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Alhyas, Layla; Nielsen, Jessica D Jones; Dawoud, Dalia; Majeed, Azeem (2013)
Publisher: Royal Society of Medicine Press
Journal: JRSM Short Reports
Languages: English
Types: Article
Subjects: RC, BF, Research

Classified by OpenAIRE into

mesheuropmc: education
OBJECTIVE: We aimed to identify facilitators of and barriers to healthcare professionals' motivation in a diabetes centre in the United Arab Emirates (UAE). \ud \ud DESIGN: A qualitative research approach was employed using semistructured interviews to assess perception of and attitudes regarding healthcare professionals' motivation in providing good quality diabetes care. \ud \ud SETTING: A diabetes centre located in Abu-Dhabi, UAE. \ud \ud PARTICIPANTS: Healthcare professionals including specialist physicians, dieticians, podiatrists, health educators and nurses were recruited through purposive sampling. \ud \ud MAIN OUTCOME MEASURES: After data collection, the audiotaped interviews were transcribed verbatim and subjected to content analysis. \ud \ud RESULTS: Nine semistructured interviews were conducted with healthcare professionals of various professional backgrounds. Important facilitators and barriers related to patient, professional, organization and cultural factors were identified. Barriers that related to heavy workload, disjointed care, lack of patient compliance and awareness, and cultural beliefs and attitudes about diabetes were common. Key facilitators included the patient's role in achieving therapeutic outcomes as well as compliance, cooperation and communication. \ud \ud CONCLUSION: This qualitative study provides some unique insights about factors affecting healthcare professionals' motivation in providing good quality care. To improve the motivation of healthcare professionals in the management of diabetes and therefore the quality of diabetes care, several steps are needed. Importantly, the role of primary care should be reinforced and strengthened regarding the management of type 2 diabetes mellitus, privacy of the consultation time should be highly protected and regulated, and awareness of the Emirate culture and its impact on health should be disseminated to the healthcare professionals providing care to Emirates with diabetes. Also, greater emphasis should be placed on educating Emiratis with diabetes on, and involving them in, the management of their condition.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • 1 Leatherman S, Sutherland K. The Quest for Quality in the NHS. A mid-term evaluation of the ten-year quality agenda. Nuffield Trust, 2003
    • 2 Department of Health. A First Class Service: Quality in the new NHS. Department of Health, 1998
    • 3 Mainous AG, Baker R, Koopman RJ, Saxena S, Diaz VA, et al. Impact of the population at risk of diabetes on projections of diabetes burden in the United States: an epidemic on the way. Diabetologia 2007;50:934-40
    • 4 Alhyas L, McKay A, Balasanthiran A, Majeed A. Quality of type 2 diabetes management in the states of the Co-operation Council for the Arab States of the Gulf: a systematic review. PLoS One 2011;6:e22186 (Epub 4 August 2011)
    • 5 van Dam HA, van der Horst F, van den Borne B, Ryckman R, Crebolder H. Provider-patient interaction in diabetes care: effects on patient self-care and outcomes. A systematic review. Patient Educ Couns 2003;51:17 - 28
    • 6 Norris SL, Chowdhury FM, Van Le K, et al. Effectiveness of community health workers in the care of persons with diabetes. Diabet Med 2006:544 - 56
    • 7 van Dam HA, van der Horst FG, Knoops L, et al. Social support in diabetes: a systematic review of controlled intervention studies. Patient Educ Couns 2005;59:1 - 12
    • 8 Wilson A, Childs S. The relationship between consultation length, process and outcomes in general practice: a systematic review. BMJ Gen Pract 2002;52:1012 - 20
    • 9 Khunti K. Use of multiple methods to determine factors affecting quality of care of patients with diabetes. Fam Pract 1999;16:489 - 94
    • 10 Pringle M, Stewart-Evans C, Coupland C, Williams L, Allison S, Sterland J. Influences on control in diabetes mellitus: patient, doctor, practice or delivery of care? BMJ 1993;306:630 - 4
    • 11 Brown BB, Harris SB, Webster-Bogaert S, Wetmore S, Faulds C, Stewart M. The role of patient, physician and systemic factors in the management of type 2 diabetes mellitus. Fam Pract 2002;19:344 - 9
    • 12 Alberti H, Boudriga N, Nabli M. Factors affecting the quality of diabetes care in primary health care centres in Tunis. Diabetes Res Clin Pract 2005;68:237 - 43
    • 13 Alberti H, Boudriga N, Nabli M. 'Damm Sokkor': factors associated with the quality of care of patients with diabetes. A study in primary care in Tunisia. Diabetes Care 2007;30:2013 - 8
    • 14 Simmons D, Weblemoe T, Voyle J, Prichard A, Leakehe L, Gatland B. Personal barriers to diabetes care: lessons from a multi-ethnic community in New Zealand. Diabet Med 1998;15:958 - 64
    • 15 Simmons D, Lillis S, Swan J, Haar J. Discordance in perceptions of barriers to diabetes care between patients and primary care and secondary care. Diabetes Care 2007;30:490 - 5
