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How diabetes risk assessment tools are implemented in practice: a
systematic review.
Diabetes Res Clin Pract. 2014 Jun;104(3):329-42
Authors: Dhippayom T, Chaiyakunapruk N, Krass I
Abstract
This review aimed to explore the extent of the use of diabetes risk
assessment tools and to determine influential variables associated with the
implementation of these tools. CINAHL, Google Scholar, ISI Citation
Indexes, PubMed, and Scopus were searched from inception to January 2013.
Studies that reported the use of diabetes risk assessment tools to identify
individuals at risk of diabetes were included. Of the 1719 articles
identified, 24 were included. Follow-up of high risk individuals for
diagnosis of diabetes was conducted in 5 studies. Barriers to the uptake of
diabetes risk assessment tools by healthcare practitioners included (1)
attitudes toward the tools; (2) impracticality of using the tools and (3)
lack of reimbursement and regulatory support. Individuals were reluctant to
undertake self-assessment of diabetes risk due to (1) lack of perceived
severity of type 2 diabetes; (2) impracticality of the tools; and (3)
concerns related to finding out the results. The current use of
non-invasive diabetes risk assessment scores as screening tools appears to
be limited. Practical follow up systems as well as strategies to address
other barriers to the implementation of diabetes risk assessment tools are
essential and need to be developed.
PMID: 24485859 [PubMed - indexed for MEDLINE]
Dette abstract er hentet via PubMed fra National Library of Medicine, USA (
www.ncbi.nlm.nih.gov/home/about/policies).
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