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

doi:10.1016/j.pcd.2016.10.001

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

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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 language	English
Pages (from-to)	49-53
Journal	Primary Care Diabetes
Volume	8
Early online date	4 Nov 2016
DOIs	https://doi.org/10.1016/j.pcd.2016.10.001
Publication status	Published - Apr 2017

Keywords

Beliefs
Clinical inertia
Education
Initiation
Insulin
Primary care

ASJC Scopus subject areas

Internal Medicine
Endocrinology, Diabetes and Metabolism
Nutrition and Dietetics

Access to Document

10.1016/j.pcd.2016.10.001

Physician insulin initation perception_ final revision_OAAccepted author manuscript, 59.9 KBLicence: CC BY-NC-ND

Cite this

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

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 . ",

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author = "Taylor, {Charles Grafton} and Gordon Taylor and Anique Atherley and Ian Hambleton and Nigel Unwin and Adams, {Oswald Peter}",

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T2 - perceptions on insulin initiation by primary care doctors in the Caribbean island of Barbados

AU - Taylor, Charles Grafton

AU - Taylor, Gordon

AU - Atherley, Anique

AU - Hambleton, Ian

AU - Unwin, Nigel

AU - Adams, Oswald Peter

PY - 2017/4

Y1 - 2017/4

N2 - 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 .

AB - 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 .

KW - Beliefs

KW - Clinical inertia

KW - Education

KW - Initiation

KW - Insulin

KW - Primary care

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

Abstract

Keywords

ASJC Scopus subject areas

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