Are people with negative diabetes screening tests falsely reassured? Parallel group cohort study embedded in the ADDITION (Cambridge) randomised controlled trial

Objective To assess whether receiving a negative test result at primary care based stepwise diabetes screening results in false reassurance

Satisfaction With Pharmacy Services Among Older Adults in New Zealand

Objectives: This study aimed to: (a) ascertain levels of satisfaction with pharmacy services, and (b) identify possible barriers to pharmacy services utilisation among older adults in New Zealand. Method: Data was collected using a mailed questionnaire. Participants were older adults randomly selected from the general electoral roll (N = 180). Results: While satisfaction with pharmacy services was found to be generally high among older adults, considerable dissatisfaction was evident in relation to the cost of medication. Conclusions: While dissatisfaction was expressed with the cost of prescriptions, at present this does not appear linked to a failure to uplift medication. Physical access to pharmacy services may be compromised by disabling health problems, particularly among those living alone

Why do patients with multimorbidity in England report worse experiences in primary care?:Evidence from the General Practice Patient Survey

OBJECTIVES: To describe and explain the primary care experiences of people with multiple long-term conditions in England. DESIGN AND METHODS: Using questionnaire data from 906 578 responders to the English 2012 General Practice Patient Survey, we describe the primary care experiences of patients with long-term conditions, including 583 143 patients who reported one or more long-term conditions. We employed mixed effect logistic regressions to analyse data on six items covering three care domains (access, continuity and communication) and a single item on overall primary care experience. We controlled for sociodemographic characteristics, and for general practice using a random effect, and further, controlled for, and explored the importance of, health-related quality of life measured using the EuroQoL (EQ-5D) scale. RESULTS: Most patients with long-term conditions report a positive experience of care at their general practice (after adjusting for sociodemographic characteristics and general practice, range 74.0–93.1% reporting positive experience of care across seven questions) with only modest variation by type of condition. For all three domains of patient experience, an increasing number of comorbid conditions is associated with a reducing percentage of patients reporting a positive experience of care. For example, compared with respondents with no long-term condition, the OR for reporting a positive experience is 0.83 (95% CI 0.80 to 0.87) for respondents with four or more long-term conditions. However, this relationship is no longer observed after adjusting for health-related quality of life (OR (95% CI) single condition=1.23 (1.21 to 1.26); four or more conditions=1.31 (1.25 to 1.37)), with pain making the greatest difference among five quality of life variables included in the analysis. CONCLUSIONS: Patients with multiple long-term conditions more frequently report worse experiences in primary care. However, patient-centred measures of health-related quality of life, especially pain, are more important than the number of conditions in explaining why patients with multiple long-term conditions report worse experiences of care

How do people with diabetes describe their experiences in primary care?:Evidence from 85,760 patients with self-reported diabetes from the English General Practice Patient Survey

This is the author accepted manuscript. The final version is available from the American Diabetes Association via http://dx.doi.org/10.2337/dc14-1095Objective: \ud \ud Developing primary care is an important current health policy goal in the United States and in England. Information on patients? experience can help to improve the care of people with diabetes. We describe the experiences of people with diabetes in primary care, and examine how these experiences vary with increasing comorbidity.\ud \ud Research design and methods: \ud \ud Using data from 906,578 responders to the 2012 General Practice Patient Survey (England), including 85,760 with self-reported diabetes, we employed logistic regressions controlling for age, gender, ethnicity, and socio-economic status to analyze patient experience using seven items covering three domains of primary care: access, continuity, and communication.\ud \ud Results: \ud \ud People with diabetes were significantly more likely to report better experience on 6 out of 7 primary care items than people without diabetes after adjusting for age, gender, ethnicity and socio-economic status (adjusted differences 0.88-3.20%, odds ratios 1.07-1.18, p <0.001). Those with diabetes and additional comorbid long-term conditions were more likely to report worse experiences, particularly for access to primary care appointments (patients with diabetes alone compared to patients without diabetes: OR=1.22 (95% CI 1.17-1.28), patients with diabetes plus three or more conditions compared to patients without diabetes OR=0.87 (95% CI: 0.83-0.91)).\ud \ud Conclusions: \ud \ud People with diabetes in England report primary care experiences that are at least as good as those without diabetes for most domains of care. However improvements in primary care are needed for diabetes patients with comorbid long-term conditions, including better access to appointments and improved communication.Diabetes U

RAPSID: RCT of Diabetes Peer Support

Supporting data for journal article "Impact of Community Based Peer Support in Type 2 Diabetes : A Cluster Randomised Controlled Trial of Individual and/or Group Approaches.

RAPSID: RCT of Diabetes Peer Support

Supporting data for journal article "Impact of Community Based Peer Support in Type 2 Diabetes : A Cluster Randomised Controlled Trial of Individual and/or Group Approaches.

PSF selection, training and support programme and Education session content.

<p>PSF selection, training and support programme and Education session content.</p

Psychosocial Outcomes at baseline and change at follow-up for RAPSID participants allocated to individual, group, combined or control peer support intervention.

<p>N refers to the maximum sample size in the Intention-to-treat population. Maximum sample size in the per protocol population is in brackets.</p><p>Range of N are as follows</p><p>Control 236–322 (per protocol 236–322), 1:1 215–325 (136–175), Group 212–330 (160–219), Combined 197–322 (145–198)</p><p>Psychosocial Outcomes at baseline and change at follow-up for RAPSID participants allocated to individual, group, combined or control peer support intervention.</p