@article{fdi:010071902,
  title = {{T}he impact of an intervention to improve diabetes management in primary healthcare professionals' practices in {B}razil},
  author = {{M}arinho, {M}. {G}. {D}. and {F}ontbonne, {A}nnick and {B}arbosa, {J}. {M}. {V}. and {R}odrigues, {H}. {D}. and de {C}arvalho, {E}. {F}. and de {S}ouza, {W}. {V}. and {C}esse, {E}. {A}. {P}.},
  editor = {},
  language = {{ENG}},
  abstract = {{A}ims: {T}o evaluate the results of a structured intervention in primary healthcare to improve type 2 diabetes management. {M}ethods: {T}he intervention was implemented in 2011-2012 in two cities in the {S}tate of {P}ernambuco, {B}razil, and evaluated in 2013 by interviewing healthcare professionals about their practices in all primary care facilities of these two cities (intervention group), and of two paired control cities (control group). {C}omparisons between the intervention and control groups were made using standard parametric tests. {R}esults: {T}he percentage of professionals who measured adherence to treatment, developed educational actions to control high-risk situations or prevent complications, or declared that they "explained" the disease to the patients, was higher in the control group (p < 0.05). {M}ultidisciplinary involvement, requests for electrocardiograms and referrals to specialists were also more frequent in the control group (p < 0.01). {T}he only differences favoring the intervention group were the higher proportion of nurses (p < 0.05) and community health workers (p < 0.01) trained for diabetes management and a greater frequency of discussing the cases of diabetic patients at team meetings (p < 0.01). {C}onclusions: {T}hese negative results raise questions about the effectiveness of actions aiming to improve diabetes management in primary care, and reinforce the need for careful evaluation of their impact.},
  keywords = {{D}iabetes mellitus ; {P}rimary healthcare ; {F}amily {H}ealth {S}trategy ; {E}valuation ; {B}razil ; {BRESIL}},
  booktitle = {},
  journal = {{P}rimary {C}are {D}iabetes},
  volume = {11},
  numero = {6},
  pages = {538--545},
  ISSN = {1751-9918},
  year = {2017},
  DOI = {10.1016/j.pcd.2017.06.002},
  URL = {https://www.documentation.ird.fr/hor/fdi:010071902},
}