Shifting the Care of Type 2 Diabetes Mellitus from Hospital to Primary Health Care Institutions through an Educational Intervention for Health Care Professionals: An Example from Rural China

This study assessed the impact of an educational intervention on the knowledge, attitudes, and practice regarding Type 2 Diabetes Mellitus (T2DM) of Primary Health Care (PHC) professionals, as well as on the types of T2DM care services which they were able to provide. The intervention was carried ou...

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Bibliographic Details
Published in:International journal of environmental research and public health 2020-03, Vol.17 (6), p.2076
Main Authors: Chen, Shaofan, Qian, Dongfu, Burström, Bo
Format: Article
Language:English
Subjects:
Attitudes
Chronic illnesses
Collaboration
Communication
Cooperation
Data collection
Diabetes
Diabetes mellitus
Diabetes mellitus (non-insulin dependent)
Economic development
Education
Health care
Health care facilities
Health care policy
Health education
Health services
Hospitals
Intervention
Knowledge
Medical education
Medicin och hälsovetenskap
Meetings
Primary care
Professionals
Public health
Questionnaires
Rural areas
Skill development
Skills
Vertical integration
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Summary:This study assessed the impact of an educational intervention on the knowledge, attitudes, and practice regarding Type 2 Diabetes Mellitus (T2DM) of Primary Health Care (PHC) professionals, as well as on the types of T2DM care services which they were able to provide. The intervention was carried out in collaboration with county hospitals. The study was conducted from 2015 to 2016 among 241 health care professionals in 18 township health centers and 55 village clinics in three counties in Jiangsu Province, randomly divided into an intervention group and a control group. Participants in the intervention group received professional skills training sessions and team communication and were involved in regular meetings. The control group followed the routine work plan. At one-year follow up, the diabetes knowledge score, practice score, and attitudes score were significantly higher in the intervention group than in the control group. A significantly higher proportion of health care professionals in the intervention group was able to provide services compared with the control group, for all types of services, except T2DM emergency treatment. The intervention among health care professionals in PHC had a positive impact on their professional diabetes skills, knowledge, attitudes, practices, and types of services they were able to provide, at one-year follow-up.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph17062076