Insulin initiation status of primary care physicians in Turkey, barriers

Abstract

Aims: Our aim was to evaluate the insulin initiation status, barriers to insulin initiation and knowledge levels about treatment administered by primary care physicians (PCP).

Methods: We conducted our study in accordance with a multicenter, cross-sectional design in Turkey, between July 2015 and July 2016. A questionnaire inquiring demographic features, status of insulin initiation, obstacles to insulin initiation and knowledge about therapy of the PCPs was administered during face-to-face interviews.

Results: 84 PCPs (19%) (n =446, mean age =41.5 +/- 8.4years, 62.9% male and 90.0% ministry certified family physicians) initiated insulin therapy in the past. Most of the stated primary barriers (51.9%, n=230) were due to the physicians. The most relevant barrier was "lack of clinical experience" with a rate of 19% (n = 84 of the total). The average total knowledge score was 5.7 +/- 2.0 for the family medicine specialist, and 3.81 +/- 2.1 for the ministry certified family physicians (p= 0.000, maximum knowledge score could be 10).

Conclusions: The status of insulin initiation in Turkey by the primary care physicians is inadequate. Medical education programs and health care systems may require restructuring to facilitate insulin initiation in primary care. (C) 2017 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.

C1 [Ates, Elif; Set, Turan] Karadeniz Tech Univ, Dept Family Med, Fac Med, Trabzon, Turkey.

[Saglam, Zuhal] Istanbul Medeniyet Univ, Gortepe Educ & Res Hosp, Dept Family Med, Fac Med, Istanbul, Turkey.

[Tekin, Nil] Elderly Care & Rehabil Ctr, Narlidere Nursing Home, Izmir, Turkey.

[Eray, Irep Karatas] Ataturk Educ & Res Hosp, Dept Family Med, Ankara, Turkey.

[Yavuz, Erdinc] Rize 1 Family Hlth Ctr, Rize, Turkey.

[Yavuz, Erdinc; Cubukcu, Mahcube] Samsun Educ & Res Hosp, Dept Family Med, Samsun, Turkey.

[Sahin, Mustafa Kursat] Ondokuz Mayis Univ, Dept Family Med, Fac Med, Samsun, Turkey.

[Selcuk, Engin Burak] Inonu Univ, Dept Family Med, Fac Med, Malatya, Turkey.

[Cadirci, Dursun] Harran Univ, Dept Family Med, Fac Med, Sanliurfa, Turkey.