Objectives To explore patients’ and general practitioners’ (GPs’) perspectives on primary care management of patients with type 2 diabetes mellitus (T2DM) in Ningbo, China. We aimed to understand the current benefits and challenges and to identify development priorities.
Design Exploratory qualitative descriptive study using face-to-face interviews and analysed by thematic, inductive analysis.
Setting 11 primary care facilities spread across the city of Ningbo, China.
Participants 23 patients with T2DM and 20 GPs involved in caring for patients with T2DM.
Results GPs were considered the first point of contact and providers of information. However, the care varied, and many GPs lacked confidence and felt overworked. The medication was a particularly weak area. The diagnostic screening commenced late, leading to crisis presentations. Patients were variably informed about their condition, contributing to poor adherence.
Conclusions Future developments of primary care for T2DM in Ningbo should centre around improving GP confidence and workload and patient education and adherence.
- general diabetes
- primary care
- qualitative research
- public health
- international health services
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AW and LL are joint first authors.
Contributors AW and LL are co-first authors. Conception and design: AW, KC, JS, JL, PritC. Acquisition of data: AW, JL, KH, PunaC, PriyC, GT, PritC, LL. Analysis and interpretation of data: AW, KC, JS, PunaC. Drafting of the manuscript: AW, KC, JS, LL. Critical revision of the manuscript for important intellectual content: all. Statistical analysis: not applicable. Obtaining funding: PritC, KC. Administrative, technical or material support: JL, KH, PriyC, GT, LL. Supervision: KC, JS, PritC, LL.
Funding This work was supported by the University of Nottingham, Health Education England and Ningbo First Hospital.
Competing interests None declared.
Patient consent for publication Not required.
Ethics approval Faculty of Medicine and Health Sciences Research Ethics Committee, University of Nottingham (ethics reference no: 132-1710) and Ningbo First Hospital Research Ethics Committee.
Provenance and peer review Not commissioned; externally peer reviewed.
Data availability statement No data are available since all the interview transcripts are confidential, as per the protocol.
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