Akbar Babaei Heydarabadi1, Hojat Moradi Mehr2, Sedigheh Nouhjah3. 1. Health Education and Health Promotion Department, Faculty of Health, Ahvaz Jundishapour Uniyersity of Medical Scinces, Ahvaz, Iran. Electronic address: babaei.8946@gmail.com. 2. Health Education and Health Promotion Department, Faculty of Health, Ahvaz Jundishapour Uniyersity of Medical Scinces, Ahvaz, Iran; Social Determinant of Health Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. Electronic address: moradimehr888@gmail.com. 3. Social Determinant of Health Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. Electronic address: s_nouhjah@yahoo.com.
Abstract
AIMS: Despite the need for timely return of patients for visit and blood sugar control, rate of attendance to health centers is low. This qualitative study was conducted to identify and explain the status of diabetics' referral to rural health centers of Ahvaz from the patients and participants' point of view. MATERIALS AND METHODS: This research was performed with qualitative approach and phenomenological method in 2016. Using semi-structured interview with 14 diabetic patients, 6 health workers, 3 doctors and 3 members of the patient's families the required data were collected. Data were analysis simultaneously using the software Max Q D12 and the main themes were identified. RESULTS: The data analysis was performed and 5 main themes and 19 sub-themes were derived, including the following: 1. Personal Barriers 2. economic and social barriers 3. environmental barriers 4. Organizational barriers and 5. barriers related to service providers: lack of patients reverence, staff absenteeism at work, lack of patients follow-up, poor doctor-patient relationship. CONCLUSION: The main themes of this research were extracted including five main personal, economic, social, environmental, organizational causes and the causes related to service providers. It seems that knowledge and awareness can be promoted by educating patients and their families, service provider personnel; also cost and time taken for the patients can be decreased and index of blood sugar control percentage can be increased by providing special facilities near the patient's location, setting up electronic referral system and sending feedback and cross-sector collaborations.
AIMS: Despite the need for timely return of patients for visit and blood sugar control, rate of attendance to health centers is low. This qualitative study was conducted to identify and explain the status of diabetics' referral to rural health centers of Ahvaz from the patients and participants' point of view. MATERIALS AND METHODS: This research was performed with qualitative approach and phenomenological method in 2016. Using semi-structured interview with 14 diabeticpatients, 6 health workers, 3 doctors and 3 members of the patient's families the required data were collected. Data were analysis simultaneously using the software Max Q D12 and the main themes were identified. RESULTS: The data analysis was performed and 5 main themes and 19 sub-themes were derived, including the following: 1. Personal Barriers 2. economic and social barriers 3. environmental barriers 4. Organizational barriers and 5. barriers related to service providers: lack of patients reverence, staff absenteeism at work, lack of patients follow-up, poor doctor-patient relationship. CONCLUSION: The main themes of this research were extracted including five main personal, economic, social, environmental, organizational causes and the causes related to service providers. It seems that knowledge and awareness can be promoted by educating patients and their families, service provider personnel; also cost and time taken for the patients can be decreased and index of blood sugar control percentage can be increased by providing special facilities near the patient's location, setting up electronic referral system and sending feedback and cross-sector collaborations.
Authors: Katherine A Sauder; Jeanette M Stafford; Shelley Ehrlich; Jean M Lawrence; Angela D Liese; Santica Marcovina; Amy K Mottl; Catherine Pihoker; Sharon Saydah; Amy S Shah; Ralph B D'Agostino; Dana Dabelea Journal: Diabetes Care Date: 2021-08-10 Impact factor: 17.152