SIIReN - System Integration & Innovation Research Network

Primary Health Care System


Primary care practice organizational attributes related to the management of type 2 diabetes within the primary care setting: a pan-Canadian study
(research in progress)

  • Lukewich, J.1
  • Tranmer, T.1,2
  • Williamson, T. 3
  • VanDenKerkhof, E. 1,4
  • Edge, D. - 1 School of Nursing, Queen’s University, 2Department of Community Health and Epidemiology,
    3Department of Family Medicine, 4Department of Anaesthesiology & Perioperative Medicine

Diabetes is a chronic metabolic condition affecting approximately 3,000,000 Canadians. Importantly, patients with diabetes utilize 2-3 times more healthcare resources, which places a substantial burden on the Canadian healthcare system. Proper management of patients with diabetes within the primary care setting can reduce healthcare costs and improve patient outcomes. Although primary care organizational-level attributes can affect the quality of diabetes management, the distribution of these attributes across Canada has yet to be determined. Therefore, the overall goal of this study is to determine the distribution and nature of primary care organizational attributes hypothesized to be associated with optimal health outcomes for patients with type 2 diabetes.

A multi-method approach will be used. First, systematic review methodology will be used to critique existing tools that measure primary care organizational attributes and to describe how the tools have been used in evaluating type 2 diabetes management. This review will inform the development of an approach to measure primary care organizational attributes, including the modification or development of a data collection tool. In collaboration with the Canadian Primary Care Sentinel Surveillance Network (CPCSSN) we will obtain a detailed description of primary care organizational attributes in 76 primary care sites and 374 practices across Canada. Organizational attribute data obtained from primary care practices affiliated with the CPCSSN located in Kingston Ontario will then be linked to data collected from individuals with type 2 diabetes managed within these practices.

Results and Conclusions:
This research is in-progress. This study contributes to current research activities being carried out within the CPCSSN and will serve as a platform for the CPCSSN to conduct larger, pan-Canadian studies. This study will also provide information that can be used to assist primary care practices across Canada with the planning and delivery of high-quality type 2 diabetes management care.

For more information please contact:
Julia Lukewich


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