ArticleHealth expectations : an international journal of public participation in health care and health policy2009
Patients' perceptions and experiences of transitions in diabetes care: a longitudinal qualitative study.
Article in Health expectations : an international journal of public participation in health care and health policy, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A qualitative synthesis of diabetes self-management strategies for long term medical outcomes and quality of life in the UK.BMC health services research · 2014Pooled it
- The Power of Active Listening to Address Medication Non-Adherence During Care Transition: A Case Report of a Polypharmacy Patient with Type 2 Diabetes.Pharmacy (Basel, Switzerland) · 2025Article
- Patient medication management, understanding and adherence during the transition from hospital to outpatient care - a qualitative longitudinal study in polymorbid patients with type 2 diabetes.BMC health services research · 2024Article
- The intersection of drug use discrimination and racial discrimination in the management of chronic non-cancer pain in United States primary care safety-net clinics: Implications for healthcare system and clinic-level changes.Drug and alcohol dependence · 2023Article
- Value, challenges and practical considerations when designing, conducting and analysing a longitudinal qualitative study in family medicine.Family medicine and community health · 2021Article
- Review
- Modelling self-management pathways for people with diabetes in primary care.BMC family practice · 2015Article
- Article
- Methodological developments in qualitative longitudinal research: the advantages and challenges of regular telephone contact with participants in a qualitative longitudinal interview study.BMC research notes · 2015Article
- Why do patients with long-term conditions use unscheduled care? A qualitative literature review.Health & social care in the community · 2013Review
- Type 2 diabetes and dog walking: patients' longitudinal perspectives about implementing and sustaining physical activity.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010Article
- When service users' support obscures problems with care: the need for rigorous research into patients' experiences.Health expectations : an international journal of public participation in health care and health policy · 2009Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine patients' perceptions and experiences over time of the devolvement of diabetes care/reviews from secondary to primary health-care settings.
designRepeat in-depth interviews with 20 patients over 4 years. PARTICIPANTS AND
settingTwenty type 2 diabetes patients recruited from primary- and secondary-care settings across Lothian, Scotland.
resultsPatients' views about their current diabetes care were informed by their previous service contact. The devolvement of diabetes care/reviews to general practice was presented as a 'mixed blessing'. Patients gained reassurance from their perception that receiving practice-based care/reviews signified that their diabetes was well-controlled. However, they also expressed resentment that, by achieving good control, they received what they saw as inferior care and/or less-frequent reviews to others with poorer control. While patients tended to regard GPs as having adequate expertise to conduct their practice-based reviews, they were more ambivalent about nurses taking on this role. Opportunities to receive holistic care in general practice were not always realized due to patients seeing health-care professionals for diabetes management to whom they would not normally present for other health issues.
conclusionsIt is important to educate patients about their care pathways, and to reassure them that frequency of reviews depends more on clinical need than location of care and that similar care guidelines are followed in hospital clinics and general practice. A patients' history of service contact may need to be taken into account in future studies of service satisfaction.
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