Dornan C, Fowler G, Mann J I, Markus A, Thorogood M
J R Coll Gen Pract. 1983 Mar;33(248):151-5.
A mailed questionnaire was used to identify people with diagnosed diabetes in a population of approximately 14,000. A response rate of 90 per cent was obtained and the prevalence of diabetes was found to be 0.8 per cent. The questionnaire method compared favourably with other methods of identifying diabetics in the area.Eighty-two diabetics were interviewed and examined for diabetic complications and 55 of these completed a questionnaire on their attitudes to diabetes and its care.The medical records of all 108 diabetics identified were examined. A greater proportion of patients who attended either a general practice mini-clinic or a hospital diabetic clinic had examination for complications recorded than patients attending their general practitioner in ordinary surgery time. Patients attending on demand were seen less often and had fewer observations recorded when they came.Comparison of measures of control between hospital and general practice patients showed that hospital patients tended to be more tightly controlled even though most were on insulin and likely to have more severe diabetes.Half of non-insulin diabetics and a quarter of those on insulin considered that their diabetes should be managed solely by their general practitioner.This was a pilot study and caution should be exercised in interpreting results from comparatively small numbers. The study has since been extended to a larger population. f10sl60
通过邮寄问卷的方式，在约14000人的人群中识别出已确诊的糖尿病患者。问卷回复率为90%，糖尿病患病率为0.8%。与该地区其他识别糖尿病患者的方法相比，问卷法具有优势。对82名糖尿病患者进行了访谈，并检查了糖尿病并发症，其中55人完成了一份关于他们对糖尿病及其护理态度的问卷。对所有识别出的108名糖尿病患者的病历进行了检查。与在普通手术时间就诊于全科医生的患者相比，在全科医疗小型诊所或医院糖尿病诊所就诊的患者中，记录有并发症检查的比例更高。按需就诊的患者就诊频率较低，就诊时记录的观察结果也较少。医院患者和全科医疗患者的控制指标比较显示，尽管大多数医院患者使用胰岛素且可能患有更严重的糖尿病，但他们的血糖控制往往更严格。一半的非胰岛素依赖型糖尿病患者和四分之一的胰岛素依赖型糖尿病患者认为他们的糖尿病应由全科医生单独管理。这是一项试点研究，在解释相对少量数据的结果时应谨慎。此后，该研究已扩展到更大的人群。f10sl60
