Diabetes care: Opinions, needs and proposed solutions of Swiss patients and healthcare professionals: a qualitative study.

TitreDiabetes care: Opinions, needs and proposed solutions of Swiss patients and healthcare professionals: a qualitative study.
Publication TypeJournal Article
Year of Publication2012
AuthorsPeytremann-Bridevaux, I, Lauvergeon, S, Mettler, D, Burnand, B
JournalDiabetes Res Clin Pract
Volume97
Issue2
Pagination242-50
Date Published2012 Aug
DOI10.1016/j.diabres.2012.02.021
ISSN1872-8227
Mots-clésAnalysis of Variance, Communication, Cooperative Behavior, Delivery of Health Care, Diabetes Mellitus, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Female, Focus Groups, Health Personnel, Humans, Male, Middle Aged, Needs Assessment, Professional-Patient Relations, Qualitative Research, Questionnaires, Regional Medical Programs, Self Care, Switzerland
Abstract

AIMS: To explore, both among patients with diabetes and healthcare professionals, opinions on current diabetes care and the development of the "Regional Diabetes Program".

METHODS: We employed qualitative methods (focus groups - FG) and used purposive sampling strategy to recruit patients with diabetes and healthcare professionals. We conducted one diabetic and one professional FG in each of the four health regions of the canton of Vaud/Switzerland. The eight FGs were audio-taped and transcribed verbatim. Thematic analysis was then undertaken.

RESULTS: Results showed variability in the perception of the quality of diabetes care, pointed to insufficient information regarding diabetes, and lack of collaboration. Participants also evoked patients' difficulties for self-management, as well as professionals' and patients' financial concerns. Proposed solutions included reinforcing existing structures, developing self-management education, and focusing on comprehensive and coordinated care, communication and teamwork. Patients and professionals were in favour of a "Regional Diabetes Program" tailored to the actors' needs, and viewed it as a means to reinforce existing care delivery.

CONCLUSIONS: Patients and professionals pointed out similar problems and solutions but explored them differently. Combined with coming quantitative data, these results should help to further develop, adapt and implement the "Regional Diabetes Program".

Alternate URL

http://www.ncbi.nlm.nih.gov/pubmed/22459986?dopt=Abstract

Alternate JournalDiabetes Res. Clin. Pract.
Citation Key / SERVAL ID3215
PubMed ID22459986
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