{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,24]],"date-time":"2025-12-24T14:45:14Z","timestamp":1766587514040},"reference-count":50,"publisher":"Royal College of General Practitioners","issue":"666","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Gen Pract"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>It has been suggested that interactions between patients and practitioners in primary care have the potential to delay progression of complications in type 2 diabetes. However, as primary care faces greater pressures, patient experiences of patient\u2013practitioner interactions might be changing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To explore the views of patients with type 2 diabetes on factors that are of significance to them in patient\u2013practitioner interactions in primary care after diagnosis, and over the last 10 years of living with the disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and setting<\/jats:title><jats:p>A longitudinal qualitative analysis over 10 years in UK primary care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The study was part of a qualitative and quantitative examination of patient experience within the existing ADDITION-Cambridge and ADDITION-Plus trials from 2002 to 2016. The researchers conducted a qualitative descriptive analysis of free-text comments to an open-ended question within the CARE measure questionnaire at 1 and 10 years after diagnosis with diabetes. Data were analysed cross-sectionally at each time point, and at an individual level moving both backwards and forwards between time points to describe emergent topics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At the 1-year follow-up, 311 out of 1106 (28%) participants had commented; 101 out of 380 (27%) participants commented at 10-year follow-up; and 46 participants commented at both times. Comments on preferences for face-to-face contact, more time with practitioners, and relational continuity of care were more common over time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study highlights issues related to the wider context of interactions between patients and practitioners in the healthcare system over the last 10 years since diagnosis. Paradoxically, these same aspects of care that are valued over time from diagnosis are also increasingly unprotected in UK primary care.<\/jats:p><\/jats:sec>","DOI":"10.3399\/bjgp17x693917","type":"journal-article","created":{"date-parts":[[2017,12,5]],"date-time":"2017-12-05T01:35:17Z","timestamp":1512437717000},"page":"e36-e43","source":"Crossref","is-referenced-by-count":12,"title":["Patients\u2019 views on interactions with practitioners for type 2 diabetes: a longitudinal qualitative study in primary care over 10 years"],"prefix":"10.3399","volume":"68","author":[{"given":"Hajira","family":"Dambha-Miller","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbora","family":"Silarova","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Greg","family":"Irving","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann Louise","family":"Kinmonth","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon J","family":"Griffin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1987","published-online":{"date-parts":[[2017,12,4]]},"reference":[{"key":"2020081209311005000_68.666.e36.1","unstructured":"Diabetes UK State of the nation 2016: time to take control of diabetes, https:\/\/www.diabetes.org.uk\/professionals\/position-statements-reports\/statistics\/state-of-the-nation-2016-time-to-take-control-of-diabetes (accessed 28 Nov 2017)."},{"issue":"7","key":"2020081209311005000_68.666.e36.2","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1111\/dme.12182","article-title":"Diabetes care in England and Wales: information from the 2010\u20132011 national diabetes audit","volume":"30","author":"Gadsby","year":"2013","journal-title":"Diabet Med"},{"key":"2020081209311005000_68.666.e36.3","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.25.2007.S28"},{"issue":"8 Suppl 1","key":"2020081209311005000_68.666.e36.4","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/S0026-0495(03)00213-0","article-title":"Intensified multifactorial intervention and cardiovascular outcome in type 2 diabetes: the Steno-2 study","volume":"52","author":"Pedersen","year":"2003","journal-title":"Metabolism"},{"key":"2020081209311005000_68.666.e36.5","unstructured":"Stewart M Brown JB Weston WW (1995) Patient-centred medicine: transforming the clinical method (Sage, Thousand Oaks, CA), 1st edn."