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Association of British Clinical Diabetologists (ABCD) survey of secondary care services for diabetes in the UK, 2000. 1. Methods and major findings.
- Source :
-
Diabetic Medicine . Apr2002, Vol. 19 Issue 4, p327-333. 7p. 9 Charts. - Publication Year :
- 2002
-
Abstract
- Abstract Objective To examine the provision, and variations in, secondary care diabetes services in the UK. Methodology and participants A postal survey of all 238 identified secondary care providers of diabetes services in 2000. Results Following two reminders, a 77% response rate was achieved. Major deficiencies in core staffing levels were recorded, with 36% of services provided by only one consultant physician with an interest in diabetes. The provision of diabetes specialist nurses was less than recommended in 87% of responses, whereas podiatry and dietetic support was unavailable in 3% and 27% of responses, respectively. Diabetes registers were not present in 28%, and a co-ordinated retinopathy screening programme unavailable in 26% of responses. Key biochemical measurements were unavailable in 9% (microalbuminuria) to 18% (HDL-cholesterol) of responses. A ‘Well-Resourced Service’ score was devised taking account of levels of personnel, facilities and specialized clinical services. There was a significant geographical variation in this score (P < 0.001), with the lowest score (least well-resourced services) in the Eastern NHS Region of England, and the highest score in the North-west NHS Region of England. The ‘Well-Resourced Service’ score was also significantly lower (P < 0.05) where there were less than two whole-time consultant physicians providing diabetes services. In contrast to other aspects of service provision, availability of dieticians and a combined diabetes–ophthalmology service had declined since 1990. Of 245 recorded bids for resources and service improvements for diabetes care, the success rate overall was 44%, and lowest where bids were made for dietetic and podiatry support. Conclusions There is presently a major shortfall in provision of secondary care diabetes services throughout the UK, with evidence that there is significant regional variation and less facilities and resources where there are less... [ABSTRACT FROM AUTHOR]
- Subjects :
- *PEOPLE with diabetes
*MEDICAL care
Subjects
Details
- Language :
- English
- ISSN :
- 07423071
- Volume :
- 19
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- Diabetic Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 6469024
- Full Text :
- https://doi.org/10.1046/j.1464-5491.2002.00683.x