title: [Adherence of Type 2 Diabetes Mellitus approach: Current situation and possible solutions].
abstract: OBJECTIVE
  Define the impact and causes of non-adherent type-2 diabetes mellitus (DM2) patients, possible solutions and the role of the different health care professionals involved in the treatment.
  
  
  METHODS
  Structured questionnaire rating by a two-round Delphi method.
  
  
  METHODS
  The study was conducted in the Primary Care settings.
  
  
  METHODS
  The expert panel consisted of renowned medical professionals with extensive experience in diabetes.
  
  
  METHODS
  Assessment through a 9-point Likert scale, of the degree of agreement or disagreement on 131 items grouped into 4 blocks: impact; causes of nonadherence; diagnosis of non-adherence, and possible causes, solutions and role of the different professionals involved in adherence.
  
  
  RESULTS
  The participation rate was 76.31%. The primary care health professionals agreed on 110 of the 131 proposals statements (84%), showing agreement on 102 items (77.9%) and disagreement in 8 (6.1%). Consensus was not reached on 21 items.
  
  
  CONCLUSIONS
  The lack of adherence of DM2 patients makes the achievement of therapeutic control difficult. The medical practice needs to have specific training and enough resources to reduce the impact of the lack of therapeutic compliance.
authors.affiliation: Cátedra de Medicina de Familia, Departamento de Medicina Clínica, Universidad Miguel Hernández, Alicante, España. Electronic address: dorozcobeltran@gmail.com.
authors.forename: Domingo
authors.initials: D
authors.lastname: Orozco-Beltrán
authors.affiliation: Grupo de Trabajo de Atención Primaria y Diabetes de la Sociedad Española de Diabetes (SED) y de la RedGDPS, Centro de Atención Primaria La Mina, Sant Adrià del Besós, Barcelona, España.
authors.forename: Manel
authors.initials: M
authors.lastname: Mata-Cases
authors.affiliation: Miembro de la comisión RedGDPS, Centro de Salud Hereza, Leganés, Madrid, España.
authors.forename: Sara
authors.initials: S
authors.lastname: Artola
authors.affiliation: Secretario General de la Federación Europea de Medicina Interna (EFIM), Hospital General Universitario Gregorio Marañón, Madrid, España.
authors.forename: Pedro
authors.initials: P
authors.lastname: Conthe
authors.affiliation: Coordinador del Grupo Diabetes Mellitus de SEMERGEN, Centro de Salud Burgos Rural, Burgos, España.
authors.forename: Javier
authors.initials: J
authors.lastname: Mediavilla
authors.affiliation: Coordinador Nacional del Grupo Diabetes SEMG, Centro de Salud Buenavista, Toledo, España.
authors.forename: Carlos
authors.initials: C
authors.lastname: Miranda
mesh_terms: D003697:Delphi Technique; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D006801:Humans; D010349:Patient Compliance; D011795:Surveys and Questionnaires
keywords: Adherencia terapéutica; Atención primaria; Delphi technique; Diabetes mellitus tipo 2; Diabetes mellitus type 2; Family practice; Medicina de familia; Patient compliance; Primary health care; Técnica Delphi