Danish Diabetes Knowledge Center, Copenhagen University Hospital - Steno Diabetes Center Copenhagen, Herlev, Denmark.
Br J Gen Pract. 2024 Oct 31;74(748):e749-e757. doi: 10.3399/BJGP.2023.0531. Print 2024 Nov.
Most people with type 2 diabetes receive treatment in primary care by GPs who are not specialised in diabetes. Thus, it is important to uncover the most essential information needs regarding type 2 diabetes in general practice.
To identify information needs related to type 2 diabetes for GPs.
Systematic review focused on literature relating to Western countries.
MEDLINE, Embase, PsycInfo and CINAHL were searched from inception to January 2024. Two researchers conducted the selection process, and citation searches were performed to identify any relevant articles missed by the database search. Quality appraisal was conducted with the Mixed Methods Appraisal Tool. Meaning units were coded individually, grouped into categories, and then studies were summarised within the context of these categories using narrative synthesis. An evidence map was created to highlight research gaps.
Thirty-nine included studies revealed eight main categories and 36 subcategories of information needs. Categories were organised into a comprehensive hierarchical model of information needs, suggesting 'Knowledge of guidelines' and 'Reasons for referral' as general information needs alongside more specific needs on 'Medication', 'Management', 'Complications', 'Diagnosis', 'Risk factors', and 'Screening for diabetes'. The evidence map provides readers with the opportunity to explore the characteristics of the included studies in detail.
This systematic review provides GPs, policymakers, and researchers with a hierarchical model of information and educational needs for GPs, and an evidence map showing gaps in the current literature. Information needs about clinical guidelines and reasons for referral to specialised care overlapped with needs for more specific information.
大多数 2 型糖尿病患者在初级保健中接受全科医生的治疗，而这些全科医生并不专门研究糖尿病。因此，了解一般实践中与 2 型糖尿病相关的最重要信息需求非常重要。
确定全科医生与 2 型糖尿病相关的信息需求。
系统综述侧重于与西方国家相关的文献。
从创建到 2024 年 1 月，在 MEDLINE、Embase、PsycInfo 和 CINAHL 中进行了搜索。两名研究人员进行了选择过程，并进行了引文搜索，以确定数据库搜索遗漏的任何相关文章。使用混合方法评估工具进行了质量评估。单独对意义单位进行编码，将其分组为类别，然后使用叙述性综合在这些类别背景下总结研究。创建了一个证据图以突出研究空白。
39 项纳入研究揭示了 8 个主要类别和 36 个子类别信息需求。类别组织成一个综合的信息需求层次模型，表明“指南知识”和“转诊原因”是一般信息需求，以及更具体的需求，如“药物”、“管理”、“并发症”、“诊断”、“风险因素”和“糖尿病筛查”。证据图使读者有机会详细了解纳入研究的特点。
这项系统综述为全科医生、政策制定者和研究人员提供了一个全科医生信息和教育需求的层次模型，以及一个证据图，显示了当前文献中的空白。关于临床指南和转诊至专科治疗的信息需求与更具体信息需求重叠。
