Diabetes Attitudes, Wishes and Needs second study (DAWN2™): Cross‐national comparisons on barriers and resources for optimal care—healthcare professional perspective. Issue 7 (23rd June 2013)

• Record Type: Journal Article
• Authors: Holt, R. I. G.; Nicolucci, A.; Kovacs Burns, K.; Escalante, M.; Forbes, A.; Hermanns, N.; Kalra, S.; Massi‐Benedetti, M.; Mayorov, A.; Menéndez‐Torre, E.; Munro, N.; Skovlund, S. E.; Tarkun, I.; Wens, J.; Peyrot, M.
• Is Part Of: Diabetic medicine. Volume 30:Issue 7(2013:Jul.)
• Page Start: 789
• Page End: 798
• Publication Date: 2013-06-23
• Subjects: Diabetes -- Periodicals; 616.462
• DOI: 10.1111/dme.12242
• Languages: English
• ISSNs: 0742-3071

Abstract

<abstract abstract-type="main" id="dme12242-abs-0001"> <title>Abstract</title> <sec id="dme12242-sec-0001" sec-type="section"> <title>Aims</title> <p>The second Diabetes Attitudes, Wishes and Needs (DAWN2) study sought cross‐national comparisons of perceptions on healthcare provision for benchmarking and sharing of clinical practices to improve diabetes care.</p> </sec> <sec id="dme12242-sec-0002" sec-type="section"> <title>Methods</title> <p>In total, 4785 healthcare professionals caring for people with diabetes across 17 countries participated in an online survey designed to assess diabetes healthcare provision, self‐management and training.</p> </sec> <sec id="dme12242-sec-0003" sec-type="section"> <title>Results</title> <p>Between 61.4 and 92.9% of healthcare professionals felt that people with diabetes needed to improve various self‐management activities; glucose monitoring (range, 29.3–92.1%) had the biggest country difference, with a between‐country variance of 20%. The need for a major improvement in diabetes self‐management education was reported by 60% (26.4–81.4%) of healthcare professionals, with a 12% between‐country variance. Provision of diabetes services differed among countries, with many healthcare professionals indicating that major improvements were needed across a range of areas, including healthcare organization [30.6% (7.4–67.1%)], resources for diabetes prevention [78.8% (60.4–90.5%)], earlier diagnosis and treatment [67.9% (45.0–85.5%)], communication between team members and people with diabetes [56.1% (22.3–85.4%)], specialist nurse availability [63.8% (27.9–90.7%)] and psychological support [62.7% (40.6–79.6%)]. In some countries, up to one third of healthcare professionals reported not having received any formal diabetes training. Societal discrimination against people with diabetes was reported by 32.8% (11.4–79.6%) of participants.</p> </sec> <sec id="dme12242-sec-0004" sec-type="section"> <title>Conclusions</title> <p>This survey has highlighted concerns of healthcare professionals relating to diabetes healthcare provision, self‐management and training. Identifying between‐country differences in several areas will allow benchmarking and sharing of clinical practices.</p> </sec> </abstract>