scholarly journals Perceived Barriers, Benefits, Facilitators, and Attitudes of Health Professionals Towards Type 2 Diabetes Management in Oujda, Morocco: A Qualitative Focus Group Study

2022 ◽  
Author(s):  
Usman Sani Dankoly ◽  
Dirk Vissers ◽  
Souad Ben El Mostafa ◽  
Abderrahim Ziyyat ◽  
Bart Van Rompaey ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Integrated Care ◽  
Integrated Approach ◽  
Working Environment ◽  
Perceived Barriers ◽  
Care Staff ◽  
Local Context ◽  
Structured Care ◽  
Care Approach

Abstract Background: In Morocco, the treatment of type 2 diabetes (T2D) is mainly focused on medication and only 2% of patients are coached towards a healthier lifestyle. In Oujda, Eastern Morocco the prevalence of T2D is 10.2%, and the current trend is alarming, especially for women. Therefore, the aim of this study is to explore healthcare professionals' (HCP) views about the perceived barriers and benefits towards an integrated care approach in primary healthcare centers (PHCCs) to T2D management in Oujda.Methods: A descriptive study using focus groups in 8 PHCCs. This resulted in a sample of 5 doctors and 25 nurses caring for diabetes patients. The transcripts of all conversations were coded to allow for thematic analysis.Results: The participants mentioned different barriers to an integrated approach of DM management:: excessive workload; poor reimbursement policy; lack of staff and equipment; interrupted drug supply; poor working environment; limited referral; gap in the knowledge of general practitioners; health beliefs; poverty; advanced age; gender; the use of psychotropic drugs. An integrated approach could be facilitated by simplified electronic records and referral; uninterrupted free care; staff recruitment; continuous professional development; internships. Benefits: structured care; promotion of care in PHCCs; empowerment of self-management.Conclusion: HCP views reflect the urge to strengthen the management of T2D in PHCCs. There is a need for HCP with expertise in physical activity and nutrition to solve the current gap in the multidisciplinary integrated care approach. The specific local context can contribute to patients' reluctance to change their lifestyles and is a challenge to provide care in an efficient and sustainable manner. More research is needed to see how a patient-centered multidisciplinary approach to T2D management can help motivate patients in Morocco to change to a healthier lifestyle.

2268-PUB: Level of Physical Activity and Perceived Barriers to Exercise in Adults with Type 2 Diabetes in Argentina

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 2268-PUB
Author(s):  
CAROLINA GOMEZ MARTIN ◽  
MARIA L. POMARES ◽  
CAROLINA M. MURATORE ◽  
SUSANA APOLONI ◽  
PABLO J. AVILA ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Perceived Barriers ◽  
Barriers To Exercise

Ontology Based Personalized Modeling for Type 2 Diabetes Risk Analysis: An Integrated Approach

2009 ◽  
pp. 360-366 ◽  
Author(s):  
Anju Verma ◽  
Maurizio Fiasché ◽  
Maria Cuzzola ◽  
Pasquale Iacopino ◽  
Francesco C. Morabito ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Risk Analysis ◽  
Integrated Approach ◽  
Diabetes Risk

scholarly journals Relevant patient characteristics for guiding tailored integrated diabetes primary care: a systematic review

2018 ◽  
Vol 19 (5) ◽  
pp. 424-447 ◽  
Author(s):  
Dorijn F.L. Hertroijs ◽  
Arianne M.J. Elissen ◽  
Martijn C.G.J. Brouwers ◽  
Nicolaas C. Schaper ◽  
Dirk Ruwaard
Keyword(s):  
Type 2 Diabetes ◽  
Primary Care ◽  
Longitudinal Studies ◽  
Integrated Care ◽  
Patient Characteristics ◽  
Care Utilization ◽  
Related Effect ◽  
Care Needs ◽  
Cross Sectional

AimTo identify which patient-related effect modifiers influence the outcomes of integrated care programs for type 2 diabetes in primary care.BackgroundIntegrated care is a widespread management strategy for the treatment of type 2 diabetes. However, most integrated care programs are not tailored to patients’ needs, preferences and abilities. There is increasing consensus that such a patient-centered approach could improve the management of type 2 diabetes. Thus far, it remains unclear which patient-related effect modifiers should guide such an approach.MethodsPubMed, CINAHL and EMBASE were searched for empirical studies published after 1998. A systematic literature review was conducted according to the PRISMA guidelines.FindingsIn total, 23 out of 1015 studies were included. A total of 21 studies measured the effects of integrated diabetes care programs on hemoglobin A1c (HbA1c) and three on low-density lipoprotein cholesterol, systolic blood pressure and health-care utilization. In total, 49 patient characteristics were assessed as potential effect modifiers with HbA1c as an outcome, of which 46 were person or health-related and only three were context-related. Younger age, insulin therapy and longer disease duration were associated with higher HbA1c levels in cross-sectional and longitudinal studies. Higher baseline HbA1c was associated with higher HbA1c at follow-up in longitudinal studies. Information on context- and person-related characteristics was limited, but is necessary to help identify the care needs of individual patients and implement an effective integrated type 2 diabetes tailored care program.

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