Healthcare professional views of a diabetes review postal box: A qualitative study.

IF 3.2 3区 医学 Q2 ENDOCRINOLOGY & METABOLISM
Jack Colley, Sian Holt, Lucy Smith, Glenn Simpson, Hajira Dambha-Miller, Hermione Price
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Abstract

Background: Non-attendance at diabetes appointments is common, 1-4 and associated with higher HbA1c levels, reduced medication taking, and increased complications. 1-45 Barriers to attendance are multifactorial including both logistical and psychosocial factors. 6-11 A proposed solution is the implementation of a postal diabetes annual review box enabling self-collection of blood and urine samples, and measurement of blood pressure and weight.

Aim: To explore the views of Healthcare Professionals (HCPs) who are involved in the organisation or delivery of diabetes care regarding the acceptability and implementation of a postal box as part of the diabetes annual review.

Method: We conducted a qualitative study recruiting HCPs into semi-structured interviews and focus groups. Collected data were analysed using an inductive approach and following the principles of reflexive thematic analysis12.

Results: Twenty-one HCPs participated in the study. HCPs felt that a postal box could overcome many individual and service factors contributing to non-attendance. They felt the box could encourage self-management behaviours and could be used as a tool for communication. HCPs recognised that the postal box could free up time in appointments to focus on holistic care delivery without further stretching limited resources. HCPs were concerned about the possible additional administrative burden a postal box might create, and the public perception of an intervention which could reduce face-to-face care.

Conclusion: Healthcare professionals seem receptive to the idea of a postal diabetes annual review box and feel it has the potential to offer people with diabetes an improved quality of care.

医疗保健专业人员对糖尿病评论信箱的看法:一项定性研究。
背景:糖尿病预约不出席是很常见的,1-4并且与HbA1c水平升高、服药减少和并发症增加有关。1-45出席障碍是多方面的,包括后勤和社会心理因素。6-11一项拟议的解决办法是实施邮政糖尿病年度审查箱,以便自行收集血液和尿液样本,并测量血压和体重。目的:探讨参与组织或提供糖尿病护理的卫生保健专业人员(HCPs)对作为糖尿病年度审查一部分的邮政信箱的可接受性和实施的看法。方法:采用半结构化访谈和焦点小组访谈的方式进行定性研究。收集到的数据使用归纳方法并遵循反身主题分析的原则进行分析。结果:21名HCPs参与了研究。医护人员认为,邮政信箱可以克服许多个人和服务因素,导致不出席。他们认为这个盒子可以鼓励自我管理行为,也可以作为一种沟通工具。医护人员认识到,邮政信箱可以腾出预约时间,专注于整体护理服务,而不会进一步占用有限的资源。卫生保健服务提供者担心邮筒可能造成额外的行政负担,以及公众认为干预可能减少面对面护理。结论:医疗保健专业人员似乎接受邮寄糖尿病年度审查箱的想法,并认为它有可能为糖尿病患者提供更高质量的护理。
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来源期刊
Diabetic Medicine
Diabetic Medicine 医学-内分泌学与代谢
CiteScore
7.20
自引率
5.70%
发文量
229
审稿时长
3-6 weeks
期刊介绍: Diabetic Medicine, the official journal of Diabetes UK, is published monthly simultaneously, in print and online editions. The journal publishes a range of key information on all clinical aspects of diabetes mellitus, ranging from human genetic studies through clinical physiology and trials to diabetes epidemiology. We do not publish original animal or cell culture studies unless they are part of a study of clinical diabetes involving humans. Categories of publication include research articles, reviews, editorials, commentaries, and correspondence. All material is peer-reviewed. We aim to disseminate knowledge about diabetes research with the goal of improving the management of people with diabetes. The journal therefore seeks to provide a forum for the exchange of ideas between clinicians and researchers worldwide. Topics covered are of importance to all healthcare professionals working with people with diabetes, whether in primary care or specialist services. Surplus generated from the sale of Diabetic Medicine is used by Diabetes UK to know diabetes better and fight diabetes more effectively on behalf of all people affected by and at risk of diabetes as well as their families and carers.”
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