文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

卡塔尔基层医疗环境中管理糖尿病使其超出目标糖化血红蛋白水平时的关键服务提供流程、医疗服务获取方面的挑战与障碍:对医疗专业人员和服务使用者观点的定性调查

Key service delivery processes, challenges and barriers to healthcare access for managing diabetes outside target HbA1c levels in primary care settings in Qatar: a qualitative inquiry of healthcare professionals' and service users' perspectives.

作者信息

Syed Muslim Abbas, Zainel Abduljaleel Abdullatif, Alnuaimi Ahmed Sameer, Veettil Shajitha Thekke, Syed Mohamed Ahmed

机构信息

Clinical Research Department, Primary Health Care Corporation, Doha, Qatar.

出版信息

BMJ Public Health. 2025 Apr 9;3(1):e001969. doi: 10.1136/bmjph-2024-001969. eCollection 2025.


DOI:10.1136/bmjph-2024-001969
PMID:40433075
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12107455/
Abstract

INTRODUCTION: Globally, diabetes constitutes a major proportion of non-communicable diseases. Qatar has one of the highest prevalences of diabetes worldwide and a high proportion of people visiting non-communicable disease clinics in primary care settings have diabetes. A significant percentage of people with diabetes in Qatar have glycosylated haemoglobin (HbA1c) levels outside the target range. The aim of this study is to explore the perspectives of people with diabetes, whose HbA1c is above target range, and healthcare providers (HCPs) who are directly involved in the management of care of their disease condition within primary care settings. The key objectives of the study include highlighting the key components of service delivery mechanisms and expectations of both service care providers and people living with diabetes to identify the existing gaps and generate recommendations for improving the quality of services. METHODS: The study design was qualitative research. A focus group discussion was conducted among HCPs (n=23) mainly comprising family medicine physicians, ophthalmologists, dieticians, nurses, health educators and pharmacists who are directly involved in supporting (caring for) people with diabetes to manage their condition and currently working in primary health centres in the state of Qatar. People with diabetes and an HbA1c greater than 7% over the previous 6 months were recruited to participate in telephone interviews by non-probability convenience sampling. The results of the study are reported in accordance with the Consolidated Criteria for Reporting Qualitative Research and the Standards for Reporting Qualitative Research guidelines. RESULTS: The main themes that emerged from the interviews with people with diabetes included (1) desirable attributes of physician, (2) medication, (3) privacy and confidentiality, (4) exclusive services and (5) recommendations to improve the services. Among the key recommendations to improve the existing services, the HCPs emphasised the need to introduce an integrated model of care composed of a multidisciplinary team of HCPs mainly prioritising and targeting high-risk patients. The integration of medical and social models of care as well as innovative interventions such as introducing social support groups, peer support, strengthening health literacy channels, artificial intelligence-powered applications and life coaches to support people with diabetes and elevated HbA1c to improve self-management were also suggested by HCPs. DISCUSSION: Strengthening health literacy and communication channels, implementing an integrated model of care, and testing innovative interventions (such as social support groups, artificial intelligence-powered applications and life coaches) by conducting high-quality research can improve the existing healthcare services for management of diabetes. These proposed strategies can improve self-care and timely administration of medication, help achieve desired health outcomes, reduce the burden of disease and associated costs to the healthcare system and further substantiate evidence-based patient-centred care.

摘要

引言:在全球范围内,糖尿病在非传染性疾病中占很大比例。卡塔尔是全球糖尿病患病率最高的国家之一,在初级保健机构就诊的非传染性疾病患者中有很大一部分患有糖尿病。卡塔尔相当一部分糖尿病患者的糖化血红蛋白(HbA1c)水平超出目标范围。本研究旨在探讨HbA1c高于目标范围的糖尿病患者以及在初级保健机构直接参与其疾病护理管理的医疗服务提供者(HCPs)的观点。该研究的主要目标包括突出服务提供机制的关键组成部分以及服务提供者和糖尿病患者的期望,以识别现有差距并提出改善服务质量的建议。 方法:本研究设计为定性研究。对主要由家庭医学医生、眼科医生、营养师、护士、健康教育工作者和药剂师组成的23名HCPs进行了焦点小组讨论,他们直接参与支持(护理)糖尿病患者管理病情,目前在卡塔尔国的初级保健中心工作。通过非概率便利抽样,招募过去6个月HbA1c大于7%的糖尿病患者参与电话访谈。本研究结果按照《定性研究报告综合标准》和《定性研究报告标准指南》进行报告。 结果:对糖尿病患者访谈中出现的主要主题包括:(1)医生的理想特质;(2)药物治疗;(3)隐私与保密;(4)专属服务;(5)改善服务的建议。在改善现有服务的关键建议中,HCPs强调需要引入一种由多学科HCPs团队组成的综合护理模式,主要针对高危患者并将其作为优先事项。HCPs还建议将医疗和社会护理模式相结合,以及采用创新干预措施,如引入社会支持小组、同伴支持、加强健康素养渠道、人工智能驱动的应用程序和生活教练,以支持糖尿病患者和HbA1c升高的患者改善自我管理。 讨论:通过开展高质量研究,加强健康素养和沟通渠道、实施综合护理模式以及测试创新干预措施(如社会支持小组、人工智能驱动的应用程序和生活教练),可以改善现有的糖尿病医疗服务。这些提议的策略可以改善自我护理和药物的及时使用,有助于实现理想的健康结果,减轻疾病负担和医疗系统的相关成本,并进一步证实以患者为中心的循证护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e98f/12107455/15735833ae59/bmjph-3-1-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e98f/12107455/d6cd528a3c67/bmjph-3-1-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e98f/12107455/15735833ae59/bmjph-3-1-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e98f/12107455/d6cd528a3c67/bmjph-3-1-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e98f/12107455/15735833ae59/bmjph-3-1-g002.jpg

