Obstacles to adherence in living with type-2 diabetes: An international qualitative study using meta-ethnography (EUROBSTACLE)
| Autor: | Henk A. van Dam, Etienne Vermeire, Frans van der Horst, Anneli Rätsep, Nevenka Vinter-Repalust, Paul Van Royen, Gwénola Levasseur, Johan Wens, Hilary Hearnshaw, Jeremy Dale, Davorina Petek |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
Male Health Knowledge Attitudes Practice medicine.medical_specialty Endocrinology Diabetes and Metabolism MEDLINE Context (language use) Qualitative property Body awareness Patient Education as Topic Nursing Surveys and Questionnaires Health care Internal Medicine Humans Medicine Anthropology Cultural Qualitative Research Aged Aged 80 and over Physician-Patient Relations Nutrition and Dietetics Primary Health Care business.industry Focus Groups Middle Aged Patient Acceptance of Health Care Focus group Europe Diabetes Mellitus Type 2 Meta-analysis Family medicine Female Family Practice business Qualitative research |
| Zdroj: | Primary care diabetes |
| ISSN: | 1751-9918 |
| DOI: | 10.1016/j.pcd.2006.07.002 |
| Popis: | Quantitative studies failed to determine variables which consistently explain adherence or non-adherence to treatment recommendations. Qualitative studies identified issues such as the quality of the health provider-health receiver relationship and the patient's health beliefs. According to these findings, 39 focus groups of 246 people living with type-2 diabetes were conducted in seven European countries, assessing health beliefs, communication with caregivers and problems encountered in adhering to treatment regimens. Meta-ethnography was later applied to make a qualitative meta-analysis. Obstacles to adherence are common across countries, and seem to be related less to issues of the health-care system and more to patient's knowledge about diabetes, beliefs and attitudes and the relationship with health-care professionals. The resulting key themes are course of diabetes, information, person and context, body awareness and relationship with the health care provider. Meta-ethnography is a feasible tool for the meta-analysis of multilingual qualitative data and leads to a richer account. |
| Databáze: | OpenAIRE |
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