Diabetic patients’ journey in healthcare: a multi-method, multi-center study proposal

Autor: ÇİFÇİLİ, SALİHA SERAP, SUR ÜNAL, ÜLKÜ
Přispěvatelé: Güneş Erçetin E. D., Çifçili S. S., Fenercioğlu A., Sur Ünal Ü., Lazıc V., Özbek A. M., Örmeci Alioğlu E. L.
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Family Medicine
SAĞLIK BAKIM BİLİMLERİ VE HİZMETLERİ
Tıbbi Sekreterlik ve Transkripsiyon
Medicine (miscellaneous)
Aile Hekimliği
Sağlık Bilimleri
Health Professions (miscellaneous)
Clinical Medicine (MED)
TIP
GENEL & DAHİLİ
Bakım Planlaması
Health Information Management
Klinik Tıp (MED)
MEDICINE
GENERAL & INTERNAL
Tıbbi Terminoloji
Medical Assisting and Transcription
Klinik Tıp
Toplum Sağlığı ve Evde Bakım
Health Policy
General Medicine
Liderlik ve Yönetim
HEALTH CARE SCIENCES & SERVICES
Tıp
Review and Exam Preparation
General Health Professions
diabetes mellitus
Medicine
Sağlık Meslekleri (çeşitli)
Tıp (çeşitli)
Family Practice
Leadership and Management
Gözden Geçirme ve Sınav Hazırlığı
Assessment and Diagnosis
Temel Bilgi ve Beceriler
Genel Tıp
Pathophysiology
Sağlık Politikaları
continuity of care
Sağlık Bilgi Yönetimi
Health Sciences
Internal Medicine
Aile Sağlığı
Care Planning
Dahiliye
Patofizyoloji
Community and Home Care
Internal Medicine Sciences
Fundamentals and Skills
operational research
Dahili Tıp Bilimleri
CLINICAL MEDICINE
Değerlendirme ve Teşhis
Medical Terminology
Genel Sağlık Meslekleri
Popis: Background: Diabetes Mellitus (DM) requires patients to adhere to several treatments, diagnostic examinations and admit to different health professionals. Thus patients face a complicated journey through the healthcare system. This journey might be affected by factors such as socio-cultural characteristics and healthcare services. One of the core competencies of family medicine, continuity of care, stands as a cornerstone to guide the patients in this complicated journey and is associated with decreased emergency department attendance, hospitalization, and mortality. Research questions: How can we describe diabetic patients’ journey in health systems with different integration levels by using existing data and operational research methods? How is this journey experienced by the patients? Does continuity of care facilitate this journey? Method: This multi-method, multi-country study will include adult patients with type 2 DM. Patients will be recruited by primary care physicians from participating countries by purposive sampling to ensure maximum variability in terms of age, literacy, gender and diabetes age. The quantitative part will be conducted as follows. Data will be retracted from electronic medical records. Process mining will be applied to describe the paths of patients in the system. This method uses event logs to describe the processes, check conformance to defined processes and analyze processes by defining cycle and waiting times at various stages and identifying bottlenecks. Stastistical analysis will be performed via R package. The level of continuity of primary care will be calculated using the Usual Provider Continuity index in which the numerator is the number of visits with “own” physician for a year and the denominator is the total number of visits with other physicians for the same year. The qualitative part will explore the behaviour and experiences of patients in their regular interactions with primary care physicians. For this, a phenomenological approach using semi-structured interviews is proposed.
Databáze: OpenAIRE
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