[Management of diabetes and hypertension: how do primary care physicians judge their performance?].
With regard to the management of hypertension and diabetes, HYDRA reveals that doctors report multiple problems in their everyday practice. Being confronted with an average of 73 patients a day, with almost every second having either diabetes or hypertension, frequently associated with multiple comorbid conditions, the core obstacle is the time factor. Doctors do not have sufficient time to perform diagnostic tests and especially no time for non-drug interventions of any type. Further available treatment guidelines are only used in 1 out of 2 doctors. Further they seem not to affect doctors performance significantly.
Krause
P
P
Institut für Klinische Psychologie und Psychotherapie, TU Dresden.
Wittchen
H U
HU
Küpper
B
B
Pittrow
D
D
Unger
T
T
Sharma
A M
AM
Ritz
E
E
Göke
B
B
Lehnert
H
H
Tschöpe
D
D
Kirch
W
W
Pfister
H
H
Bramlage
P
P
Höfler
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015897:Comorbidity; D003920:Diabetes Mellitus / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D003922:Diabetes Mellitus, Type 1 / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology / Q000628:therapy*; D008875:Middle Aged; D010349:Patient Compliance; D017410:Practice Guidelines as Topic; D011320:Primary Health Care; D012017:Referral and Consultation; D018570:Risk Assessment; D011795:Surveys and Questionnaires