What are the development priorities for management of type 2 diabetes by general practitioners in Ningbo, China: a qualitative study of patients’ and practitioners’ perspectives

Woolley, A.K.; Li, Li; Solomon, Josie; Li, Jialin; Huang, Kai; Chahal, Punam; Chahal, Priya; Tu, Gloria; Chahal, Pritpal; Chattopadhyay, Kaushik

Abstract

Objectives: To explore patient and general practitioner (GP)’s perspectives on primary care management of patients with type 2 diabetes (T2DM) in Ningbo, China. We aim to understand the current benefits and challenges, and to identify development priorities.

Design: Exploratory qualitative descriptive study using face to face interviews and analysed by thematic, inductive analysis.

Setting: 11 primary care facilities spread across the city of Ningbo, China.

Participants: 23 Patients with T2DM and 20 GPs involved in caring for patients with T2DM.

Results: GPs were considered the first point of contact, and providers of information. However, care varied; many GPs lacked confidence and felt overworked. Medication was a particularly weak area. Diagnostic screening was commenced late, leading to crisis presentations. Patients were variably informed about their condition, contributing to poor adherence.

Conclusions: Future developments of primary care for T2DM in Ningbo should centre around improving GP confidence and workload, and patient education and adherence.

Citation

Woolley, A., Li, L., Solomon, J., Li, J., Huang, K., Chahal, P., Chahal, P., Tu, G., Chahal, P., & Chattopadhyay, K. (2020). What are the development priorities for management of type 2 diabetes by general practitioners in Ningbo, China: a qualitative study of patients’ and practitioners’ perspectives. BMJ Open, 10(9), Article e037215. https://doi.org/10.1136/bmjopen-2020-037215

• Journal Article Type: Article
• Acceptance Date: Jun 16, 2020
• Online Publication Date: Sep 10, 2020
• Publication Date: Sep 10, 2020
• Deposit Date: Jul 29, 2020
• Publicly Available Date: Sep 10, 2020
• Journal: BMJ Open
• Electronic ISSN: 2044-6055
• Publisher: BMJ Publishing Group
• Peer Reviewed: Peer Reviewed
• Volume: 10
• Issue: 9
• Article Number: e037215
• DOI: https://doi.org/10.1136/bmjopen-2020-037215
• Keywords: General Medicine
• Public URL: https://nottingham-repository.worktribe.com/output/4795414
• Publisher URL: https://bmjopen.bmj.com/content/10/9/e037215