Systematic Reviews
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Diabetes. Jan 15, 2017; 8(1): 28-39
Published online Jan 15, 2017. doi: 10.4239/wjd.v8.i1.28
Barriers that practitioners face when initiating insulin therapy in general practice settings and how they can be overcome
Abdulaziz Bin rsheed, Ian Chenoweth
Abdulaziz Bin rsheed, Department of Family and Community Medicine, Prince Sultan Military Medical City, Riyadh 11159, Saudi Arabia
Abdulaziz Bin rsheed, Ian Chenoweth, Department of General Practice, School of Primary Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Victoria 3800, Australia
Author contributions: Both Bin rsheed A and Chenoweth I have made substantial contributions in regard to: Conception, literature review, research design, and data collection, interpretation of data, writing and reviewing; both authors read and approved the final manuscript.
Conflict-of-interest statement: The authors declare that there is no conflict of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Abdulaziz Bin rsheed, MBBS, SBFM, ABFM, Consultant Family Physician, Department of Family and Community Medicine, Prince Sultan Military Medical City, PO Box 7897, Riyadh 11159, Saudi Arabia. abdulaziz_binrsheed@yahoo.com
Telephone: +966-555-219229
Received: June 2, 2016
Peer-review started: June 6, 2016
First decision: July 5, 2016
Revised: July 29, 2016
Accepted: October 17, 2016
Article in press: October 18, 2016
Published online: January 15, 2017
Processing time: 217 Days and 21.1 Hours
Core Tip

Core tip: There are several barriers to primary care physicians in initiating insulin therapy when it is required for type 2 diabetes patients. The main purpose of this systematic review is to explore these barriers in depth. Published reports of attempts to find solutions to these barriers were limited in number. Given the increasing burden of this chronic disease, and the need to optimize and standardize management, it is expected research in this area will remain intense. The research that remains patient-centered and takes a system approach can be expected to yield best results.