General Practitioners' Knowledge and Clinical Practice in Management of People with Type 2 Diabetes in Iran; The Impact of Continuous Medical Education Programs

Rokhsareh Aghili; Mojtaba Malek; Hamid-Reza Baradaran; Ali Asghar Peyvandi; Ameneh Ebrahim Valojerdi; Mohammad Ebrahim Khamseh

General Practitioners' Knowledge and Clinical Practice in Management of People with Type 2 Diabetes in Iran; The Impact of Continuous Medical Education Programs

Rokhsareh Aghili, Mojtaba Malek, Hamid-Reza Baradaran, Ali Asghar Peyvandi, Ameneh Ebrahim Valojerdi, Mohammad Ebrahim Khamseh^*

^*Corresponding author for this work

Applied Health Sciences

Research output: Contribution to journal › Article › peer-review

8 Citations (Scopus)

Abstract

Background: To obtain information related to the knowledge and clinical practice of general practitioners (GPs) in management of people with type 2 diabetes, and to explore the impact of formal continuous medical education (CME) programs.

Methods: A total of 1104 GPs participated in a cross sectional survey related to diabetes management considering ADA/EASD consensus 2011 focused on demographic and background characteristics, diabetes related knowledge, and patient care. Fisher's Exact and Chi-square tests were used in the analysis of contingency tables.

Results: The majority of the participants (83.9%) worked in large cities and 39.8% had taken part in CME programs in diabetes management. Overall, 52% of the GPs knew the treatment goal for HbA1c. The rate was slightly higher for those taken part in CME (P = 0.003). Considering patient care, slightly more than half of the participants answered correctly to the questions on duration and distribution of physical activity, with no difference by taking part in CME programs. On average, 41.5% of the physicians selected metformin as the first OGLD for treatment of type 2 diabetes, and only 27.9% stated that they add basal insulin to OGLD if treatment failed.

Conclusion: The results of this study provide the evidence that the knowledge and clinical practice of Iranian GPs in management of type 2 diabetes were not satisfactory. Furthermore, traditional CME programs in diabetes management were not effective in changing the GPs' clinical practice. Consequently, designing and implementing more effective strategies are necessary for improving patient health related outcomes.

Original language	English
Pages (from-to)	582-585
Number of pages	4
Journal	Archives of Iranian Medicine
Volume	18
Issue number	9
Publication status	Published - Sept 2015

Bibliographical note

The authors wish to thank Professor Paul Glasziou who provides
us with the article and the questionnaire to form a basis
to conduct the survey. Furthermore, we appreciate all physicians
who participated in this project and all staff who greatly helped
us to complete the project especially Mrs. Razieh Shahrokhi and
Miss. Leila Mahmoodi.

Keywords

Adult
Clinical Competence
Cross-Sectional Studies
Diabetes Mellitus, Type 2/therapy
Education, Medical, Continuing
Female
General Practitioners
Humans
Iran
Male
Practice Patterns, Physicians'/statistics & numerical data
Surveys and Questionnaires

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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http://www.ams.ac.ir/AIM/NEWPUB/15/18/9/007.pdfLicence: Unspecified

Cite this

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title = "General Practitioners' Knowledge and Clinical Practice in Management of People with Type 2 Diabetes in Iran; The Impact of Continuous Medical Education Programs",

abstract = "Background: To obtain information related to the knowledge and clinical practice of general practitioners (GPs) in management of people with type 2 diabetes, and to explore the impact of formal continuous medical education (CME) programs.Methods: A total of 1104 GPs participated in a cross sectional survey related to diabetes management considering ADA/EASD consensus 2011 focused on demographic and background characteristics, diabetes related knowledge, and patient care. Fisher's Exact and Chi-square tests were used in the analysis of contingency tables.Results: The majority of the participants (83.9%) worked in large cities and 39.8% had taken part in CME programs in diabetes management. Overall, 52% of the GPs knew the treatment goal for HbA1c. The rate was slightly higher for those taken part in CME (P = 0.003). Considering patient care, slightly more than half of the participants answered correctly to the questions on duration and distribution of physical activity, with no difference by taking part in CME programs. On average, 41.5% of the physicians selected metformin as the first OGLD for treatment of type 2 diabetes, and only 27.9% stated that they add basal insulin to OGLD if treatment failed.Conclusion: The results of this study provide the evidence that the knowledge and clinical practice of Iranian GPs in management of type 2 diabetes were not satisfactory. Furthermore, traditional CME programs in diabetes management were not effective in changing the GPs' clinical practice. Consequently, designing and implementing more effective strategies are necessary for improving patient health related outcomes.",

keywords = "Adult, Clinical Competence, Cross-Sectional Studies, Diabetes Mellitus, Type 2/therapy, Education, Medical, Continuing, Female, General Practitioners, Humans, Iran, Male, Practice Patterns, Physicians'/statistics & numerical data, Surveys and Questionnaires",

