Adherence of Primary Health Care Physicians to Saudi Diabetes Guidelines
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- Category: Vol. 85, December 2017
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Adherence of Primary Health Care Physicians to Saudi Diabetes Guidelines, ABDULGADER A. SOMILY, ABDULLAH A. KHAWAJI, ABDULLAH ALSABAANI, TURKI A.M. AL-QAHTANI and OSSAMA A. MOSTAFA
Abstract
Aim of Study: To explore Primary Health Care (PHC) physicians' adherence to Saudi Diabetes Guidelines (SDG).
Subjects and Methods: A total of 106 Ministry of Health PHC physicians in Abha City were included in this study. The researcher constructed a questionnaire that comprised personal characteristics, three parts for assessment of physicians' adherence to the SDG.
Results: Regarding the three components of PHC physi-cians' adherence to the national SDG, the lowest proportion of physicians with good adherence to SDG was related to “screening for diabetes” (32.1%), followed by “lifestyle counseling” (51.9%) and then care of diabetic patients, which had the highest proportion of good adherence (55.7%). More-over, regarding “screening of diabetes, 49.1% of participants had poor adherence to its items, while 18.9% had moderate adherence and 32.1% had good adherence. Regarding “lifestyle counseling”, 22.6% of participants had poor adherence to its items, while 25.5% had moderate adherence and 51.9% had good adherence. Regarding care for diabetic patients, 18.9% of participants had poor adherence to its items, while 25.5% had moderate adherence and 55.7% had good adherence. Regarding the total adherence to the SDG, 28.3% of partici-pants had poor adherence, while 21.7% had moderate adher-ence and 50% had good adherence. Adherence to the compo-nent of “screening for type 2 diabetes” was significantly lower among younger PHC physicians (p<0.001), among male participants (p=0.040), among Saudi participants (p<0.001), among participants with no postgraduate studies (p=0.031) and also among general practitioners and internal medicine residents (p<0.001). It was also significantly lower among participants with less experience in PHC practice (p<0.001). Adherence to the component of “lifestyle counseling” was significantly lower among younger PHC physicians (p=0.005) and among Saudi participants (p=0.013). Adherence to the component of “care for diabetic patients” was significantly lower among youngest PHC physicians (p<0.001), among male participants (p=0.023) and among Saudi participants (p<0.001). It was significantly lower among general practi-