Diabetes self-management in a low-income population: impacts of social support and relationships with the health care system.
Diabetes self-management in a low-income population: impacts of social support and relationships with the health care system.
复制标题
低收入人群中的糖尿病自我管理：社会支持和与医疗保健系统的关系的影响。
DOI：
10.1177/1742395313475674
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发表时间：
2013-06
期刊：
影响因子：
1.3
通讯作者：
Fox CH
中科院分区：
文献类型：
--
作者：
Vest BM;Kahn LS;Danzo A;Tumiel-Berhalter L;Schuster RC;Karl R;Taylor R;Glaser K;Danakas A;Fox CH
本文报告了一项定性研究的结果，社会支持和机构资源利用的个人糖尿病患者生活在一个高度贫困的城市环境。目的是研究低收入人群获得社会资本如何促进和阻碍他们在糖尿病自我管理中的自我效能。半结构化访谈进行了34例糖尿病患者的安全网初级保健的做法在布法罗，纽约。成功的自我管理的促进因素和障碍被确定在三个广泛的领域：（1）社会支持网络的影响;（2）医患关系的性质;（3）病人与医疗保健系统关系的性质。在这三个领域中，也强调了患者未满足的需求。参与者确定了与低收入状况直接相关的有效糖尿病自我管理的障碍，例如保险不足和对医疗系统的不信任。患者可能需要从多个社会领域激活社会资本，以实现最有效的糖尿病管理。
This article reports on results of a qualitative study of social supports and institutional resources utilized by individuals living with diabetes in a high-poverty urban setting. The goal was to examine how access to social capital among low-income populations facilitates and impedes their self-efficacy in diabetes self-management. Semi-structured interviews were conducted with 34 patients with diabetes from a safety net primary care practice in Buffalo, New York. Facilitators and barriers to successful self-management were identified in three broad areas: (1) the influence of social support networks; (2) the nature of the doctor-patient relationship; and (3) the nature of patient-health care system relationship. Patients' unmet needs were also highlighted across these three areas. Participants identified barriers to effective diabetes self-management directly related to their low-income status, such as inadequate insurance, and mistrust of the medical system. It may be necessary for patients to activate social capital from multiple social spheres to achieve the most effective diabetes management.