A multiple case study of pre-diabetes care undertaken by general practice in Aotearoa/New Zealand: de-incentivised and de-prioritised work.

ABSTRACT:

Background

In Aotearoa/New Zealand (NZ) general practices diagnose and manage pre-diabetes. This work is important as it has the potential to delay or prevent the onset of Type 2 Diabetes (T2DM), reduce NZ's health inequities, and the burden that T2DM places on health care services. However, no study has previously examined how this work routinely occurs in NZ.

Methods

Two case studies of practices serving ethnically and socio-economically diverse populations, followed by cross-case analysis.

Results

The NZ health care context including funding mechanisms, reporting targets, and the disease centred focus of care, acted together to dis-incentivise and de-prioritise pre-diabetes care in general practices. The social determinants of health differentially influenced patie

SUBMITTER: Barthow C 

PROVIDER: S-EPMC10147904 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature