.Methods: Using a repeated cross-sectional study design, questionnaires covering personnel resources and organisational features for patients with T2DM in 2006 and 2013 were sent to all Swedish primary health care centres (PHCCs) during the following year. In total, 684 (74.3%) PHCCs responded in 2006 and 880 (76.4%) in 2013.Results: Compared with 2006, the median list size had decreased in 2013 (p<0.001), whereas the median number of listed patients with T2DM had increased (p<0.001). Time devoted to patients with T2DM and diabetes-specific education levels for registered nurses (RNs) had increased, and more PHCCs had in-house psychologists (all p<0.001). The use of follow-up systems and medical check-ups had increased (all p<0.05). Individual counselling was more often based on patients' needs, while arrangement of group-based education remained low. Patient participation in setting treatment targets mainly remained low.Conclusions: Even though the diabetes-specific educational level among RNs increased, the arrangement of group-based education and patient participation in setting treatment targets remained low. These results are of concern and should be prioritised as key features in the care of patients with T2DM. (C) 2016 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
Keyword
- Organisational features
- Primary diabetes care
- Repeated cross-sectional survey
- Resource allocation
- Type 2 diabetes mellitus
- Egenvård, hälsa och självanklagelse hos personer med diabetesrelaterad blindhet
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Husdal, Rebecka
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Rosenblad, Andre ...
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Leksell, Janeth, ...
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Eliasson, Björn, ...
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Jansson, Stefan, ...
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Jerdén, Lars
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Stålhammar, Jan
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Steen, Lars
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Wallman, Thorne
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Adolfsson, Eva T ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Endocrinology an ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
- Articles in the publication
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Primary Care Dia ...
- By the university
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Örebro University
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Högskolan Dalarna
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Uppsala University
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University of Gothenburg