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The impact of patient and practice characteristics on retention in the diabetes annual review programme

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From Māori Health Review Issue 45
Authors:
  • Keenan R et al
Summary:

This study assessed data from 78 practices and 6610 patients with type 2 diabetes participating in the diabetes annual review (DAR) programme, in this investigation into the effect of patient and practice characteristics on the retention of patients. Patients had a DAR in the July 2006 to June 2007 reporting year and remained enrolled with the same practice for the following 3 years. Non-Māori and those aged ≥60 years were more likely to be retained in the programme. For practice factors, those with a higher Practice Nurse:GP ratio had a significant retention advantage. Rurality and funding type did not significantly influence retention

Comment:
Although the authors talk about ‘patient factors’ playing a role in retention in DAR, in fact all they’ve shown are ethnic disparities in retention, which will reflect wider factors including access to and quality through the DAR process.
Reference: J Prim Health Care 2013;5(2):99-104
Abstract
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Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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