European Journal of Public Health
Volume 14, Issue 1, 2004, Pages 15-18

Diabetes care in Dutch general practice: Differences between Turkish immigrants and Dutch patients (Article) (Open Access)

Uitewaal P.J.M.* , Bruijnzeels M.A. , Bernsen R.M.D. , Voorham A.J.J. , Hoes A.W. , Thomas S.
  • a Dept. of Hlth. Policy and Management, Erasmus Medical Centre Rotterdam, Rotterdam, Netherlands, Dept. of Hlth. Policy and Management, Erasmus Medical Centre Rotterdam, PO Box 1738, 3000 DR Rotterdam, Netherlands
  • b Dept. of Hlth. Policy and Management, Erasmus Medical Centre Rotterdam, Rotterdam, Netherlands
  • c Department of General Practice, Erasmus Medical Centre Rotterdam, Rotterdam, Netherlands
  • d Munic. Hlth. Auth. Rotterdam Area, Rotterdam, Netherlands
  • e Julius Centre for General Practice, Patient Oriented Research, University Medical Centre Utrecht, Netherlands
  • f Department of General Practice, Erasmus Medical Centre Rotterdam, Rotterdam, Netherlands

Abstract

Aim: To compare the adherence to clinical guidelines by GPs as registered and glycaemic control in Turkish and Dutch type 2 diabetes patients. Design: A retrospective cohort study. Search of general practice medical records for diabetes-related variables of Turkish and Dutch diabetes patients, stratified for age and gender. Setting: Seventeen general practices (37 GPs) in the inner city of Rotterdam. Subjects: 196 type 2 diabetes patients (106 Turkish and 90 Dutch), known with diabetes for at least 18 months, were followed for two years during the 1992-1997 period. Main outcome measures: 1) Level of care as registered in the medical records based on eight quantifiable criteria derived from the national guidelines for GPs; and 2) glycaemic control (fasting and non-fasting blood glucose levels). Results: Turkish patients visited the GP for periodic control more often than Dutch patients. The other seven criteria were followed in an equal number of Turkish and Dutch patients. Turkish patients had a higher mean non-fasting plasma glucose level (12.9 mmol/l) than Dutch patients (10.8) (p=0.001) during the two-year follow-up. Conclusions: Although adherence to clinical guidelines as registered in Turkish and Dutch type 2 diabetes patients is comparable, Turkish patients have higher mean non-fasting plasma glucose level than their Dutch counterparts.

Author Keywords

GP Turks Guidelines Diabetes care

Index Keywords

general practice patient care Netherlands Blood Glucose immigrant non insulin dependent diabetes mellitus follow up Diabetes Mellitus, Type 2 human Prospective Studies Cohort Studies middle aged Turkey (republic) priority journal comparative study Guideline Adherence Humans male female Outcome Assessment (Health Care) Article glucose blood level major clinical study adult Practice Guidelines Turkey glucose retrospective study practice guideline
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-1942477365&doi=10.1093%2feurpub%2f14.1.15&partnerID=40&md5=478b0a43c4dd0ac046bea56197bc021b
DOI: 10.1093/eurpub/14.1.15
ISSN: 11011262
Cited by: 15
Original Language: English