相似文献

[1]
Key service delivery processes, challenges and barriers to healthcare access for managing diabetes outside target HbA1c levels in primary care settings in Qatar: a qualitative inquiry of healthcare professionals' and service users' perspectives.

BMJ Public Health. 2025-4-9

[2]
How lived experiences of illness trajectories, burdens of treatment, and social inequalities shape service user and caregiver participation in health and social care: a theory-informed qualitative evidence synthesis.

Health Soc Care Deliv Res. 2025-6

[3]
Home treatment for mental health problems: a systematic review.

Health Technol Assess. 2001

[4]
Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID-19.

Cochrane Database Syst Rev. 2022-5-20

[5]
How to Implement Digital Clinical Consultations in UK Maternity Care: the ARM@DA Realist Review.

Health Soc Care Deliv Res. 2025-5-21

[6]
Stakeholders' perceptions and experiences of factors influencing the commissioning, delivery, and uptake of general health checks: a qualitative evidence synthesis.

Cochrane Database Syst Rev. 2025-3-20

[7]
Effects of consumers and health providers working in partnership on health services planning, delivery and evaluation.

Cochrane Database Syst Rev. 2021-9-15

[8]
The use of Open Dialogue in Trauma Informed Care services for mental health consumers and their family networks: A scoping review.

J Psychiatr Ment Health Nurs. 2024-8

[9]
Exercise interventions and patient beliefs for people with hip, knee or hip and knee osteoarthritis: a mixed methods review.

Cochrane Database Syst Rev. 2018-4-17

[10]
Interventions for interpersonal communication about end of life care between health practitioners and affected people.

Cochrane Database Syst Rev. 2022-7-8

本文引用的文献

[1]
Epidemiological Investigation of Disease Patterns, Accessibility, and Patient Characteristics Following the Introduction of Dermatology Specialty Clinics Within Primary Care Settings in Qatar.

Cureus. 2024-11-4

[2]
Randomized Controlled Trials of Artificial Intelligence in Clinical Practice: Systematic Review.

J Med Internet Res. 2022-8-25

[3]
The move towards integrated care: Lessons learnt from managing patients with multiple morbidities in the UK.

Health Policy. 2022-8

[4]
Effectiveness of Integrated Diabetes Care Interventions Involving Diabetes Specialists Working in Primary and Community Care Settings: A Systematic Review and Meta-Analysis.

Int J Integr Care. 2022-5-12

[5]
Barriers to Effective Diabetes Mellitus Self-Management (DMSM) Practice for Glycemic Uncontrolled Type 2 Diabetes Mellitus (T2DM): A Socio Cultural Context of Indonesian Communities in West Sulawesi.

Eur J Investig Health Psychol Educ. 2019-11-26

[6]
Integrated Care model: Transition from acute to chronic care.

Rev Bras Enferm. 2021

[7]
Toward Understanding Social Needs Among Primary Care Patients With Uncontrolled Diabetes.

J Prim Care Community Health. 2021

[8]
Are people with uncontrolled diabetes mellitus at high risk of reinfections with COVID-19?

Prim Care Diabetes. 2021-2

[9]
"Why Am I Not Taking Medications?" Barriers and Facilitators of Diabetes Medication Adherence Across Different Health Literacy Levels.

Qual Health Res. 2020-12

[10]
The Probability of A1C Goal Attainment in Patients With Uncontrolled Type 2 Diabetes in a Large Integrated Delivery System: A Prediction Model.

Diabetes Care. 2020-8

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索