},{"issue":"3","key":"2020081209311005000_68.666.e36.6","doi-asserted-by":"crossref","first-page":"1031","DOI":"10.1111\/hsc.12402","article-title":"A qualitative follow-up study of diabetes patients\u2019 appraisal of an integrated diabetes service in primary care","volume":"25","author":"Burridge","year":"2017","journal-title":"Health Soc Care Community"},{"key":"2020081209311005000_68.666.e36.7","unstructured":"National Institute for Health and Care Excellence (2015) Type 2 diabetes in adults: management: patient centred care. NG28. (NICE, London) https:\/\/www.nice.org.uk\/guidance\/ng28\/chapter\/Patient-centred-care (accessed 28 Nov 2017)."},{"key":"2020081209311005000_68.666.e36.8","unstructured":"National Institute for Health and Care Excellence (2008) Type 2 diabetes: the management of type 2 diabetes. CG66 (NICE, London) http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK53885\/ (accessed 28 Nov 2017)."},{"key":"2020081209311005000_68.666.e36.9","doi-asserted-by":"crossref","unstructured":"Derksen F Bensing J Lagro-Janssen A (2013) Br J Gen Pract, Effectiveness of empathy in general practice: a systematic review. DOI: https:\/\/doi.org\/10.3399\/bjgp13X660814.","DOI":"10.3399\/bjgp13X660814"},{"key":"2020081209311005000_68.666.e36.10","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0094207"},{"key":"2020081209311005000_68.666.e36.11","doi-asserted-by":"publisher","DOI":"10.1370\/afm.142"},{"key":"2020081209311005000_68.666.e36.12","doi-asserted-by":"publisher","DOI":"10.1016\/S0738-3991(02)00122-2"},{"key":"2020081209311005000_68.666.e36.13","doi-asserted-by":"publisher","DOI":"10.2337\/dc12-1865"},{"key":"2020081209311005000_68.666.e36.14","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-008931"},{"key":"2020081209311005000_68.666.e36.15","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.2552"},{"key":"2020081209311005000_68.666.e36.16","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2524.2001.00307.x"},{"key":"2020081209311005000_68.666.e36.17","doi-asserted-by":"publisher","DOI":"10.2337\/dc05-1807"},{"key":"2020081209311005000_68.666.e36.18","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.317.7167.1202a"},{"key":"2020081209311005000_68.666.e36.19","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0068832"},{"key":"2020081209311005000_68.666.e36.20","doi-asserted-by":"publisher","DOI":"10.1136\/qhc.11.4.335"},{"key":"2020081209311005000_68.666.e36.21","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-014718"},{"key":"2020081209311005000_68.666.e36.22","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2010.239"},{"key":"2020081209311005000_68.666.e36.23","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-144-9-200605020-00010"},{"key":"2020081209311005000_68.666.e36.24","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-11-672"},{"key":"2020081209311005000_68.666.e36.25","doi-asserted-by":"publisher","DOI":"10.1370\/afm.578"},{"key":"2020081209311005000_68.666.e36.26","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1186\/s12875-015-0374-y","article-title":"Measuring empathic, person-centred communication in primary care nurses: validity and reliability of the consultation and relational empathy (CARE) measure","volume":"16","author":"Bikker","year":"2015","journal-title":"BMC Fam Pract"},{"key":"2020081209311005000_68.666.e36.27","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-11-211"},{"key":"2020081209311005000_68.666.e36.28","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-9-136"},{"key":"2020081209311005000_68.666.e36.29","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmh730"},{"issue":"Suppl","key":"2020081209311005000_68.666.e36.30","first-page":"S9","article-title":"Empathy and quality of care","volume":"52","author":"Mercer","year":"2002","journal-title":"Br J Gen Pract"},{"key":"2020081209311005000_68.666.e36.31","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"2020081209311005000_68.666.e36.32","doi-asserted-by":"publisher","DOI":"10.1002\/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G"},{"key":"2020081209311005000_68.666.e36.33","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-9-52"},{"key":"2020081209311005000_68.666.e36.34","first-page":"73","article-title":"But is it rigorous? Trustworthiness and authenticity in naturalistic evaluation","volume":"30","author":"Lincoln","year":"1986","journal-title":"New Dir Eval"},{"key":"2020081209311005000_68.666.e36.35","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.322.7294.1115"},{"key":"2020081209311005000_68.666.e36.36","unstructured":"Baird B Charles A Honeyman M (2016) Understanding pressures in general practice (King\u2019s Fund, London)."