학술논문

Insulin initiation in patients with type 2 diabetes is often delayed, but access to a diabetes nurse may help—insights from Norwegian general practice
Document Type
article
Source
Scandinavian Journal of Primary Health Care, Vol 42, Iss 1, Pp 132-143 (2024)
Subject
Type 2 diabetes mellitus
general practice
primary care
therapeutic inertia
basal insulin
insulin initiation
Public aspects of medicine
RA1-1270
Language
English
ISSN
02813432
1502-7724
0281-3432
Abstract
AbstractObjective: We opted to study how support staff operational capacity and diabetes competences may impact the timeliness of basal insulin-initiation in general practice patients with type 2 diabetes (T2D).Design/Setting/Outcomes: This was an observational and retrospective study on Norwegian primary care patients with T2D included from the ROSA4-dataset. Exposures were (1) support staff size, (2) staff size relative to number of GPs, (3) clinic access to a diabetes nurse and (4) share of staff with diabetes course (1 and 2 both relate to staff operational capacity, whereas 3 and 4 are both indicatory of staff diabetes competences). Outcomes were ‘timely basal insulin-initiation’ (primary) and ‘attainment of HbA1c