Skip to main content

Table 1 Summary of the organization of type 2 diabetes care by the 5Rs at baseline

From: Working towards a better understanding of type 2 diabetes care organization with First Nations communities: a qualitative assessment

RECOGNIZE: Appropriately screen for & identify people with diabetes
▪ Limited screening due to limited resources and patients screened elsewhere by other providers
▪ Used existing records/registries (e.g., chronic diseases lists, CARE EHR, Physician EMR)
▪ Relied on patient self-referral or engagement with healthcare system
REGISTER: Develop a means of tracking all patients with diabetes
▪ Used patient charts or chronic diseases lists, paper-based and/or electronic
▪ Data entry in the context of limited resources was problematic
▪ Relied on patient self-referral or engagement with healthcare system
RESOURCE: Support self-management through inter-professional teams
▪ Differential access to diabetes-related providers and services, including diabetes educators or programming
▪ Limited ability to support patients in context of limited resources
▪ Lack of collaborative care between healthcare providers
▪ Relied on patient self-referral or engagement with healthcare system
RELAY: Information sharing between patient & healthcare team members
▪ Used Netcare, CARE EHR, or Physician EMR
▪ Facilitators: colocation of healthcare workers and providers; existing relationships
▪ Barriers: privacy concerns; limited access to data or data systems; or incompatibility of Physician EMRs with CARE EHR resulting in data entry
RECALL: Remind caregivers & patients of timely review & reassessment
▪ Used CARE EHR, patient chart review, or chronic diseases lists; patient reminders
▪ Barriers: patients not engaging with healthcare system (e.g., no shows even when recalled); limited use of CARE EHR by all staff; time consuming, not knowing who had T2D)
  1. LEGEND: EMR Electronic Medical Record; T2D type 2 diabetes; EHR Electronic Health Record