Why don't patients with diagnosed diabetes attend a free 'Get Checked' annual review?

J Prim Health Care. 2009 Sep;1(3):222-5.

Abstract

Introduction: A key strategy for improving the management of patients with diabetes is the provision of a free annual review 'Get Checked'. Although it is known that certain patients do not attend these free reviews, little is known about the barriers.

Methods: A group of patients with diabetes who had not attended an annual review in the previous two years were identified and sent questionnaires asking about the barriers to attending. Non-respondents where followed up with a telephone call. Barriers were thematically analysed.

Findings: 26/68 patients identified patients responded (38%). Key issues identified included difficulty with transport, conflict with work and lack of motivation. There were differences in responses between Maori and non-Maori.

Conclusion: Recommendations include more emphasis in recognising Maori tikanga (culture), more flexible provision of services to allow working patients to attend and increased emphasis on reminders for patients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Cultural Characteristics
  • Diabetes Mellitus / diagnosis
  • Diabetes Mellitus / ethnology
  • Diabetes Mellitus / psychology*
  • Diabetes Mellitus / therapy
  • Health Services Accessibility
  • Humans
  • Mass Screening / statistics & numerical data
  • Motivation
  • Native Hawaiian or Other Pacific Islander / psychology
  • Native Hawaiian or Other Pacific Islander / statistics & numerical data
  • New Zealand / epidemiology
  • Patient Acceptance of Health Care / ethnology
  • Patient Acceptance of Health Care / psychology*
  • Patient Acceptance of Health Care / statistics & numerical data
  • Primary Health Care / methods
  • Qualitative Research
  • Transportation
  • Work