},{"key":"2020081209311005000_68.666.e36.37","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2008.02400.x"},{"issue":"3","key":"2020081209311005000_68.666.e36.38","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1007\/s10459-008-9123-5","article-title":"Diabetes stories: use of patient narratives of diabetes to teach patient-centered care","volume":"14","author":"Kumagai","year":"2009","journal-title":"Adv Healt Sci Educ Theory Pract"},{"issue":"528","key":"2020081209311005000_68.666.e36.39","first-page":"488","article-title":"Patients\u2019 experiences of continuity in the care of type 2 diabetes: a focus group study in primary care","volume":"56","author":"Alazri","year":"2006","journal-title":"Br J Gen Pract"},{"issue":"485","key":"2020081209311005000_68.666.e36.40","first-page":"1012","article-title":"The relationship between consultation length, process and outcomes in general practice: a systematic review","volume":"52","author":"Wilson","year":"2002","journal-title":"Br J Gen Pract"},{"key":"2020081209311005000_68.666.e36.41","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1499"},{"key":"2020081209311005000_68.666.e36.42","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2005.01619.x"},{"key":"2020081209311005000_68.666.e36.43","unstructured":"ICM on behalf of the British Medical Association (2015) British Medical Association national survey of GPs: the future of general practice 2015 (BMA, London) https:\/\/www.bma.org.uk\/collective-voice\/committees\/general-practitioners-committee\/gpc-surveys\/future-of-general-practice (accessed 28 Nov 2017)."},{"key":"2020081209311005000_68.666.e36.44","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)00620-6"},{"issue":"4","key":"2020081209311005000_68.666.e36.45","doi-asserted-by":"crossref","first-page":"333","DOI":"10.4103\/2249-4863.148102","article-title":"Consultation content not consultation length improves patient satisfaction","volume":"3","author":"Lemon","year":"2014","journal-title":"J Fam Med Prim Care"},{"key":"2020081209311005000_68.666.e36.46","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-7-71"},{"issue":"5","key":"2020081209311005000_68.666.e36.47","doi-asserted-by":"crossref","first-page":"742","DOI":"10.1001\/jamainternmed.2014.245","article-title":"Continuity and the costs of care for chronic disease","volume":"174","author":"Hussey","year":"2014","journal-title":"JAMA Intern Med"},{"key":"2020081209311005000_68.666.e36.48","doi-asserted-by":"crossref","unstructured":"Elmore N Burt J Abel G (2016) Br J Gen Pract, Investigating the relationship between consultation length and patient experience: a cross-sectional study in primary care. DOI: https:\/\/doi.org\/10.3399\/bjgp16X687733.","DOI":"10.3399\/bjgp16X687733"},{"key":"2020081209311005000_68.666.e36.49","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12546"},{"issue":"1","key":"2020081209311005000_68.666.e36.50","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1186\/s12916-016-0634-2","article-title":"The CARE Plus study \u2014 a whole-system intervention to improve quality of life of primary care patients with multimorbidity in areas of high socioeconomic deprivation: exploratory cluster randomised controlled trial and cost-utility analysis","volume":"14","author":"Mercer","year":"2016","journal-title":"BMC Med"}],"container-title":["British Journal of General Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.3399\/bjgp17X693917","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,2,25]],"date-time":"2022-02-25T19:47:18Z","timestamp":1645818438000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjgp.org\/lookup\/doi\/10.3399\/bjgp17X693917"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,4]]},"references-count":50,"journal-issue":{"issue":"666","published-online":{"date-parts":[[2017,12,28]]},"published-print":{"date-parts":[[2018,1]]}},"alternative-id":["10.3399\/bjgp17X693917"],"URL":"https:\/\/doi.org\/10.3399\/bjgp17x693917","relation":{},"ISSN":["0960-1643","1478-5242"],"issn-type":[{"value":"0960-1643","type":"print"},{"value":"1478-5242","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12,4]]}}}