Intensification to injectable therapy in type 2 diabetes: mixed methods study (protocol).

ABSTRACT:

Background

In the UK, type 2 diabetes mellitus (T2D) is largely managed in primary care. Delay in the intensification to injectable therapy, a form of clinical inertia, is associated with worse glycaemic control. UK general practice is highly computerised, with care being recorded on computerised medical record systems; this allows for quantitative analysis of clinical care but not of the underpinning decision-making process. The aim of this study is to investigate perceptions of patients and clinicians in primary care on the initiation of injectable therapies in T2D, and the context within which those decisions are made.

Methods

This is a mixed methods study, taking a "realist evaluation" approach. The qualitative components comprise focus groups, interviews, and video reco

SUBMITTER: de Lusignan S 

PROVIDER: S-EPMC6499968 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature