scholarly journals The Biggest Problem in Diabetes

1986 ◽  
Vol 12 (1) ◽  
pp. 30-33 ◽  
Author(s):  
Donna Lockwood ◽  
Mary L. Frey ◽  
Nancy A. Gladish ◽  
Roland G. Hiss
Keyword(s):  
Health Care ◽  
Patient Education ◽  
Diabetes Care ◽  
Health Professionals ◽  
Diabetes Patient ◽  
Difficult Problem ◽  
Diabetic Patients ◽  
Substantial Agreement ◽  
Selection Of

An assessment of the big gest problem in diabetes care from the viewpoint of 115 health care profes sionals and 428 diabetic patients was obtained. There was substantial agreement by health pro fessionals and patients alike that diet and diet- related issues constituted the most difficult problem faced by persons with diabetes and by health professionals caring for those persons. These find ings may be important in organizing diabetes patient education and in the selection of research efforts within the overall field of diabetes.

scholarly journals Evaluation of "Life with Diabetes" Patient Education Booklets

1986 ◽  
Vol 12 (1) ◽  
pp. 51-54 ◽  
Author(s):  
Fredric M. Wolf ◽  
Lisa Sylvest Sherwood ◽  
Martha M. Funnell
Keyword(s):  
Health Care ◽  
Patient Education ◽  
Process Evaluation ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Diabetes Patient ◽  
Diabetes Research ◽  
Training Center ◽  
And Training

Evaluation of written patient education materials is a necessary part of pro viding education to pa tients with diabetes. Evaluation, however, is useful only if the needs of both those who use the materials (patients) and those who recommend and distribute the materials (health care professionals) are considered. Eight booklets in the "Life with Diabetes" patient educa tion series (developed by the Michigan Diabetes Research and Training Center) were evaluated by both health professionals and patients. Twenty-eight to 37 health professionals including nurses, dieti tians, and physicians evaluated each booklet. Their comments were used to revise and im prove the booklets before publication (formative or process evaluation).

scholarly journals Patient’s Utility for Various Attributes of Diabetes Care Services

2018 ◽  
Vol 8 (1) ◽  
pp. 1-9 ◽  
Author(s):  
Vinaytosh Mishra ◽  
Cherian Samuel ◽  
S. K. Sharma
Keyword(s):  
Health Care ◽  
Waiting Time ◽  
Diabetes Care ◽  
Care Service ◽  
Group Discussion ◽  
Health Care Service ◽  
Diabetic Patients ◽  
Relative Importance ◽  
Care Services

Diabetes is rising like an epidemic in India. The prevalence of diabetes in India has reached an alarming level of 72.95 millions. The purpose of this article is to assess the relative importance of various health care service attributes in diabetes care. Our study uses secondary research and focus group discussion to identify the attributes of a diabetes specialty clinic. The attributes included in the questionnaire were the quality of the care provide by the health care givers, spend per visit, hospitalization expense, waiting time and the distance to the hospital. Conjoint analysis was used to assess the relative importance of the attributes. It was found that the hospital’s quality was the most important attribute while the distance to the hospital was the attribute with the least importance. Although the quality of the hospital is the most important criterion in selecting a hospital in diabetes care, factors like waiting time, spend per visit, and hospitalization expense play an important role in the selection. We assess the relative importance of these factors for the diabetic patients in India. The study is first of its kind and could help policy makers in designing better health care services in diabetes care.

scholarly journals Medical Audit of the Quality of Diabetes Care

2011 ◽  
Vol 3 (1) ◽  
pp. 42-50 ◽  
Author(s):  
Abdulbari Bener ◽  
Mariam Abdulmalik ◽  
Mohammed Al-Kazaz ◽  
Abdul-Ghani Mohammed ◽  
Rahima Sanya ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Diabetes Care ◽  
Diabetic Patients ◽  
Primary Health ◽  
Primary Care Patients ◽  
Primary Health Care Centers ◽  
Health Care Centers

Objective: To assess the quality of diabetes care provided to patients attending primary care settings and hospitals in the State of Qatar. Design: Observational cohort study. Setting: The survey was carried out in primary health care centers and hospitals. Subjects and Methods: The study was conducted from January 2010 to August 2010 among diabetic patients attending primary health care centers and hospitals. Among the patients participating, 575 were from hospitals and 1103 from primary health care centers. Face-to-face interviews were conducted using a structured questionnaire including sociodemographic, clinical, and satisfaction score of the patients. Results: The mean age of the primary care diabetic patients was 46.1 ± 15.1 years and 44.5 ± 14.8 years for hospital patients ( P = .03). There was a significant difference observed in terms of age group, gender, marital status, occupation, and consanguinity of the diabetic patients in both medical settings ( P < .001). Overweight was less prevalent in primary care patients than in hospital diabetes mellitus patients (40.4% vs 46.4%). A significant variation was observed in the mean values of blood glucose (−0.76), HbA1C (−0.78), LDL (−0.01), albumin (−0.37), bilirubin (−0.76), and triglyceride (−0.01) in primary care patients compared to the mean values of the preceding year. Overall, complications were lower in primary care diabetic patients, and patients attending primary care were more satisfied with the diabetes care. Conclusion: The present study revealed that in general, primary health care provided a better quality of care to diabetic patients compared to that of hospitals. Also, primary care patients had a better satisfaction score towards diabetes care.

scholarly journals Presentations and complications of diabetes patients presenting to diabetic clinic of Eastern Nepal

2014 ◽  
Vol 9 (3) ◽  
pp. 25-30
Author(s):  
Nabin Kumar Singh ◽  
Niraj Kumar Shah ◽  
Amit Bhandari ◽  
Subhash Pandey ◽  
Sanjib Jumar Sharma
Keyword(s):  
Diabetes Mellitus ◽  
Diabetes Care ◽  
Demographic Data ◽  
Diabetes Patient ◽  
Health Sciences ◽  
Comorbid Condition ◽  
Diabetic Patients ◽  
Medical Sciences ◽  
Long Duration ◽  
Time Of Presentation

Objective Diabetes mellitus leads to damage, dysfunction and failure of various organs especially eyes, kidneys, nerves and heart. The latency of occurence of hyperglycemia and diagnosis may be of long duration. This study was aimed to find out the mode of presetation of diabetes mellitus in diabetic patients attending out patients clinic of B P Koirala Institute of Health Sciences. Associated complications and comorbid condition present at the time of presenation were also studied.Methods The diabetic patients attending the Diabetic Out Patient Clinic of B P Koirala Institute of Health Sciences during June 2006 to June 2007 were included in this study.The patients details were collected from the predefined Proforma for diabetes patient from the database. This included demographic data, biochemical parameters and diabetic complications. For the purpose of study a total of 775 patients were randomly selected.The Data collected were entered and analysed using excel and SPSS(version 11.5)Results Out of 775 cases 436 (56.3%) were male and 339(43.7%) were female. Majority of patients 81.55% (n=632) had osmotic sympmtoms or symptoms related to complication of diabetes at the time of presentation to the clinic. Asymptomatic patient constituted 18.45% (n=143). The most common presenting complaints were polyuria (44.58%), followed by polydypsia (39.62%) and polyphagia (24.88%). About 54.97% (n=426) had symptoms of complications related to diabetes. Among them most common complication was neurological (39.67%), followed by renal (10.8%) metabolic (4.93%), cardiac(4.46%), autonomic neuropathy (4.93%) and peripheral vascular disease (3.99%).Conclusion Majority of the patients presenting in our OPD had osmotic symptoms or symptoms related to complication of diabetes. Access to diabetes care and lack of awareness of the disease and its complication might had contributed to this. Community awareness, program for early detection and managemnet may help proper diabetes care and prevention of complications.   Journal of College of Medical Sciences-Nepal, 2013, Vol-9, No-3, 25-30

scholarly journals Health professionals’ perceptions about physical activity promotion in diabetes care within primary health care settings in Oman

Heliyon ◽  
2017 ◽  
Vol 3 (12) ◽  
pp. e00495 ◽  
Author(s):  
Thamra S. Alghafri ◽  
Saud M. Alharthi ◽  
Samiya Al-balushi ◽  
Yahya Al-Farsi ◽  
Zakiya Al-busaidi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Primary Health Care ◽  
Diabetes Care ◽  
Health Professionals ◽  
Physical Activity Promotion ◽  
Health Care Settings ◽  
Primary Health ◽  
Activity Promotion ◽  
Primary Health Care Settings

Evaluating a Workshop Model for Improving Diabetes Patient Education Programs: Is It Really Successful?

1986 ◽  
Vol 12 (1) ◽  
pp. 48-50 ◽  
Author(s):  
Sandy Cook ◽  
Rita M. Cohen
Keyword(s):  
Patient Education ◽  
Health Professionals ◽  
Cost Effective ◽  
Diabetes Patient ◽  
Education Programs ◽  
Commitment To Change ◽  
Effective Manner ◽  
Workshop Model

Over a threx-year period, 54 health professionals at tended three two-day workshops designed to improve diabetes patient education programs, par ticularly program manage ment and evaluation of skills. A commitment-to- change strategy was used to determine the long-term effectiveness of the workshops. Fifty-nine per cent overall of the com mitments to change were reported as attained in the six-month follow-up surveys. The evidence suggests not only that the workshops were suc cessful, but that measurable changes in participants' programs can be attained in a cost- effective manner.

DEVELOPING A PRIORITIZED LIST OF INNOVATIVE TECHNOLOGIES: THE SPANISH EXPERIENCE

2014 ◽  
Vol 30 (6) ◽  
pp. 626-633 ◽  
Author(s):  
Leonor Varela-Lema ◽  
Ramón De La Fuente-Cid ◽  
Marisa López-García
Keyword(s):  
Health Care ◽  
Health Professionals ◽  
Emerging Technologies ◽  
Intraclass Correlation ◽  
Medical Specialty ◽  
Innovative Technologies ◽  
Medline Search ◽  
Horizon Scanning ◽  
Self Administered Questionnaire ◽  
Selection Of

Objectives: Selecting technologies for formal assessment poses a great challenge to health technology assessment agencies. This study aims to contribute to the creation of a reference framework for the identification, filtering, and prioritization of new and emerging technologies which could be demanded in clinical practice within the next 1–2 years.Methods: Technologies were identified using a prevalidated systematic Medline strategy. They were classified by medical specialty and then sent to selected professionals belonging to the medical units or areas responsible for their application, until there was a minimum of three participants per health care setting. A self-administered questionnaire was drawn up and health professionals were asked to: (1) assess the degree of innovation of the technologies, and (11) score their foreseeable clinical impact on the basis of predefined prioritization criteria (n = 4). Intra-rater reliability was analyzed using the intraclass correlation coefficient (ICC).Results: The Medline search yielded 246 potentially relevant technologies. When analyzed by health care area or unit, sixty-eight were deemed to be high-impact innovative technologies (median score >6), with ICCs ranging from 0.03 to 0.83. The final list resulting from the aggregate analysis comprised fifty-one technologies.Conclusions: This study constitutes an innovative contribution to horizon scanning, providing a systematic and reproducible basis for the identification and selection of relevant new and emerging technologies based on the views and values of health professionals involved in their use. In our opinion, the current proposal could be helpful and useful to many other organizations worldwide, serving to complement already existing strategies.

scholarly journals Coronary artery disease patients experience of patient education, follow up and self care support in rural areas of Iceland

2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
T Johannsdottir ◽  
MH Svavarsdottir ◽  
B Ingadottir
Keyword(s):  
Health Care ◽  
Patient Education ◽  
Health Professionals ◽  
Rural Areas ◽  
Self Care ◽  
Local Area ◽  
Lifestyle Changes ◽  
Public Institution ◽  
Local Health ◽  
Care Support

Abstract Funding Acknowledgements Type of funding sources: Public Institution(s). Main funding source(s): Icelandic regional development institute, The Icelandic Nurse´s Association, RHA-University of Akureyri, HSA, The Health Directorate of East-Iceland. OnBehalf KRANS People living in rural Iceland have higher rate of cardiovascular risk factors, healthcare utilization and death and worse self-reported health than people in urban areas. The aim of this qualitative study was to explore the experience of people with coronary heart disease, living in rural Iceland, of patient education, surveillance, and self-care support. The participants (N = 14, age 52-79 years, 8 male, 6 female) were interviewed 6-12 months after hospital discharge following a cardiac event (in 2018-2019). Systematic text-condensation was used for analysis. The findings were categorized into three main themes: 1) Education and support describes inadequate patient education and support from health professionals after discharge from hospital and how the internet was the main information source supplemented with spouse’s and family support. 2) Local health care services describe the lack of and importance of access to health professionals, stable services and underutilization of primary health care in the local area. 3) Self-care behavior describes the lack of professional support with lifestyle changes and how the participants manage self-care in their local area as well as their attitude towards the disease. In conclusion, the results indicate that access to continuous health services and person-centered support focusing on prevention strategies is widely impaired in rural areas in Iceland.

The European Perspective of E-Health and a Framework for its Economic Evaluation

2010 ◽  
pp. 28-36
Author(s):  
Paola Di Giacomo
Keyword(s):  
Health Care ◽  
Economic Evaluation ◽  
Health Professionals ◽  
Therapeutic Effectiveness ◽  
Evaluation Technique ◽  
European Perspective ◽  
Biomedical Technologies ◽  
Analysis Of Alternatives ◽  
Health Applications ◽  
Selection Of

E-health is a priority of the European i2010 initiative, which aims to provide safe and interoperable information systems for patients and health professionals throughout Europe. Moreover, the use of electronic storing and transmission of data to patients is increasing while through the deployment of e-health applications, health care is improved in terms of waiting time for patients. The concentration results from the cumulative incidence of chronic-degenerative pathologies, the greater utilization of biomedical technologies, and the increased health services demand. Finally, the interest towards electromechanical systems means the realization of tools of small dimensions, which have tremendous advantages thanks to their invasivity and greater diagnostic-therapeutic effectiveness. Therefore, an economic analysis has to take into consideration the use of biomedical technology, the analysis of alternatives, the selection of the economic evaluation technique, and the identification and quantification of the costs and benefits.

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