author = "Rokhsareh Aghili and Mojtaba Malek and Hamid-Reza Baradaran and Peyvandi, {Ali Asghar} and Valojerdi, {Ameneh Ebrahim} and Khamseh, {Mohammad Ebrahim}",

note = "The authors wish to thank Professor Paul Glasziou who provides us with the article and the questionnaire to form a basis to conduct the survey. Furthermore, we appreciate all physicians who participated in this project and all staff who greatly helped us to complete the project especially Mrs. Razieh Shahrokhi and Miss. Leila Mahmoodi.",

year = "2015",

month = sep,

language = "English",

volume = "18",

pages = "582--585",

journal = "Archives of Iranian Medicine",

issn = "1029-2977",

publisher = "ACAD MEDICAL SCIENCES I R IRAN",

number = "9",

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T1 - General Practitioners' Knowledge and Clinical Practice in Management of People with Type 2 Diabetes in Iran; The Impact of Continuous Medical Education Programs

AU - Aghili, Rokhsareh

AU - Malek, Mojtaba

AU - Baradaran, Hamid-Reza

AU - Peyvandi, Ali Asghar

AU - Valojerdi, Ameneh Ebrahim

AU - Khamseh, Mohammad Ebrahim

N1 - The authors wish to thank Professor Paul Glasziou who provides us with the article and the questionnaire to form a basis to conduct the survey. Furthermore, we appreciate all physicians who participated in this project and all staff who greatly helped us to complete the project especially Mrs. Razieh Shahrokhi and Miss. Leila Mahmoodi.

PY - 2015/9

Y1 - 2015/9

N2 - Background: To obtain information related to the knowledge and clinical practice of general practitioners (GPs) in management of people with type 2 diabetes, and to explore the impact of formal continuous medical education (CME) programs.Methods: A total of 1104 GPs participated in a cross sectional survey related to diabetes management considering ADA/EASD consensus 2011 focused on demographic and background characteristics, diabetes related knowledge, and patient care. Fisher's Exact and Chi-square tests were used in the analysis of contingency tables.Results: The majority of the participants (83.9%) worked in large cities and 39.8% had taken part in CME programs in diabetes management. Overall, 52% of the GPs knew the treatment goal for HbA1c. The rate was slightly higher for those taken part in CME (P = 0.003). Considering patient care, slightly more than half of the participants answered correctly to the questions on duration and distribution of physical activity, with no difference by taking part in CME programs. On average, 41.5% of the physicians selected metformin as the first OGLD for treatment of type 2 diabetes, and only 27.9% stated that they add basal insulin to OGLD if treatment failed.Conclusion: The results of this study provide the evidence that the knowledge and clinical practice of Iranian GPs in management of type 2 diabetes were not satisfactory. Furthermore, traditional CME programs in diabetes management were not effective in changing the GPs' clinical practice. Consequently, designing and implementing more effective strategies are necessary for improving patient health related outcomes.

AB - Background: To obtain information related to the knowledge and clinical practice of general practitioners (GPs) in management of people with type 2 diabetes, and to explore the impact of formal continuous medical education (CME) programs.Methods: A total of 1104 GPs participated in a cross sectional survey related to diabetes management considering ADA/EASD consensus 2011 focused on demographic and background characteristics, diabetes related knowledge, and patient care. Fisher's Exact and Chi-square tests were used in the analysis of contingency tables.Results: The majority of the participants (83.9%) worked in large cities and 39.8% had taken part in CME programs in diabetes management. Overall, 52% of the GPs knew the treatment goal for HbA1c. The rate was slightly higher for those taken part in CME (P = 0.003). Considering patient care, slightly more than half of the participants answered correctly to the questions on duration and distribution of physical activity, with no difference by taking part in CME programs. On average, 41.5% of the physicians selected metformin as the first OGLD for treatment of type 2 diabetes, and only 27.9% stated that they add basal insulin to OGLD if treatment failed.Conclusion: The results of this study provide the evidence that the knowledge and clinical practice of Iranian GPs in management of type 2 diabetes were not satisfactory. Furthermore, traditional CME programs in diabetes management were not effective in changing the GPs' clinical practice. Consequently, designing and implementing more effective strategies are necessary for improving patient health related outcomes.

KW - Adult

KW - Clinical Competence

KW - Cross-Sectional Studies

KW - Diabetes Mellitus, Type 2/therapy

KW - Education, Medical, Continuing

KW - Female

KW - General Practitioners

KW - Humans

KW - Iran

KW - Male

KW - Practice Patterns, Physicians'/statistics & numerical data

KW - Surveys and Questionnaires

M3 - Article

C2 - 26317599

SN - 1029-2977

VL - 18

SP - 582

EP - 585

JO - Archives of Iranian Medicine

JF - Archives of Iranian Medicine

IS - 9

ER -

General Practitioners' Knowledge and Clinical Practice in Management of People with Type 2 Diabetes in Iran; The Impact of Continuous Medical Education Programs

Abstract

Bibliographical note

Keywords

UN SDGs

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Cite this