Baradaran Hamid R, Jamieson Joan, Gardee Rafik, Knill-Jones Robin P
Public Health and Health Policy Section, University of Glasgow, Glasgow G12 8RZ, UK.
BMC Health Serv Res. 2006 Oct 9;6:130. doi: 10.1186/1472-6963-6-130.
In the UK, all ethnic minority groups have higher rates of diabetes than the general population. Although there have been a number of projects to assess diabetic care amongst minority ethnic groups in the United Kingdom, little is known about the extent to which the needs of ethnic minority groups are actually met by the National Health Service (NHS) Scotland. Therefore we conducted this study to understand of the current situation for diabetes care available to minority ethnic groups in Scotland.
We conducted this cross-sectional study in all health boards in Scotland. A questionnaire was designed based on expert comments. It was completed by Local Health Care Cooperatives (LHCC) managers, chairs, diabetes specialist nurses and public health practitioners.
57 of questionnaires were returned (response rate = 69.5%). Of these LHCCs, 71% responded that diabetes was part of their LHCC plan. However 69% answered that ethnic group was not recorded by community services and GPs, and 80% of LHCCs did not monitor trends of complications of diabetes by ethnic group.
Improvement is needed in quality, completeness, and availability of minority ethnic group data for diabetes at a national level, particularly if NHS Primary Care Organisations are to be responsible for providing diabetes care as laid out in the Scottish Diabetes Framework.
在英国,所有少数族裔群体的糖尿病发病率均高于普通人群。尽管英国已经开展了一些项目来评估少数族裔群体的糖尿病护理情况,但对于苏格兰国民医疗服务体系(NHS)在多大程度上实际满足了少数族裔群体的需求,人们了解甚少。因此,我们开展了这项研究,以了解苏格兰少数族裔群体可获得的糖尿病护理现状。
我们在苏格兰所有的健康委员会开展了这项横断面研究。根据专家意见设计了一份问卷。由地方医疗保健合作社(LHCC)经理、主席、糖尿病专科护士和公共卫生从业者填写。
共收回57份问卷(回复率=69.5%)。在这些LHCC中,71%的受访者表示糖尿病是其LHCC计划的一部分。然而,69%的受访者表示社区服务机构和全科医生没有记录族裔信息,80%的LHCC没有按族裔监测糖尿病并发症的趋势。
在国家层面,少数族裔群体糖尿病数据的质量、完整性和可得性需要改进,特别是如果NHS初级保健机构要负责按照苏格兰糖尿病框架提供糖尿病护理的话。