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Quality improvements in diabetes care, how holistic have they been? A case-study from the United Kingdom.
- Source :
- International Journal for Equity in Health; 2014, Vol. 13 Issue 1, p30-48, 18p, 1 Diagram
- Publication Year :
- 2014
-
Abstract
- Aims As quality in diabetes care includes patient centred support for self-management, investigating patients' experiences upon diagnosis can help improve access to this element of care among diverse populations. This research explored this care in the context of recent national quality improvement initiatives which support self-management. Methods South Asian and White European patients over 16 years with a recent (<1 year) diagnosis of diabetes were recruited from 18 General Practitioner (GP) practices in three UK locations - Luton, West London and Leicester. A semi-structured qualitative interview was conducted with 47 patients. Results Twenty one out of 47 (45%) reported unmet support and information needs at diagnosis. Although there was a small proportion of participants (8 out of 47, 17% of all respondents) who felt they did not require any help or support with managing their diabetes because their GP had provided comprehensive and efficient care, there was an equal number who voiced a negative view of the care they had received to date. This concerned information giving, support and communication, suggesting that recently implemented national quality improvement interventions may not have been successful in improving all aspects of diabetes care, particularly those encouraging self-management. The emerging analysis led to consideration of concordance as an important concept through which to understand inequalities and improve access to quality diabetes care. In order to encourage self-management from the start, care providers need to be cognisant that patients are not homogeneous and be responsive to their different information needs and emotional responses to diagnosis. Conclusions In order to support self-management and deliver patient centred care in diverse populations, care providers will need to be adaptable to individual needs around diagnosis. [ABSTRACT FROM AUTHOR]
- Subjects :
- TYPE 2 diabetes treatment
ASIANS
HEALTH
INTERVIEWING
RESEARCH methodology
CASE studies
MEDICAL needs assessment
MEDICAL protocols
PATIENT satisfaction
PHYSICIAN-patient relations
PRIMARY health care
QUALITY assurance
RESEARCH funding
HEALTH self-care
WHITE people
INFORMATION resources
JUDGMENT sampling
THEMATIC analysis
Subjects
Details
- Language :
- English
- ISSN :
- 14759276
- Volume :
- 13
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- International Journal for Equity in Health
- Publication Type :
- Academic Journal
- Accession number :
- 95709060
- Full Text :
- https://doi.org/10.1186/1475-9276-13-29