Barbados Insulin Matters (BIM) study: perceptions on insulin initiation by primary care doctors in the Caribbean island of Barbados

Charles Grafton Taylor, Gordon Taylor, Anique Atherley, Ian Hambleton, Nigel Unwin, Oswald Peter Adams

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)
98 Downloads (Pure)

Abstract

Aims: With regards to insulin initiation in Barbados we explored primary care doctor (PCD) perception, healthcare system factors and predictors of PCD reluctance to initiate insulin. Methods: PCDs completed a questionnaire based on the theory of planned behaviour (TPB) and a reluctance to initiate insulin scale. Using linear regression, we explored the association between TPB domains and the reluctance to initiate insulin scale. Results: Of 161 PCDs, 70% responded (75 private and 37 public sector). The majority felt initiating insulin was uncomplicated (68%) and there was benefit if used before complications developed (68%), but would not use it until absolutely necessary (58%). More private than public sector PCDs (p .

Original languageEnglish
Pages (from-to)49-53
JournalPrimary Care Diabetes
Volume8
Early online date4 Nov 2016
DOIs
Publication statusPublished - Apr 2017

Keywords

  • Beliefs
  • Clinical inertia
  • Education
  • Initiation
  • Insulin
  • Primary care

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

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