Reducing variability and improving diabetes care in general practices in deprived and ethnic areas

Mise à jour : Il y a 4 ans
Référence : ISRCTN75386686

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Background and study aims Diabetes is an expensive and difficult condition to manage and there is variation in how effectively people with diabetes are looked after. People in poorer, multi-ethnic areas have a lower life expectancy than those in richer areas and there has not been any attempt to address this imbalance. This study aims to identify those patients most at risk of poor management of their diabetes, and to provide extra training and support for the staff who look after them. Link workers who are able to speak the same language as the patient will be key to this process. Who can participate? Patients aged 18 or over with diabetes, and general practice staff who provide diabetes services to ethnic minority people with diabetes and/or have commissioning responsibility for diabetes services within the locality. What does the study involve? Participating GP practices are randomly allocated into two groups. The extra training and support is rolled out to one group of GP practices over 12 months, then it is rolled out to the other group of practices over the following 12 months. Most of the information is gathered using a computer system which is already in use across the region. The researchers are also interested in speaking to a small number of patients about their experiences and how care might be improved. This involves meeting in a group or having a one-to-one interview where the researcher can ask some questions about the patient’s experience. Staff members who participate are asked how diabetes care would benefit from being located mainly in the community rather than in a hospital. What are the possible benefits and risks of participating? The benefits would be an improvement in diabetes care for all patients in the area. There are no risks involved. Where is the study run from? University Hospitals Coventry and Warwickshire NHS Trust (UK) When is the study starting and how long is it expected to run for? February 2016 to January 2018 Who is funding the study? External funding application underway Who is the main contact? Dr Joseph Paul O'Hare [email protected]


Critère d'inclusion

  • diabetes

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