We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Type 2 diabetes continuing medical education for general practitioners: what works? A systematic review.
- Authors
Thepwongsa, I.; Kirby, C.; Schattner, P.; Shaw, J.; Piterman, L.
- Abstract
Aims To perform a systematic review of studies that have assessed the effectiveness of interventions designed to improve healthcare professionals' care of patients with diabetes and to assess the effects of educational interventions targeted at general practitioners' diabetes management. Methods A computer search was conducted using the Cochrane Library, PubMed, Ovid MEDLINE, Scopus, EMBASE, Informit, Google scholar and ERIC from the earliest date of each database up until 2013. A supplementary review of reference lists from each article obtained was also carried out. Measured changes in general practitioners' satisfaction, knowledge, practice behaviours and patient outcomes were recorded. Results Thirteen out of 1255 studies met the eligibility criteria, but none was specifically conducted in rural or remote areas. Ten studies were randomized trials. Fewer than half of the studies (5/13, 38.5%) reported a significant improvement in at least one of the following outcome categories: satisfaction with the programme, knowledge and practice behaviour. There was little evidence of the impact of general practitioner educational interventions on patient outcomes. Of the five studies that examined patient outcomes, only one reported a positive impact: a reduction in patient HbA1c levels. Conclusions Few studies examined the effectiveness of general practitioner Type 2 diabetes education in improving general practitioner satisfaction, knowledge, practices and/or patient outcomes. Evidence to support the effectiveness of education is partial and weak. To determine effective strategies for general practitioner education related to Type 2 diabetes, further well designed studies, accompanied by valid and reliable evaluation methods, are needed.
- Subjects
BEHAVIOR; CHRONIC diseases; DATABASES; INFORMATION storage &; retrieval systems; MEDICAL databases; MEDICAL information storage &; retrieval systems; JOB satisfaction; MEDICAL protocols; MEDICAL referrals; MEDLINE; META-analysis; TYPE 2 diabetes; ONLINE information services; GENERAL practitioners; SERIAL publications; CONTINUING medical education; ACQUISITION of data; PATIENT selection; HEALTH literacy
- Publication
Diabetic Medicine, 2014, Vol 31, Issue 12, p1488
- ISSN
0742-3071
- Publication type
Article
- DOI
10.1111/dme.12552