PATIENT AND PHYSICIAN RELATED FACTORS OF ADHERENCE TO EVIDENCE-BASED GUIDELINES IN DIABETES MELLITUS TYPE 2

Abstract

Background: Chronic disorders, such as; diabetes mellitus type 2 and cardiovascular diseases are the most common reason of disabilities and increased the rates of morbidities and mortalities among population worldwide. The current review aims to explore the patients and physicians related factors of adherence to evidence-based guidelines in T2DM and cardiovascular diseases.

Methods: Scientific articles that linked to the present topic were obtained using an online searching process. The searching process included different scientific websites such as Google Scholar and PubMed. We obtained 18 articles that matched with the current subject and written in English. Of those 18 articles, 6 were excluded as they published before 2000, or mayn’t focusing on the present topic or written in a language other than English; therefore, only 12 papers were included, and they were published till 2020.

Results: Articles were selected according to the inclusion criteria that we selected, and then the discussion of the subject was performed under the main titles.

Conclusion: Chronic diseases are considered the most dominant sources of morbidity and mortality worldwide (coronary artery disease, diabetes, and ischemic stroke). Most patients didn’t know why they didn’t know adequate information about the guidelines, or they felt embarrassing when receive drug recommendation. Lack of awareness, knowledge and communications are the most barriers for physicians’ non or poor adherence to evidence-based guidelines. Physicians should educate patients about adherence to the guidelines of diabetic and cardiovascular diseases. More health education programs should be implemented to increase the knowledge of patients and physicians about the risk of T2DM and CVD and adherence to the guidelines to could manage, control, and prevent these diseases. 

Keywords: Cardiovascular risk factors, Chronic diseases, Diabetic mellitus T2 risk factors, Evidence-based guidelines, Health literacy.