Impaired glucose tolerance: qualitative and quantitative study of general practitioners' knowledge and perceptions

OBJECTIVE: To investigate general practitioners' knowledge of and attitudes to impaired glucose tolerance. DESIGN: Mixed methodology qualitative and quantitative study with semistructured interviews, focus groups, and questionnaires. SETTING: 34 general practitioners in five primary care groups...

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Main Authors: Wylie, Graeme, Hungin, A Pali S, Neely, Joanne
Formato: Artigo
Idioma:en
Publicado em: BMJ 2002
Assuntos:
Primary Care
Acesso em linha:https://ncbi.nlm.nih.gov/pmc/articles/PMC111113/
https://ncbi.nlm.nih.gov/pubmed/12016185
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spelling pubmed-1111132002-05-18 Impaired glucose tolerance: qualitative and quantitative study of general practitioners' knowledge and perceptions Wylie, Graeme Hungin, A Pali S Neely, Joanne BMJ Primary Care OBJECTIVE: To investigate general practitioners' knowledge of and attitudes to impaired glucose tolerance. DESIGN: Mixed methodology qualitative and quantitative study with semistructured interviews, focus groups, and questionnaires. SETTING: 34 general practitioners in five primary care groups in the north east of England. RESULTS: All the general practitioners had knowledge of impaired glucose tolerance as a clinical entity, but they had little awareness of the clinical significance of impaired glucose tolerance and were uncertain about managing and following up these patients. Attitudes to screening were mixed and were associated with reservations about increased workload, concern about lack of resources, and pessimism about the effectiveness of lifestyle interventions. Some general practitioners felt strongly that screening patients for impaired glucose tolerance and subsequent lifestyle intervention medicalised an essentially social problem and that a health educational approach, involving schools and the media, should be adopted instead. A minority expressed a positive attitude towards a pharmacological approach. CONCLUSION: Awareness of impaired glucose tolerance needs to be raised, and guidelines for management are needed. General practitioners remain to be convinced that they have a role in attempting to reduce the incidence of type 2 diabetes by targeting interventions at patients with impaired glucose tolerance. BMJ 2002-05-18 /pmc/articles/PMC111113/ /pubmed/12016185 Text en Copyright © 2002, BMJ
institution US National Library of Medicine
collection PubMed Central
language en
format Article
topic Primary Care
spellingShingle Primary Care
Wylie, Graeme
Hungin, A Pali S
Neely, Joanne
Impaired glucose tolerance: qualitative and quantitative study of general practitioners' knowledge and perceptions
description OBJECTIVE: To investigate general practitioners' knowledge of and attitudes to impaired glucose tolerance. DESIGN: Mixed methodology qualitative and quantitative study with semistructured interviews, focus groups, and questionnaires. SETTING: 34 general practitioners in five primary care groups in the north east of England. RESULTS: All the general practitioners had knowledge of impaired glucose tolerance as a clinical entity, but they had little awareness of the clinical significance of impaired glucose tolerance and were uncertain about managing and following up these patients. Attitudes to screening were mixed and were associated with reservations about increased workload, concern about lack of resources, and pessimism about the effectiveness of lifestyle interventions. Some general practitioners felt strongly that screening patients for impaired glucose tolerance and subsequent lifestyle intervention medicalised an essentially social problem and that a health educational approach, involving schools and the media, should be adopted instead. A minority expressed a positive attitude towards a pharmacological approach. CONCLUSION: Awareness of impaired glucose tolerance needs to be raised, and guidelines for management are needed. General practitioners remain to be convinced that they have a role in attempting to reduce the incidence of type 2 diabetes by targeting interventions at patients with impaired glucose tolerance.
author Wylie, Graeme
Hungin, A Pali S
Neely, Joanne
author_facet Wylie, Graeme
Hungin, A Pali S
Neely, Joanne
author_sort Wylie, Graeme
title Impaired glucose tolerance: qualitative and quantitative study of general practitioners' knowledge and perceptions
title_short Impaired glucose tolerance: qualitative and quantitative study of general practitioners' knowledge and perceptions
title_full Impaired glucose tolerance: qualitative and quantitative study of general practitioners' knowledge and perceptions
title_fullStr Impaired glucose tolerance: qualitative and quantitative study of general practitioners' knowledge and perceptions
title_full_unstemmed Impaired glucose tolerance: qualitative and quantitative study of general practitioners' knowledge and perceptions
title_sort impaired glucose tolerance: qualitative and quantitative study of general practitioners' knowledge and perceptions
publisher BMJ
publisher_facet BMJ
publishDate 2002
url https://ncbi.nlm.nih.gov/pmc/articles/PMC111113/
https://ncbi.nlm.nih.gov/pubmed/12016185
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