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Table 4 Frequency and proportion of survey responses by category

From: Challenges to the provision of diabetes care in first nations communities: results from a national survey of healthcare providers in Canada

Survey Item

Large impact

Some impact

Small impact

No impact

Don't know

No Answer

Total

Increase provider knowledge about diabetes management, n(%)

130(53.3)

74(30.3)

23(9.4)

13(5.4)

3(1.2)

1(0.4)

244(100)

Improve clinical practice guidelines, n(%)

92(37.7)

82(33.6)

35(14.3)

23(9.4)

8(3.3)

4(1.6)

244(100)

Provide specialized training to deal with diabetes related complications, n(%)

127(52.0)

84(34.4)

19(7.8)

5(2.0)

5(2.0)

4(1.6)

244(100)

Address staffing shortages, n(%)

149(61.1)

50(20.5)

14(5.7)

17(7.0)

11(4.5)

3(1.2)

244(100)

Help patients seek preventative care so they don't only seek acute care, n(%)

175(71.7)

48(198.7)

13(5.3)

2(0.8)

4(1.6)

2(0.8)

244(100)

Reduce frequency of missed appointments, n(%)

144(59.0)

67(27.5)

19(7.8)

4(1.6)

9(3.7)

1(0.4)

244(100)

Improve adherence to medication, n(%)

166(68.0)

56(23.0)

11(4.5)

2(0.8)

7(2.9)

2(0.8)

244(100)

Address environmental factors (e.g. type of food in store) that make it difficult for patients to adopt healthy lifestyles, n(%)

149(61.1)

58(23.8)

21(8.6)

6(2.5)

8(3.3)

2(0.8)

244(100)

Motivate patients to adopt healthy lifestyles, n(%)

184(75.4)

43(17.6)

12(4.9)

2(0.8)

2(0.8)

1(0.4)

244(100)

Address communication difficulties between healthcare staff and patients, n(%)

95(38.9)

87(35.7)

44(18.0)

8(3.3)

8(3.3)

2(0.8)

244(100)

Develop a system or improve the system for diabetes management and follow up, n(%)

123(50.4)

84(34.4)

20(8.2)

10(4.1)

4(1.6)

3(1.2)

244(100)

Extend the time healthcare staff are in the community, n(%)

85(34.8)

73(29.9)

33(13.5)

32(13.1)

18(7.4)

3(1.2)

244(100)

Ease access to post-clinical services (lab, referrals, medications), n(%)

86(35.2)

71(29.1)

30(12.3)

39(14.8)

14(5.7)

4(1.6)

244(100)

Advocate making diabetes care a priority for clinic staff, n(%)

99(40.6)

77(31.6)

40(16.4)

20(8.2)

4(1.6)

4(1.6)

244(100)

Advocate making diabetes care a priority for tribal leadership, n(%)

145(59.4)

50(20.5)

29(11.9)

7(2.9)

11(4.5)

2(0.8)

244(100)