Expectations held by type 1 and 2 diabetes mellitus patients and their relatives: the importance of facilitating the health-care process

Aim  To understand the expectations held by type 1 and 2 diabetes mellitus (DM 1 & 2) patients and their relatives regarding the health‐care provided to them. Design  Qualitative. Focus groups. Setting and participants  Andalusia. A theoretical sample that includes the most characteristic profil...

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Veröffentlicht in:Health expectations : an international journal of public participation in health care and health policy 2007-12, Vol.10 (4), p.337-349
Hauptverfasser: Escudero-Carretero, María J., Prieto-Rodríguez, MaÁngeles, Fernández-Fernández, Isabel, March-Cerdá, Joan Carles
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container_title Health expectations : an international journal of public participation in health care and health policy
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creator Escudero-Carretero, María J.
Prieto-Rodríguez, MaÁngeles
Fernández-Fernández, Isabel
March-Cerdá, Joan Carles
description Aim  To understand the expectations held by type 1 and 2 diabetes mellitus (DM 1 & 2) patients and their relatives regarding the health‐care provided to them. Design  Qualitative. Focus groups. Setting and participants  Andalusia. A theoretical sample that includes the most characteristic profiles. Thirty‐one subjects with DM. Segmentation characteristics: receiving health‐care for DM in Primary or Specialized care, living in urban and rural areas, men and women, age, varying diagnosis times, DM course and consequences. Subjects were recruited by health‐care professionals at reference care centres. Results  Patients expect their health‐care professionals to be understanding, to treat them with kindness and respect, to have good communication skills, to provide information in a non‐authoritarian manner while fully acknowledging patients’ know‐how. Regarding the health‐care system, their expectations focus on the system’s ability to respond when required to do so, through a relevant professional, along with readily available equipment for treatment. The expectations of people affected by DM1 focus on leading a normal life and not having their educational, labour, social and family opportunities limited by the disease. Expectations in people with DM2 tend towards avoiding what they know has happened to other patients. Conclusions  ‘Facilitating’, is a key word. Both the health‐care system and its professionals must pay keener attention to the emotional aspects of the disease and its process, adopting a comprehensive approach to care. It is vital that health‐care professionals take an active interest in the course of their patient’s disease, promoting accessibility and an atmosphere of trust and flexibility.
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Design  Qualitative. Focus groups. Setting and participants  Andalusia. A theoretical sample that includes the most characteristic profiles. Thirty‐one subjects with DM. Segmentation characteristics: receiving health‐care for DM in Primary or Specialized care, living in urban and rural areas, men and women, age, varying diagnosis times, DM course and consequences. Subjects were recruited by health‐care professionals at reference care centres. Results  Patients expect their health‐care professionals to be understanding, to treat them with kindness and respect, to have good communication skills, to provide information in a non‐authoritarian manner while fully acknowledging patients’ know‐how. Regarding the health‐care system, their expectations focus on the system’s ability to respond when required to do so, through a relevant professional, along with readily available equipment for treatment. The expectations of people affected by DM1 focus on leading a normal life and not having their educational, labour, social and family opportunities limited by the disease. Expectations in people with DM2 tend towards avoiding what they know has happened to other patients. Conclusions  ‘Facilitating’, is a key word. Both the health‐care system and its professionals must pay keener attention to the emotional aspects of the disease and its process, adopting a comprehensive approach to care. 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2) patients and their relatives regarding the health‐care provided to them. Design  Qualitative. Focus groups. Setting and participants  Andalusia. A theoretical sample that includes the most characteristic profiles. Thirty‐one subjects with DM. Segmentation characteristics: receiving health‐care for DM in Primary or Specialized care, living in urban and rural areas, men and women, age, varying diagnosis times, DM course and consequences. Subjects were recruited by health‐care professionals at reference care centres. Results  Patients expect their health‐care professionals to be understanding, to treat them with kindness and respect, to have good communication skills, to provide information in a non‐authoritarian manner while fully acknowledging patients’ know‐how. Regarding the health‐care system, their expectations focus on the system’s ability to respond when required to do so, through a relevant professional, along with readily available equipment for treatment. The expectations of people affected by DM1 focus on leading a normal life and not having their educational, labour, social and family opportunities limited by the disease. Expectations in people with DM2 tend towards avoiding what they know has happened to other patients. Conclusions  ‘Facilitating’, is a key word. Both the health‐care system and its professionals must pay keener attention to the emotional aspects of the disease and its process, adopting a comprehensive approach to care. It is vital that health‐care professionals take an active interest in the course of their patient’s disease, promoting accessibility and an atmosphere of trust and flexibility.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>17986070</pmid><doi>10.1111/j.1369-7625.2007.00452.x</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record>
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source Wiley Online Library Open Access
subjects Access
Accessibility
Adolescent
Adult
Aged
Aged, 80 and over
Beliefs and Expectations about Health Services
Communication skills
Diabetes
Diabetes mellitus
Diabetes mellitus (insulin dependent)
diabetes mellitus 1 & 2
Diabetes Mellitus, Type 1 - psychology
Diabetes Mellitus, Type 2 - psychology
Emotions
Family - psychology
Female
Flexibility
Focus Groups
Health care
Health services
Humans
informal care
Kindness
Knowledge management
Male
Medical diagnosis
Medical personnel
Medicine
Middle Aged
National service
patient expectations
Patient Satisfaction
patient views
patient-centred care
Patients
qualitative design
Qualitative research
Quality of Health Care
Quality of life
Relatives
Rural areas
Rural communities
Segmentation
Social sciences
Systematic review
Type 1 diabetes mellitus
Women
title Expectations held by type 1 and 2 diabetes mellitus patients and their relatives: the importance of facilitating the health-care process
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