Awareness, agreement, adoption and adherence to type 2 diabetes mellitus guidelines: A survey of Indonesian primary care physicians

Indah S. Widyahening, Yolanda Van Der Graaf, Pradana Soewondo, Paul Glasziou, Geert Jmg Van Der Heijden

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Abstract

Background: To assess the degree of awareness, agreement, adoption and adherence of physicians in Indonesia to type 2 diabetes mellitus guidelines, and their association with characteristics of the responders. Methods. Questionnaire survey among General Practitioners (GPs) attending the Indonesian Association of Family Practitioners annual conference in November 2012. The proportion of GPs who were aware of, agreed with, adopted and adhered to the seven recommendations in the guidelines (screening for diabetes, diagnosis, lifestyle modification, use of sulfonylurea, target blood glucose, target blood pressure and use of statin) were calculated in the total number of responders. Results: Of the 399 GPs participating, 383 (89%) were aware of the existence of Indonesian type 2 diabetes guidelines. Awareness for each recommendation varied from 66 to 91%. The recommendation to use a random blood glucose test for diagnosing patients with classic diabetes symptoms had the least awareness (265/399, 66%) and least agreement (163/399, 41%). The recommendation on statin use was the least adopted (192/399, 48%), while the least adherence (7/399, 2%) was found for the recommendation on screening for diabetes for patients with risk factors. Years of practice experience and proportion of diabetes patients seen in their practice were independently related with adherence to statin prescription. Conclusions: High awareness of the Indonesian type 2 diabetes guideline does not necessary lead to adoption or adherence to recommendations important for outcomes and quality of care. The awareness-to-adherence model helps in identifying barriers for the use of guidelines.

Original languageEnglish
Article number72
JournalBMC Family Practice
Volume15
Issue number1
DOIs
Publication statusPublished - 23 Apr 2014

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Primary Care Physicians
Type 2 Diabetes Mellitus
Hydroxymethylglutaryl-CoA Reductase Inhibitors
Guidelines
General Practitioners
Blood Glucose
Indonesia
Quality of Health Care
Hematologic Tests
Prescriptions
Life Style
Surveys and Questionnaires
Blood Pressure
Physicians

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Widyahening, Indah S. ; Van Der Graaf, Yolanda ; Soewondo, Pradana ; Glasziou, Paul ; Van Der Heijden, Geert Jmg. / Awareness, agreement, adoption and adherence to type 2 diabetes mellitus guidelines : A survey of Indonesian primary care physicians. In: BMC Family Practice. 2014 ; Vol. 15, No. 1.
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abstract = "Background: To assess the degree of awareness, agreement, adoption and adherence of physicians in Indonesia to type 2 diabetes mellitus guidelines, and their association with characteristics of the responders. Methods. Questionnaire survey among General Practitioners (GPs) attending the Indonesian Association of Family Practitioners annual conference in November 2012. The proportion of GPs who were aware of, agreed with, adopted and adhered to the seven recommendations in the guidelines (screening for diabetes, diagnosis, lifestyle modification, use of sulfonylurea, target blood glucose, target blood pressure and use of statin) were calculated in the total number of responders. Results: Of the 399 GPs participating, 383 (89{\%}) were aware of the existence of Indonesian type 2 diabetes guidelines. Awareness for each recommendation varied from 66 to 91{\%}. The recommendation to use a random blood glucose test for diagnosing patients with classic diabetes symptoms had the least awareness (265/399, 66{\%}) and least agreement (163/399, 41{\%}). The recommendation on statin use was the least adopted (192/399, 48{\%}), while the least adherence (7/399, 2{\%}) was found for the recommendation on screening for diabetes for patients with risk factors. Years of practice experience and proportion of diabetes patients seen in their practice were independently related with adherence to statin prescription. Conclusions: High awareness of the Indonesian type 2 diabetes guideline does not necessary lead to adoption or adherence to recommendations important for outcomes and quality of care. The awareness-to-adherence model helps in identifying barriers for the use of guidelines.",
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Awareness, agreement, adoption and adherence to type 2 diabetes mellitus guidelines : A survey of Indonesian primary care physicians. / Widyahening, Indah S.; Van Der Graaf, Yolanda; Soewondo, Pradana; Glasziou, Paul; Van Der Heijden, Geert Jmg.

In: BMC Family Practice, Vol. 15, No. 1, 72, 23.04.2014.

Research output: Contribution to journalArticleResearchpeer-review

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