David Simmons|Steven Lillis|Judith Swan|Jarrod Haar
Discordance in Perceptions of Barriers to Diabetes Care Between Patients and Primary Care and Secondary Care
University of Waikato|University of Auckland|University of Waikato|University of Auckland|University of Waikato|University of Auckland|University of Waikato|University of Auckland
sought compare perceived barriers diabetes care people diabetes different health professional groupsthis crosssectional postal openquestionnaire survey conducted waikato district new zealand total 3890 individuals diabetes participated well 436 primary secondary health professionalsbarriers reported 697 patients psychological barriers important 555 followed systems barriers 257 knowledge least important 153 psychological barriers ranked first among general practitioners 910 systems barriers ranked first health professionals 388100 general practitioner patient barrier group rankings similar rt 0976 p 005 specific barriers among individuals diabetes strictness treatment regimen frequently reported 423 vs 01168 p 0001 25 95 ci 2427 34 3237fold 2nd 4th ranked barriers motivation common specific barrier reported general practitioners 86 practice nurses 315 diabetes team 857 practice hospital nursedietitian rankings comparable patients rt 0457 0466 respectively p 005 major area patienthealth professional discordance influence health problems ranked 2nd among patients 10th18th among health professionalsthe important barriers diabetes care perceived patients psychological particularly relate strictness regimen discordance patients different health professionals exists perception importance different barriers diabetes care