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Perceptions of primary care doctors towards Type 2 Diabetes Mellitus and challenges for care at primary care level in India

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Abstract

The objective was to find current practices related to detection, management and perception of primary care doctors towards T2DM and challenges for T2DM care at primary care level. A cross-sectional study involving 116 primary care doctors from government and private sector from two districts of India. 8.6 % primary care doctors were aware of guidelines of T2DM care. 34 % routinely screen persons for T2DM. 63.8 % had seen T2DM patients in recent 6 months, 43.9 % had advised blood sugar examination for monitoring. 83.6 % doctors advice T2DM patients on diet and 35.3 % on exercise. 74.1 % doctors council for regular follow-up and 27.6 % council for medication adherence. Lack of clear guidelines (92.2 %), limited knowledge and skills (81.9 %), lack of facility for investigations (69 %), limited supply of drugs (68 %), perception that T2DM is difficult to manage at primary care level (93.1 %) and low confidence of T2DM patients in primary care level (72.4 %) were some challenges for T2DM care at primary care level. Strengthening knowledge, skills and confidence of primary care doctor to detect and treat T2DM in needed along with equipping primary care level with necessary resources for T2MD care.

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Authors and Affiliations

  1. JN Medical College, Datta Meghe Institute of Medical Sciences, Wardha, India

    Shilpa Gaidhane, Nazli Khatib, Quazi Syed Zahiruddin & Abhay Gaidhane

  2. Datta Meghe Institute of Medical Sciences, Wardha, India

    Sailesh Kukade

  3. Director Indian Institute of Public Health, New Delhi, India

    Sanjay Zodpey

  4. Public Health Foundation of India, New Delhi, India

    Sanjay Zodpey

Authors
  1. Shilpa Gaidhane
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  2. Nazli Khatib
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  3. Quazi Syed Zahiruddin
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  4. Abhay Gaidhane
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  5. Sailesh Kukade
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  6. Sanjay Zodpey
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Corresponding author

Correspondence to Abhay Gaidhane.

Additional information

Primary care doctor faces multiple challenges to provide diabetes care and needs capacity building for cost effective and quality care of persons with T2DM.

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Gaidhane, S., Khatib, N., Zahiruddin, Q.S. et al. Perceptions of primary care doctors towards Type 2 Diabetes Mellitus and challenges for care at primary care level in India. Int J Diabetes Dev Ctries 35, 14–18 (2015). https://doi.org/10.1007/s13410-014-0199-6

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  • DOI: https://doi.org/10.1007/s13410-014-0199-6

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