What are the development priorities for management of type 2 diabetes by general practitioners in Ningbo, China: a qualitative study of patients’ and practitioners’ perspectives

Objectives To explore patients’ and general practitioners’ (GPs’) perspectives on primary care management of patients with type 2 diabetes mellitus (T2DM) in Ningbo, China. We aimed to understand the current benefits and challenges and to identify development priorities.Design Exploratory qualitativ...

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Main Authors: Kaushik Chattopadhyay, Josie Solomon, Angharad Woolley, Jialin Li, Kai Huang, Punam Chahal, Priya Chahal, Gloria Tu, Pritpal Chahal
Format: Article
Language:English
Published: BMJ Publishing Group 2020-09-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/9/e037215.full
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author Kaushik Chattopadhyay
Josie Solomon
Angharad Woolley
Jialin Li
Kai Huang
Punam Chahal
Priya Chahal
Gloria Tu
Pritpal Chahal
author_facet Kaushik Chattopadhyay
Josie Solomon
Angharad Woolley
Jialin Li
Kai Huang
Punam Chahal
Priya Chahal
Gloria Tu
Pritpal Chahal
author_sort Kaushik Chattopadhyay
collection DOAJ
description Objectives To explore patients’ and general practitioners’ (GPs’) perspectives on primary care management of patients with type 2 diabetes mellitus (T2DM) in Ningbo, China. We aimed to understand the current benefits and challenges and to identify development priorities.Design Exploratory qualitative descriptive study using face-to-face interviews and analysed by thematic, inductive analysis.Setting 11 primary care facilities spread across the city of Ningbo, China.Participants 23 patients with T2DM and 20 GPs involved in caring for patients with T2DM.Results GPs were considered the first point of contact and providers of information. However, the care varied, and many GPs lacked confidence and felt overworked. The medication was a particularly weak area. The diagnostic screening commenced late, leading to crisis presentations. Patients were variably informed about their condition, contributing to poor adherence.Conclusions Future developments of primary care for T2DM in Ningbo should centre around improving GP confidence and workload and patient education and adherence.
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spelling doaj.art-d59055fc341e4960bd7a657c73ed676c2022-12-21T22:45:36ZengBMJ Publishing GroupBMJ Open2044-60552020-09-0110910.1136/bmjopen-2020-037215What are the development priorities for management of type 2 diabetes by general practitioners in Ningbo, China: a qualitative study of patients’ and practitioners’ perspectivesKaushik Chattopadhyay0Josie Solomon1Angharad Woolley2Jialin Li3Kai Huang4Punam Chahal5Priya Chahal6Gloria Tu7Pritpal Chahal8Division of Epidemiology and Public Health, School of Medicine, University of Nottingham, Nottingham, UK4 School of Pharmacy, University of Lincoln, Lincoln, UK Department of Research and Knowledge Exchange, University of Nottingham, Ningbo, ChinaDepartment of Endocrinology and Metabolism, Ningbo First Hospital, Ningbo, ChinaDepartment of General Practice, Ningbo First Hospital, Ningbo, ChinaDepartment of Research and Knowledge Exchange, University of Nottingham, Ningbo, ChinaDepartment of Research and Knowledge Exchange, University of Nottingham, Ningbo, ChinaDepartment of Research and Knowledge Exchange, University of Nottingham, Ningbo, ChinaHealth Education England, Leeds, United KingdomObjectives To explore patients’ and general practitioners’ (GPs’) perspectives on primary care management of patients with type 2 diabetes mellitus (T2DM) in Ningbo, China. We aimed to understand the current benefits and challenges and to identify development priorities.Design Exploratory qualitative descriptive study using face-to-face interviews and analysed by thematic, inductive analysis.Setting 11 primary care facilities spread across the city of Ningbo, China.Participants 23 patients with T2DM and 20 GPs involved in caring for patients with T2DM.Results GPs were considered the first point of contact and providers of information. However, the care varied, and many GPs lacked confidence and felt overworked. The medication was a particularly weak area. The diagnostic screening commenced late, leading to crisis presentations. Patients were variably informed about their condition, contributing to poor adherence.Conclusions Future developments of primary care for T2DM in Ningbo should centre around improving GP confidence and workload and patient education and adherence.https://bmjopen.bmj.com/content/10/9/e037215.full
spellingShingle Kaushik Chattopadhyay
Josie Solomon
Angharad Woolley
Jialin Li
Kai Huang
Punam Chahal
Priya Chahal
Gloria Tu
Pritpal Chahal
What are the development priorities for management of type 2 diabetes by general practitioners in Ningbo, China: a qualitative study of patients’ and practitioners’ perspectives
BMJ Open
title What are the development priorities for management of type 2 diabetes by general practitioners in Ningbo, China: a qualitative study of patients’ and practitioners’ perspectives
title_full What are the development priorities for management of type 2 diabetes by general practitioners in Ningbo, China: a qualitative study of patients’ and practitioners’ perspectives
title_fullStr What are the development priorities for management of type 2 diabetes by general practitioners in Ningbo, China: a qualitative study of patients’ and practitioners’ perspectives
title_full_unstemmed What are the development priorities for management of type 2 diabetes by general practitioners in Ningbo, China: a qualitative study of patients’ and practitioners’ perspectives
title_short What are the development priorities for management of type 2 diabetes by general practitioners in Ningbo, China: a qualitative study of patients’ and practitioners’ perspectives
title_sort what are the development priorities for management of type 2 diabetes by general practitioners in ningbo china a qualitative study of patients and practitioners perspectives
url https://bmjopen.bmj.com/content/10/9/e037215.full
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