Practice based analysis of Type 2 diabetes shows that patients’ own perceptions of support within primary care as per GP Patient Survey (GPPS) are as important as medication and services in improving Target Glycaemic Control (TGC-%HbA1c results ≤58mmol/mol) and reducing high glycaemic risk (HGR-%HbA1c results >86mmol/mol) as reported in the National Diabetes Audit (NDA)

Heald, A; Stedman, M; Fryer, A; Gadsby, R; Ollier, W; Bailey, S; Livingston, M; Moreno, G

Abstract

Aims: To evaluate the link between patients’ own perception of support within primary care and % patients in TGC and HGR groups, while allowing for local medication, services and demographics.

Method: National Diabetes Audit (NDA) 2016–17 published data on numbers of Type 2 patients, levels of local diabetes services and the numbers in TGC and HGR groups. GPPS 2017 published % ‘No’ responses from long-term condition (LTC) patients to the question ‘In last 6 months, had you enough support from local services or organisations to help manage LTCs?’. Metformin and sulphonylurea prescribing were taken from primary care prescribing report with milligrams (mg) converted to defined daily doses. Multivariate regression was used on set of indicators capturing patients’ demographics and services provided. Indicators with p-score < 0.001 were retained. Standardised beta coefficient was used to establish the significance of each factor in achieving TGC and HGR. Positive and negative values of coefficient impact aim to increase TGC and reduce HGR.

Results: 6,498 practices were identified with median values for band (including 95% practices) for % ‘No’ being 12% (2%–30%), TGC 67% (54%–78%) and HGR 6% (2%–13%). These factors accounted for variance in 25% of TGC and 26% of HGR groups.

The standardised beta values (TGC/HGR) were for older age (0.24/–0.25), sulphonylurea use (–0.209/0.11), higher social deprivation (–0.09/0.21), GPPS Support %No (–0.08/0.11), %Completion 8 NDA checks (0.09/–0.12) and metformin use (0.11/–0.04).

Conclusion: Perceived level of support received by patients is shown to be quantitatively as important as the services provided and medication prescribed.

Citation

Heald, A., Stedman, M., Fryer, A., Gadsby, R., Ollier, W., Bailey, S., …Moreno, G. (2019, March). Practice based analysis of Type 2 diabetes shows that patients’ own perceptions of support within primary care as per GP Patient Survey (GPPS) are as important as medication and services in improving Target Glycaemic Control (TGC-%HbA1c results ≤58mmol/mol) and reducing high glycaemic risk (HGR-%HbA1c results >86mmol/mol) as reported in the National Diabetes Audit (NDA). Poster presented at Diabetes UK Professional Conference 2019, ACC Liverpool, Liverpool, UK

• Presentation Conference Type: Poster
• Conference Name: Diabetes UK Professional Conference 2019
• Conference Location: ACC Liverpool, Liverpool, UK
• Start Date: Mar 6, 2019
• End Date: Mar 8, 2019
• Deposit Date: Jun 26, 2023
• Publisher URL: https://onlinelibrary.wiley.com/doi/10.1111/dme.26_13883