Changes in processes of care |
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Protocol development |
Policy review |
Changes in clinical management |
Facilitators for change |
Evidence and guidance |
Information sources |
Clinical audit |
Information technology and decision support |
Role redesign |
Training in diabetes |
Patient involvement and empowerment |
Barriers to change |
Inertia |
Lack of resources |
Risks versus benefits of medication |
Lack of secondary care support |
Sustaining change |
Systematic attention to detail |
Team approach/holistic care |
Personal interest and enthusiasm |
Perceived effect of TARGET on diabetes care |
Specific changes made as result of TARGET attendance |
Peer pressure in TARGET |
Lack of change from TARGET |
Use of consultants in TARGET |