Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital, 17 Rue du Bugnon, CH-1005 Lausanne, Switzerland.
Diabetes Res Clin Pract. 2012 Aug;97(2):242-50. doi: 10.1016/j.diabres.2012.02.021. Epub 2012 Mar 27.
To explore, both among patients with diabetes and healthcare professionals, opinions on current diabetes care and the development of the "Regional Diabetes Program".
We employed qualitative methods (focus groups - FG) and used purposive sampling strategy to recruit patients with diabetes and healthcare professionals. We conducted one diabetic and one professional FG in each of the four health regions of the canton of Vaud/Switzerland. The eight FGs were audio-taped and transcribed verbatim. Thematic analysis was then undertaken.
Results showed variability in the perception of the quality of diabetes care, pointed to insufficient information regarding diabetes, and lack of collaboration. Participants also evoked patients' difficulties for self-management, as well as professionals' and patients' financial concerns. Proposed solutions included reinforcing existing structures, developing self-management education, and focusing on comprehensive and coordinated care, communication and teamwork. Patients and professionals were in favour of a "Regional Diabetes Program" tailored to the actors' needs, and viewed it as a means to reinforce existing care delivery.
Patients and professionals pointed out similar problems and solutions but explored them differently. Combined with coming quantitative data, these results should help to further develop, adapt and implement the "Regional Diabetes Program".
探讨糖尿病患者和医疗保健专业人员对当前糖尿病护理的看法，以及“区域糖尿病计划”的发展。
我们采用定性方法（焦点小组-FG），并采用目的性抽样策略招募糖尿病患者和医疗保健专业人员。我们在瑞士沃州的四个卫生区各进行了一个糖尿病患者和一个专业人员 FG。八个 FG 进行了录音，并逐字转录。然后进行了主题分析。
结果显示，对糖尿病护理质量的看法存在差异，指出有关糖尿病的信息不足，缺乏协作。参与者还提到了患者自我管理的困难，以及专业人员和患者的经济问题。提出的解决方案包括加强现有结构、开展自我管理教育，并注重全面协调的护理、沟通和团队合作。患者和专业人员赞成根据参与者需求定制的“区域糖尿病计划”，并认为这是加强现有护理服务的一种手段。
患者和专业人员指出了相似的问题和解决方案，但探讨的方式不同。结合即将到来的定量数据，这些结果应有助于进一步开发、调整和实施“区域糖尿病计划”。
