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Why don’t patients with diagnosed diabetes attend a free “Get Checked” annual review?

Making Education Easy

From Māori Health Review Issue 22
Authors:
  • Tesa Porter
Summary:

To determine why many patients with diagnosed diabetes do not attend the free annual review provided by the New Zealand “Get Checked” programme (and specifically why ethnic minorities, in particular Māori, are under-represented), a cohort of 68 patients with diabetes was identified who had not attended an annual review in the previous 2 years. They were surveyed by questionnaire as to barriers surrounding attendance. Thematic analysis of the responses from 26 patients (a return rate of 38% for the questionnaire) identified key issues including difficulty with transport, conflict with work and lack of motivation. There were differences in responses between Māori and non-Māori.

Comment:
(Rhys Jones) This was the first of two excellent presentations by medical students at the conference. The study examined explanations for non-attendance at diabetes annual review. Māori and Pacific respondents were more likely to identify difficulty with transport and family commitments as reasons for non-attendance. For European respondents, the most common reasons were having forgotten or believing they could manage their own diabetes. Another important issue for all participants was the lack of out-of-hours services. This identifies the need for services to better meet the needs of patients, particularly in relation to offering more flexible services.
Reference: This study was published in the September issue of the Journal of Primary Health Care (2009;1(3):222-5).
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.

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