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Doctors' and nurses' views on patient care for type 2 diabetes: an interview study in primary health care in Oman.
Karolinska Inst, Dept Publ Hlth Sci, Div Global Hlth IHCAR, SE-17177 Stockholm, Sweden.; Minist Hlth, Dept Hlth Affairs, Muscat, Oman.
Sultan Qaboos Univ, Coll Med & Hlth Sci, Dept Family Med & Publ Hlth, Muscat, Oman.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine. Karolinska Inst, Dept Publ Hlth Sci, Div Global Hlth IHCAR, SE-17177 Stockholm, Sweden.
Linnaeus Univ, Sch Hlth & Caring Sci, Vaxjo, Sweden.
2013 (English)In: Primary Health Care Research and Development, ISSN 1463-4236, E-ISSN 1477-1128, Vol. 14, no 3, 258-69 p.Article in journal (Refereed) Published
Abstract [en]

AIM: This study aimed at exploring the experiences of primary health-care providers of their encounters with patients with type 2 diabetes, and their preferences and suggestions for future improvement of diabetes care.

BACKGROUND: Barriers to good diabetes care could be related to problems from health-care providers' side, patients' side or the health-care system of the country. Treatment of patients with type 2 diabetes has become a huge challenge in Oman, where the prevalence has increased to high levels.

METHOD: Semi-structured interviews were conducted with 26 health-care professionals, 19 doctors and seven nurses, who worked in primary health care in Oman. Qualitative content analysis was applied. Findings Organizational barriers and barriers related to patients and health-care providers were identified. These included workload and lack of teamwork approach. Poor patients' management adherence and influence of culture on their attitudes towards illness were identified. From the providers' side, language barriers, providers' frustration and aggressive attitudes towards the patients were reflected. Decreasing the workload, availability of competent teams with diabetes specialist nurses and continuity of care were suggested. Furthermore, changing professional behaviours towards a more patient-centred approach and need for health education to the patients, especially on self-management, were addressed. Appropriate training for health-care providers in communication skills with emphasis on self-care education and individualization of care according to each patient's needs are important for improvement of diabetes care in Oman.

Place, publisher, year, edition, pages
2013. Vol. 14, no 3, 258-69 p.
National Category
Family Medicine
Identifiers
URN: urn:nbn:se:uu:diva-245302DOI: 10.1017/S146342361200062XISI: 000209619100006PubMedID: 23259934OAI: oai:DiVA.org:uu-245302DiVA: diva2:791067
Available from: 2015-02-26 Created: 2015-02-26 Last updated: 2016-11-03Bibliographically approved

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