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Awareness, agreement, adoption and adherence to type 2 diabetes mellitus guidelines: A survey of indonesian primary care physician
BMC Family Practice
  • Indah Widyahening, University of Indonesia
  • Yolanda van der Graaf, University Medical Centre Utrecht
  • Pradana Soewondo, University of Indonesia
  • Paul Glasziou, Bond University
  • Geert van der Heijden, Academic Centre for Dentistry
Date of this Version
1-1-2014
Document Type
Journal Article
Publication Details

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Widyahening, I. S., Van Der Graaf, Y., Soewondo, P., Glasziou, P., & Van Der Heijden, G. J. (2014). Awareness, agreement, adoption and adherence to type 2 diabetes mellitus guidelines: A survey of Indonesian primary care physicians. BMC Family Practice, 15(1).

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© Copyright, The Authors, 2014

This work is licensed under a Creative Commons Attribution 2.0 License

Abstract

Background: To assess the degree of awareness, agreement, adoption and adherence of physicians in Indonesia to type 2 diabetes mellitus guidelines, and their association with characteristics of the responders. Methods. Questionnaire survey among General Practitioners (GPs) attending the Indonesian Association of Family Practitioners annual conference in November 2012. The proportion of GPs who were aware of, agreed with, adopted and adhered to the seven recommendations in the guidelines (screening for diabetes, diagnosis, lifestyle modification, use of sulfonylurea, target blood glucose, target blood pressure and use of statin) were calculated in the total number of responders. Results: Of the 399 GPs participating, 383 (89%) were aware of the existence of Indonesian type 2 diabetes guidelines. Awareness for each recommendation varied from 66 to 91%. The recommendation to use a random blood glucose test for diagnosing patients with classic diabetes symptoms had the least awareness (265/399, 66%) and least agreement (163/399, 41%). The recommendation on statin use was the least adopted (192/399, 48%), while the least adherence (7/399, 2%) was found for the recommendation on screening for diabetes for patients with risk factors. Years of practice experience and proportion of diabetes patients seen in their practice were independently related with adherence to statin prescription. Conclusions: High awareness of the Indonesian type 2 diabetes guideline does not necessary lead to adoption or adherence to recommendations important for outcomes and quality of care. The awareness-to-adherence model helps in identifying barriers for the use of guidelines.

Citation Information
Indah Widyahening, Yolanda van der Graaf, Pradana Soewondo, Paul Glasziou, et al.. "Awareness, agreement, adoption and adherence to type 2 diabetes mellitus guidelines: A survey of indonesian primary care physician" BMC Family Practice (2014) ISSN: 1471-2296
Available at: http://works.bepress.com/paul_glasziou/124/