Download Healthcare professionals* perceptions of T2DM care in the

MGSD Studies

Educational study:
C. Savona-Ventura (Malta)
HEALTHCARE PROFESSIONALS’ PERCEPTIONS OF
T2DM CARE IN THE MEDITERRANEAN REGION
MGSD-Education Study Group
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Prof. Charles Savona-Ventura [Lead Investigator]
Prof. Mohamed Khattab
Prof. Nebojsa Lalic
Prof. Stavros Liatis
Prof. Filipe Raposi
Prof. Pedro Conthe
Introduction
• Background: The views and perceptions of healthcare professions towards T2DM care can
have an influence of patient outcomes. Awareness of these views/perceptions is an essential
pre-requisite prior to undertaking any educational programme.
• Objective of study
• To assess the views and perceptions of primary and hospital-based healthcare professionals, and
members of professional bodies and their trainees in the Mediterranean region towards T2DM care as
this relates to:
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Practice organization
Clinical issues relating to diagnosis and complications
Attitudes to diabetes, obesity and weight control
Use of clinical guidelines including recommended targets of control
• To further assess:
• The level of knowledge of healthcare professionals
• Their perception towards the disease, and
• The degree of adherence to published guidelines
• To provide an educational baseline picture which would allow dedicated educational programmes to be designed for
the region.
Methodology
• Self-administered questionnaire filled in:
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Using internet facilities through the MGSD website
• Using hard copy questionnaire distribution during relevant professional meetings
• Professional bodies in the various countries in the Mediterranean region were
invited to circulate a notice to their members asking them to participate in the
study.
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Target populations : primary health care physicians, diabetologists, endocrinologists & internists, both in
public and private sectors, national societies.
• Data from web-based and paper responses collated in an excel file.
• Descriptive statistics.
Population characteristics
Total population: 2884
WEST
SOUTH
EAST
Population characteristics
Total population: 2884
CME characteristics
Total population: 2884
Mean number of
years since
graduation
18.7+11.1 yrs
18.9+11.1 yrs
19.4+10.7 yrs
19.0+11.3 yrs
Practice characteristics
Total population: 2884
Self Confidence
re management
Aware of team
management facilities
Aware of country specific
guidelines
Treatment Choice problems
Total population: 2884
Perceived Second line therapeutic choices
after metformin failure
problems to
using Insulin
Perceived problems
to using Insulin
Treatment Choice problems
Confidence in
patient/family
capability to
manage
hypoglycaemia
Hypoglycaemia
conceived as a
problem
influencing
choice of
management
Total population: 2884
HbA1c targets
GDM issues
Total population: 2884
Choice of diagnostic criteria
Facility availability for
pre-conceptional care
GDM issues
Total population: 2884
Adoption of insulin analogues in
management of GDM
Adoption of OHA in
management of GDM
Conclusions
Total population: 2884
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29% not confident about T2DM management
46% report no Team management facilities
21% report no country specific guidelines
2nd line medication to metformin are sulphonylureas & DPP4 inhibitors
53% perceive insulin use as a problem
24% consider hypoglycaemia as a problem sufficient to influence management choices
24% consider the patients & care-supporters as not capable of managing hypoglycaemia
Only 21% prefer to keep HbA1c levels below 6.5%
• 8% accept threshold up to 7.5%
• 4% even up to 8.0%
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28% reported Pre-conceptional care facilities
Diagnostic criteria: 22% old WHO criteria; 18% IADPSG; 18% ADA
23% ready to use OHA for GDM
60% ready to use Insulin analogues for GDM