Prevention of diabetes and heart disease -- patient perceptions on risk, risk assessment and the role of their GP in preventive care

Abstract

Background: There are gaps between current clinical guideline recommendations and current practice for the prevention of diabetes and heart disease. This study aims to explore patients' views on risk, assessment and their general practitioner's role, and how these factors may impact their uptake of preventive care.

Methods: A qualitative study was conducted using semi-structured telephone interviews with 18 patients from three general practices in New South Wales.

Results: Patients associated the GPs' role with their experience of their GP's actions. Most patients saw their GP's primary role as assessing single physiological risk factors. Test results influenced patients' perception of their risk, motivating them to make changes and engage in prevention. However, none recalled having multi-factorial assessments and those with normal results were infrequently offered lifestyle advice.

Discussion: Patient engagement in prevention could be promoted by multi-factorial risk assessments and communication of risk, and appropriate advice and follow up delivered by their GP or practice nurse.