Managing diabetes mellitus with comorbidities in primary healthcare facilities in urban settings: a qualitative study among physicians in Odisha, India.
Managing diabetes mellitus with comorbidities in primary healthcare facilities in urban settings: a qualitative study among physicians in Odisha, India.
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DOI：
10.1186/s12875-021-01454-4
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发表时间：
2021-05-22
影响因子：
2.9
通讯作者：
Burgers JS
中科院分区：
文献类型：
--
作者：
Pati S;Pati S;van den Akker M;Schellevis FG;Sahoo KC;Burgers JS
探讨初级保健医生对糖尿病合并合并症患者管理的障碍和促进因素。对印度奥里萨邦布巴内斯瓦尔市17个城市初级保健中心的初级保健医生进行了定性深入访谈研究。数字记录的采访被逐字抄录并翻译成英语。使用专题分析对数据进行分析。确定了与医生、患者和卫生系统相关的障碍。医生认为缺乏必要的知识和技能、沟通技巧以及多重责任造成的负担过重是高质量护理的主要障碍。患者的态度和信念以及社会经济地位在治疗依从性和病情管理中发挥了重要作用。基础设施差、药品供应不规律和缺乏熟练的专职保健专业人员，以及缺乏电子医疗记录和个人治疗记录，也被认为是提供最佳护理的障碍。全面的指导方针，对医生的能力建设进行在职培训，并在初级保健层面建立多学科团队，以更全面的方法管理糖尿病的合并症，这可能是实现最佳护理的途径。
To explore the perceived barriers and facilitators in the management of the patients having diabetes with comorbidities by primary care physicians. A qualitative In-Depth Interview study was conducted among the primary care physicians at seventeen urban primary health care centres at Bhubaneswar city of Odisha, India. The digitally recorded interviews were transcribed verbatim and translated into English. The data were analysed using thematic analysis. Barriers related to physicians, patients and health system were identified. Physicians felt lack of necessary knowledge and skills, communication skills and overburdening due to multiple responsibilities to be major barriers to quality care. Patients’ attitude and beliefs along with socio-economic status played an important role in treatment adherence and in the management of their disease conditions. Poor infrastructure, irregular medicine supply, and shortage of skilled allied health professionals were also found to be barriers to optimal care delivery, as was the lack of electronic medical records and personal treatment records. Comprehensive guidelines with on the job training for capacity building of the physicians and creation of multidisciplinary teams at primary care level for a more holistic approach towards management of diabetes with comorbidities could be the way forward to optimal delivery of care.
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DOI：
10.4103/0974-8520.169010
发表时间：
2015-01-01
期刊：
Ayu
影响因子：
--
作者：
Samal, Janmejaya
通讯作者：
Samal, Janmejaya
影响因子：
2.9
作者：
Alberti, Hugh;Boudriga, Nessiba;Nabli, Mounira
通讯作者：
Nabli, Mounira
影响因子：
2.9
作者：
Austad, Bjarne;Hetlevik, Irene;Helvik, Anne-Sofie
通讯作者：
Helvik, Anne-Sofie
影响因子：
5.1
作者：
Murugesan, N.;Shobana, R.;Ramachandran, A.
通讯作者：
Ramachandran, A.
影响因子：
4.5
作者：
Vancelik S;Beyhun NE;Acemoglu H;Calikoglu O
通讯作者：
Calikoglu O