Heather L Stuckey1, Michael Vallis2, Katharina Kovacs Burns3, Christine B Mullan-Jensen4, Jean M Reading5, Sanjay Kalra6, Johan Wens7, Andrzej Kokoszka8, Søren E Skovlund4, Mark Peyrot9. 1. Department of Medicine, College of Medicine, Pennsylvania State University, Hershey, Pennsylvania. Electronic address: hstuckey@hmc.psu.edu. 2. Departments of Family Medicine and Psychiatry, Dalhousie University, Halifax, Nova Scotia, Canada. 3. Interdisciplinary Health Research Academy, Edmonton Clinic Health Academy, University of Alberta, Edmonton, Alberta, Canada. 4. Public Health Evidence and Insights, Global Public Affairs, Novo Nordisk A/S, Copenhagen, Denmark. 5. Department of Medicine, College of Medicine, Pennsylvania State University, Hershey, Pennsylvania. 6. Department of Endocrinology, Bharti Hospital, Karnal, India. 7. Department of Medicine and Health Sciences, Primary and Interdisciplinary Care Antwerp, University of Antwerp, Antwerp, Belgium. 8. II Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland. 9. Department of Sociology, Loyola University Maryland, Baltimore, Maryland, US.
Abstract
PURPOSE: The aim of this study was to describe the perspectives of diabetes care professionals regarding the roles and responsibilities of people with diabetes (PWD), health care professionals (HCPs), and the larger society to improve the provision of person-centered diabetes care. METHODS: The survey contained open-ended items about challenges of, successes of, and wishes for improvements in treating adults with diabetes. All responses were systematically coded using a schema developed and validated through multinational collaboration. FINDINGS: Participants were 4785 diabetes care professionals (physicians, nurses, and dietitians) from 17 countries. The data contained 2 distinct themes. One theme reflected the fact that the roles and responsibilities of HCPs are transitioning from those of one who "tells" to one who "listens" to PWD. Some ways that HCPs can "listen" to PWD and family members is to involve them in goals and to encourage self-management for the improvement of treatment. The second theme identified barriers to successful diabetes care, which include a lack of time and collaboration from HCPs, a lack of availability of resources for treatment, and a lack of psychosocial support. IMPLICATIONS: The views of diabetes care professionals are in transition from a conventional hierarchic approach to a PCC approach. Further adoption of this approach would be facilitated by additional psychosocial training and educational/psychological resources, increased teamwork, and societal changes that would make it easier for people to live successfully with diabetes.
PURPOSE: The aim of this study was to describe the perspectives of diabetes care professionals regarding the roles and responsibilities of people with diabetes (PWD), health care professionals (HCPs), and the larger society to improve the provision of person-centered diabetes care. METHODS: The survey contained open-ended items about challenges of, successes of, and wishes for improvements in treating adults with diabetes. All responses were systematically coded using a schema developed and validated through multinational collaboration. FINDINGS:Participants were 4785 diabetes care professionals (physicians, nurses, and dietitians) from 17 countries. The data contained 2 distinct themes. One theme reflected the fact that the roles and responsibilities of HCPs are transitioning from those of one who "tells" to one who "listens" to PWD. Some ways that HCPs can "listen" to PWD and family members is to involve them in goals and to encourage self-management for the improvement of treatment. The second theme identified barriers to successful diabetes care, which include a lack of time and collaboration from HCPs, a lack of availability of resources for treatment, and a lack of psychosocial support. IMPLICATIONS: The views of diabetes care professionals are in transition from a conventional hierarchic approach to a PCC approach. Further adoption of this approach would be facilitated by additional psychosocial training and educational/psychological resources, increased teamwork, and societal changes that would make it easier for people to live successfully with diabetes.