title: Resource allocation and organisational features in Swedish primary diabetes care: Changes from 2006 to 2013.
abstract: To compare the resource allocation and organisational features in Swedish primary diabetes care for patients with type 2 diabetes mellitus (T2DM) between 2006 and 2013.
  
  
  
  Using a repeated cross-sectional study design, questionnaires covering personnel resources and organisational features for patients with T2DM in 2006 and 2013 were sent to all Swedish primary health care centres (PHCCs) during the following year. In total, 684 (74.3%) PHCCs responded in 2006 and 880 (76.4%) in 2013.
  
  
  
  Compared with 2006, the median list size had decreased in 2013 (p<0.001), whereas the median number of listed patients with T2DM had increased (p<0.001). Time devoted to patients with T2DM and diabetes-specific education levels for registered nurses (RNs) had increased, and more PHCCs had in-house psychologists (all p<0.001). The use of follow-up systems and medical check-ups had increased (all p<0.05). Individual counselling was more often based on patients' needs, while arrangement of group-based education remained low. Patient participation in setting treatment targets mainly remained low.
  
  
  
  Even though the diabetes-specific educational level among RNs increased, the arrangement of group-based education and patient participation in setting treatment targets remained low. These results are of concern and should be prioritised as key features in the care of patients with T2DM.
authors: Centre for Clinical Research Västmanland, Uppsala University, Västmanland County Hospital, Västerås, Sweden; Department of Medical Sciences, Uppsala University, Uppsala, Sweden. Electronic address: rebecka.husdal@ltv.se.
authors: Rebecka
authors: R
authors: Husdal
authors: Centre for Clinical Research Västmanland, Uppsala University, Västmanland County Hospital, Västerås, Sweden.
authors: Andreas
authors: A
authors: Rosenblad
authors: Department of Medical Sciences, Uppsala University, Uppsala, Sweden.
authors: Janeth
authors: J
authors: Leksell
authors: Department of Medicine, Sahlgrenska University Hospital, University of Gothenburg, Gothenburg, Sweden.
authors: Björn
authors: B
authors: Eliasson
authors: University Health Care Research Centre, Region Örebro County, School of Medical Sciences, Örebro University, Örebro, Sweden.
authors: Stefan
authors: S
authors: Jansson
authors: School of Education, Health and Social Studies, Dalarna University, Falun, Sweden; Centre for Clinical Research Dalarna, Uppsala University, Falun, Sweden.
authors: Lars
authors: L
authors: Jerdén
authors: Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
authors: Jan
authors: J
authors: Stålhammar
authors: Drug and Therapeutics Committee, Södermanland County Council, Eskilstuna, Sweden.
authors: Lars
authors: L
authors: Steen
authors: Centre for Clinical Research Södermanland, Uppsala University, Eskilstuna, Sweden; Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine Section, Uppsala University, Uppsala, Sweden.
authors: Thorne
authors: T
authors: Wallman
authors: Centre for Clinical Research Västmanland, Uppsala University, Västmanland County Hospital, Västerås, Sweden; Department of Primary Health Care Västmanland, Västmanland County Hospital, Västerås, Sweden.
authors: Eva Thors
authors: ET
authors: Adolfsson
mesh_terms: D003430:Cross-Sectional Studies; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration* / Q000639:trends; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D004506:Education, Nursing / Q000458:organization & administration; D019538:Health Care Surveys; D006295:Health Resources / Q000458:organization & administration* / Q000639:trends; D006301:Health Services Needs and Demand / Q000458:organization & administration* / Q000639:trends; D006801:Humans; D020380:Needs Assessment / Q000458:organization & administration* / Q000639:trends; D009726:Nurses / Q000458:organization & administration; D009937:Organizational Objectives; D010348:Patient Care Team / Q000458:organization & administration; D010353:Patient Education as Topic / Q000458:organization & administration; D011320:Primary Health Care / Q000458:organization & administration* / Q000639:trends; D017064:Process Assessment, Health Care / Q000458:organization & administration* / Q000639:trends; D012648:Self Care; D013548:Sweden / Q000453:epidemiology; D013997:Time Factors; D016896:Treatment Outcome
keywords: Organisational features; Primary diabetes care; Repeated cross-sectional survey; Resource allocation; Type 2 diabetes mellitus