    • 16 Mukhopadhyay B, Forouhi NG, Fisher BM, Kesson CM, Sattar N. A comparison of glycaemic and metabolic control over time among South Asian and European patients with Type 2 diabetes: results from follow-up in a routine diabetes clinic. Diabet Med 2005;23:94 - 8
    • 17 Campbell SM, Roland MO, Middleton E, Reeves D. Improvements in quality of clinical care in English general practice 1998 - 2003: longitudinal observational study. BMJ 2005;331:1121 - 5
    • 18 McGinn J, Davis C. Geographic variation, physician characteristics, and diabetes care disparities in a metropolitan area, 2003 - 4. Diabetes Res Clin Pract 2006;72:162 - 9
    • 19 Drass J, Kell S, Osborn M, et al. Diabetes care for Medicare beneficiaries. Diabetes Care 1998;21:1282 - 7
    • 20 Bernard AM, Anderson L, Cook CB, Phillips LS. What do internal medicine residents need to enhance their diabetes care? Diabetes Care 1999;22:661 - 6
    • 21 Benson J, Britten N. Patients' decisions about whether or not to take antihypertensive drugs: qualitative study. BMJ 2002;325:873
    • 22 Lanne AC, Pugh JA. Attitudes of primary care providers toward diabetes: barriers to guideline implementation. Diabetes Care 1998;21:1391 - 6
    • 23 Tapp RJ, Zimmet PZ, Harper CA, et al. Diabetes care in an Australian population. Diabetes Care 2004;27:688 - 93
    • 24 Larme AC, Paugh JA. Evidence-based guidelines meet the real world: the case of diabetes care. Diabetes care 2001:1728 - 33
    • 25 Maclean N, Pound P, Wolfe C, Rudd A. The Concept of Patient Motivation. Stroke 2002;33:444 - 8
    • 26 Vitousek K, Watson S, Wilson G. Enhancing motivation for change in treatment-resistant eating disorders. Clin Psychol Rev 1998;18:391 - 420
    • 27 Maclean N, Pound P. A critical review of the concept of patient motivation in the literature on physical rehabilitation. Soc Sci Med 2000;50:495 - 506
    • 28 Parkinson B, Coleman A. Emotion and Motivation. New York: Longman, 1997
    • 29 World Health Organization. Country Cooperation Strategy for World Health Organization and the United Arab Emirates (2005 - 2009). See http://www.who.int/countryfocus/ cooperation_strategy/ccs_are_en.pdf
    • 30 Alhyas L, McKay A, Balasanthiran A, Majeed A. Prevalences of overweight, obesity, hyperglycaemia, hypertension and dyslipidaemia in the Gulf: systematic review. 2011;2:55
    • 31 Abdulhadi N, Al Shafaee M, Freudenthal S, Ostenson C, Wahlstrom R. Patient-provider interaction from the perspectives of type 2 diabetes management in Muscat, Oman: a qualitative study. BMC Health Serv Res 2007;7:162
    • 32 Chesover D, Tudor-Miles P, Hilton S. Survey and audit of diabetes care in general practice in south London. Br J Gen Pract 1991;41:282 - 5
    • 33 Stevenson K, Baker R, Farooqi A, Sorrie R, Khunti K. Features of primary health care teams associated with successful quality improvement of diabetes care: a qualitative study. Fam Pract 2001;18:21 - 6
    • 34 Campbell SM, Hann M, Hacker J, et al. Identifying predictors of high quality of care in English general practice: observational study. BMJ 2002;323:784 - 7
    • 35 Streja DA, Rabkin SW. Factors associated with implementation of preventative care measures in patients with diabetes mellitus. Arch Intern Med 1999;159:294 - 302
    • 36 Grams GD, Herbert C, Heffernan C, et al. Perspectives on living with non-insulin-dependent diabetes. CMAJ 1996;155:1563 - 8
    • 37 Lee WC, Balu S, Cobden D, Joshi AV, Pashos CL. Prevalence and economic consequences of medication adherence in diabetes: a systematic literature review. Manag Care Interface 2006;19:31 - 41
    • 38 Funnell MM, Anderson RM. MSJAMA: the problem with compliance in diabetes. JAMA 2000;284:1709
    • 39 Trento M, Passera P, Miselli V, et al. Evaluation of the locus of control in patients with type 2 diabetes after long-term management by group care. Diabetes Metab 2006;32:77 - 81
    • 40 Pope C, van Royen P, Baker R. Qualitative methods in research on healthcare quality. Qual Saf Health Care 2002;11:148 - 52
    • 41 UK Prospective Diabetes Study Group. Intensive blood glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). Lancet 1998;352:837 - 53
    • 42 Malik M, Bakir A, Pugh RNH, Al-Hamadi H, Hossain M, et al. Factors associated with diabetes and its control in a newly developed country. Pract Diabetes Int 1999;16:250-2
    • 43 Pierce M, Agarwal G, Ridout D. A survey of diabetes care in general practice in England and Wales. Br J Gen Pract 2000;50:542-5
    • 44 Clark M, Hampson E. Comparison of patients' and healthcare professionals' beliefs about and attitudes towards Type 2 diabetes. Diab Med 2002;20:152-4
    • 45 Al-Shahib W, Marshall RJ. The fruit of the date palm: its possible use as the best food for the future? Int J Food Sci Nutr 2003;54:247-59
    • 46 Jackson AK. Cultural competence in health visiting practice: a baseline survey. Commun Pract 2007;80:17-22
    • 47 Al-Kaabi J, Al-Maskari F, Saadi H, Afandi B, Parker H, et al. Assessment of dietary practice among diabetic patients in the UAE. J Soc Diabetes Res 2008;5:110-5
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    The results below are discovered through our pilot algorithms. Let us know how we are doing!

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