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

Research output: Contribution to journalArticle

3 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 languageEnglish
Pages (from-to)582-585
Number of pages4
JournalArchives of Iranian Medicine
Volume18
Issue number9
Publication statusPublished - Sep 2015

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Practice Management
Medical Education
Iran
General Practitioners
Type 2 Diabetes Mellitus
Patient Care
Metformin
Chi-Square Distribution
Therapeutics
Cross-Sectional Studies
Demography
Exercise
Insulin
Physicians
Health

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

Cite this

General Practitioners' Knowledge and Clinical Practice in Management of People with Type 2 Diabetes in Iran; The Impact of Continuous Medical Education Programs. / Aghili, Rokhsareh; Malek, Mojtaba; Baradaran, Hamid-Reza; Peyvandi, Ali Asghar; Valojerdi, Ameneh Ebrahim; Khamseh, Mohammad Ebrahim.

In: Archives of Iranian Medicine, Vol. 18, No. 9, 09.2015, p. 582-585.

Research output: Contribution to journalArticle

Aghili, Rokhsareh ; Malek, Mojtaba ; Baradaran, Hamid-Reza ; Peyvandi, Ali Asghar ; Valojerdi, Ameneh Ebrahim ; Khamseh, Mohammad Ebrahim. / General Practitioners' Knowledge and Clinical Practice in Management of People with Type 2 Diabetes in Iran; The Impact of Continuous Medical Education Programs. In: Archives of Iranian Medicine. 2015 ; Vol. 18, No. 9. pp. 582-585.
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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.",
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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.",
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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.

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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.

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JO - Archives of Iranian Medicine

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