Are general practitioners characteristics associated with the quality of type 2 diabetes care in general practice? Results from the Norwegian ROSA4 study from 2014

作者：Anh Thi Tran; Bakke Asne; Berg Tore J; Gjelsvik Bjorn; Mdala Ibrahimu; Nokleby Kjersti; Rai Anam Shakil; Cooper John G; Claudi Tor; Lovaas Karianne; Thue Geir; Sandberg Sverre; Jenum Anne K

来源：Scandinavian Journal of Primary Health Care, 2018, 36(2): 170-179.

DOI：10.1080/02813432.2018.1459238

• Type 2 diabetes
• general practitioner
• specialization
• gender
• quality of care
• family medicine

Objective: To explore the associations between general practitioners (GPs) characteristics such as gender, specialist status, country of birth and country of graduation and the quality of care for patients with type 2 diabetes (T2DM).
Design: Cross-sectional survey.
Setting and subjects: The 277 GPs provided care for 10082 patients with T2DM in Norway in 2014. The GPs characteristics were self-reported: 55% were male, 68% were specialists in General Practice, 82% born in Norway and 87% had graduated in Western Europe. Of patients, 81% were born in Norway and 8% in South Asia. Data regarding diabetes care were obtained from electronic medical records and manually verified.
Main outcome measures: Performance of recommended screening procedures, prescribed medication and level of HbA1c, blood pressure and LDL-cholesterol stratified according to GPs characteristics, adjusted for patient and GP characteristics.
Result: Female GPs, specialists, GPs born in Norway and GPs who graduated in Western Europe performed recommended procedures more frequently than their counterparts. Specialists achieved lower mean HbA1c (7.14% vs. 7.25%, p< 0.01), a larger proportion of their patients achieved good glycaemic control (HbA1c = 6.0%-7.0%) (49.1% vs. 44.4%, p = 0.018) and lower mean systolic blood pressure (133.0 mmHg vs. 134.7 mmHg, p < 0.01) compared with non-specialists. GPs who graduated in Western Europe achieved lower diastolic blood pressure than their counterparts (76.6 mmHg vs. 77.8 mmHg, p< 0.01).
Conclusion: Several quality indicators for type 2 diabetes care were better if the GPs were specialists in General Practice.

• 出版日期2018