Research Article

Factors Associated with Adherence to Clinical Practice Guidelines for Patients with Type 2 Diabetes Mellitus: Results of a Spanish Delphi Consensus

Table 3

Factors related to diabetes and the clinician.

Items of the questionnaireTotal numberNumber of responses (%)
Disagree (moderately disagree/strongly disagree) (Likert 1-2)Neither agree nor disagree (Likert 3)Agree (moderately agree/strongly agree) (Likert 4-5)

Diabetes-related factors
(i) The complexity of the pathology makes it difficult to be compliant with the CPG9661 (63.5)11 (11.5)24 (25.0)
(ii) The risk of hypoglycemia continues to be a limiting factor for the comprehensive control of patients with diabetes9612 (12.5)4 (4.2)80 (83.4)
Clinician-related factors
(i) Therapeutic inertia means that despite knowing the CPG recommendations, the clinician continues with his previous practice9612 (12.5)4 (4.2)80 (83.3)
(ii) The constant updates of the CPGs make it difficult to be up to date and have a deep knowledge of them9628 (29.2)8 (8.3)60 (62.5)
(iii) Professionals must handle complex pharmacological treatment, which is perceived as a difficulty for intensification9624 (25.0)12 (12.5)60 (62.5)
(iv) The lack of connection between all the members of the interdisciplinary team that manages diabetes makes access to new agents and combined therapies difficult9623 (23.9)10 (10.4)63 (65.6)
(v) It would be necessary to have the support of dietitians and podiatrists in the management of patients with T2DM981 (1.0)3 (3.1)94 (95.9)
(vi) The insufficient number of nursing personnel with specific training in diabetes education makes it difficult to approach patients with T2DM982 (2.0)2 (2.0)94 (95.9)

Consensus achieved in the first Delphi round; consensus achieved in the second Delphi round.