Primary Care Physician Beliefs about Insulin Initiation in Patients with Type 2 Diabetes in Primary Health Care Centres of the Ministry of Health, Jeddah City, Saudi Arabia
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 5
Abstract
Background: Up to 60% of Type 2 diabetic patients will require insulin within 6 to 10 years of initial diagnosis and even sooner if they have had long-standing undetected disease. Primary care physicians are more likely to manage T2DM than are specialists, and they are increasingly responsible for the initiation and management of insulin therapy in patients. Objectives: To assess the beliefs of primary care physicians about initiation of insulin in patients with type 2 diabetes in the PHC centres of the ministry of health in Jeddah city, Saudi Arabia. Subjects and Methods: A cross sectional study was conducted included all the primary health care physicians working during the study period in the PHC centres of the ministry of health in Jeddah city, Saudi Arabia. Self-administered questionnaire that has been validated in previous published study has been utilized for data collection. It consists of main two parts; the first part includes questions about the personal and professional characteristics of the physicians and the second part includes 30 belief items. Respondents were asked to indicate on a five-point Likert-type scale ranging from one, ‘strongly disagree’, to five, 'strongly agree’. Results: The study included 101 PHC physicians out of 124 invited to participate in the study, giving a response rate of 81.5%. Their age ranged between 24 and 58 years with a mean of 33.4±7 years. Females represent almost two-thirds of the participants (64.4%). For 6 belief items, ≥ 66% of PHCPs agreed with the statement, indicating shared beliefs about the importance of education to insulin initiation, the barrier that injection poses to patients’ acceptance of insulin, patient fears prior to starting insulin, the benefit to patients of receiving insulin prior to the development of complications, patients once they are on insulin, the reluctance of patients on oral therapy to accept an insulin prescription and the initiation of insulin as one of the most difficult aspects of managing patients with type 2 diabetes. Physicians` age and level of training were the most significant factors associated with their belief regarding initiating insulin therapy in T2DM. Conclusion: Most of PHCPs in Jeddah, KSA believe that insulin therapy provides many benefits to patients with T2DM with significant improvements in glycaemia control and reduction in long-term complications of diabetes. However, some PHCPs have beliefs about insulin that are barriers to attaining this goal.
Authors and Affiliations
Adel Jubran AlRogi
Keywords
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- EP ID EP547542
- DOI 10.21276/ijmrp.2017.3.5.025
- Views 57
- Downloads 0
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