Abstract
Diabetes mellitus is a complex multisystem disease that requires high quality care. Clinical practice guidelines help physicians and patients make the best possible health care decisions and improve health care management of diabetic patients. These guidelines provide the norms for clinical management as well as monitoring of diabetes care.They are not simple algorithms but are based on structured evidence based diabetic management protocols developed from randomized controlled trials. Despite the widespread availability of this diabetic guideline, their use is suboptimalat best. There are several factors blamed for contributingtothis missing link fromavailable theoreticalguideline recommendations to practical applications of these guidelines. We present a brief review based on available literature review for an ongoinginterventional studybeing done by authorsin two tertiary care hospital in LahorePakistan for improvingadherence todiabetes guidelines. We will discuss guideline implementationcycle andalso present aframeworkencompassingvarious factors involved in adherencetoguidelines.Until recently the emphasis to improve the guideline adherence targeted the factors relating to individualhealth care professionals in reference to theirknowledge, attitude practice of the guidelines.However,we will discuss that broader range of health care systems, organizational factors, and factors relating topatients whichmay also significantly impact the adherence to the guidelines.The framework emphasisesthat it is important to understand the factors that act as barriers and contribute to the missing link between theory and practice of diabetic guidelines.This will help plan appropriate strategies in the pre-implementation stage for effective and improved diabetes guidelines adherence and management
Noreen Rahat Hashmi,, Shahzad Ali Khan. (2016) ADHERENCE TO DIABETES MELLITUS TREATMENT GUIDELINESFROM THEORY TO PRACTICE: THE MISSING LINK, JOURNAL OF AYUB MEDICAL COLLEGE ABBOTTABAD, Volume 28, Issue 4.
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