<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2182-5173</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Medicina Geral e Familiar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Port Med Geral Fam]]></abbrev-journal-title>
<issn>2182-5173</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa de Medicina Geral e Familiar]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2182-51732022000100017</article-id>
<article-id pub-id-type="doi">10.32385/rpmgf.v38i1.13061</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Inércia terapêutica na diabetes mellitus tipo 2: perceção dos médicos de família e clínica geral do ACeS Almada-Seixal]]></article-title>
<article-title xml:lang="en"><![CDATA[Therapeutic inertia in type 2 diabetes mellitus: perception of general practitioners from Almada-Seixal health care centers]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ros]]></surname>
<given-names><![CDATA[Sara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reis]]></surname>
<given-names><![CDATA[Joana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[Sara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alves]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leite]]></surname>
<given-names><![CDATA[Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Faria]]></surname>
<given-names><![CDATA[Mariana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ribeiro]]></surname>
<given-names><![CDATA[Anabela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,USF Nova Caparica  ]]></institution>
<addr-line><![CDATA[Almada ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,UCSP Amora  ]]></institution>
<addr-line><![CDATA[Seixal ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,UCSP Baixa da Banheira  ]]></institution>
<addr-line><![CDATA[Moita ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,USP HIGEIA  ]]></institution>
<addr-line><![CDATA[Almada ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,USF Torre da Marinha  ]]></institution>
<addr-line><![CDATA[Arrentela ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Direção-Geral da Saúde Direção de Serviços de Informação e Análise Divisão de Epidemiologia e Estatística]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,USP HIGEIA  ]]></institution>
<addr-line><![CDATA[Almada ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af8">
<institution><![CDATA[,USF Sobreda  ]]></institution>
<addr-line><![CDATA[Sobreda ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>28</day>
<month>02</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>28</day>
<month>02</month>
<year>2022</year>
</pub-date>
<volume>38</volume>
<numero>1</numero>
<fpage>17</fpage>
<lpage>32</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2182-51732022000100017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2182-51732022000100017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2182-51732022000100017&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  O objetivo deste estudo foi identificar barreiras ao início de insulina e fatores sociodemográficos e laborais associados.  Material e Métodos:  Estudo transversal desenvolvido a partir de um questionário aplicado a 146 médicos do ACeS Almada-Seixal, entre outubro e dezembro de 2019, avaliando a concordância com 30 barreiras, utilizando uma escala de Likert de 5 pontos. Utilizou-se uma regressão logística para medir a associação entre a concordância com cada item e os fatores associados ao médico.  Resultados:  A taxa de resposta foi de 74%. Numa amostra de 146 médicos, a idade média foi de 44 anos, 75% eram mulheres e 64% trabalhavam numa USF modelo B. As barreiras que geraram maior concordância estão relacionadas com características dos utentes e com a perceção do impacto positivo da insulina no prognóstico da diabetes. As de maior discordância foram a possibilidade de prejudicar a relação médico-doente, dúvidas sobre a quem compete e quando deve ser iniciada a insulina. Os médicos mais velhos discordam com barreiras relacionadas com características dos utentes e com a falta de formação. Com o aumento da categoria profissional, os médicos tendem a discordar com fatores relacionados com a falta de formação e experiência e com a relação médico-doente. Os médicos das UCSP concordam que não têm uma equipa multidisciplinar adequada ao acompanhamento de diabéticos.  Discussão:  Identificaram-se barreiras já descritas na literatura, sobretudo para médicos mais novos, em formação e das UCSP.  Conclusão:  Os resultados podem ser usados localmente, melhorando a formação de médicos mais novos e incentivando a criação de equipas multidisciplinares dedicadas à diabetes nas UCSP.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Our study aimed at identifying barriers to the initiation of insulin therapy and its associated sociodemographic and labor factors.  Material and Methods:  This cross-sectional study was carried out through a survey applied to 146 general practitioners working in Almada and Seixal primary health care centers, between October and December 2019, assessing their agreement on 30 barriers using a 5-point Likert scale. We used logistic regression to measure the association between each item&#8217;s agreement and physician&#8217;s factors.  Results:  The response rate was 74%. Physicians&#8217; average age was 44 years, 75% were women and 64% worked in model B family health units. Most physicians agreed with the barriers related to patients&#8217; characteristics and physicians perceived positive impact of insulin on the prognosis of patients. They disagreed with the ones associated with the possibility of harming the doctor-patient relationship and having doubts about who is responsible and when to start insulin. Older doctors disagreed with barriers related to patients&#8217; characteristics and lack of training. As the professional category increases, physicians tend to disagree with factors related to the lack of training, experience, and the doctor-patient relationship. Physicians from non-reformed health units agree that they do not have a multidisciplinary team appropriate for diabetes care.  Discussion:  We identified barriers already described in the literature, especially for younger doctors, in residency and from non-reformed health units.  Conclusion:  These results may be used locally to improve the training of younger doctors and to create multidisciplinary teams dedicated to diabetes in non-reformed health units.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Inércia terapêutica]]></kwd>
<kwd lng="pt"><![CDATA[Diabetes mellitus tipo 2]]></kwd>
<kwd lng="pt"><![CDATA[Insulina.]]></kwd>
<kwd lng="en"><![CDATA[Therapeutic inertia]]></kwd>
<kwd lng="en"><![CDATA[Diabetes mellitus type 2]]></kwd>
<kwd lng="en"><![CDATA[Insulin.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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