Evidence map›Paper›PMID 30984694›Full record

ArticleJournal of family medicine and primary care2019

Patterns of healthcare seeking behavior among persons with diabetes in Central India: A mixed method study.

V V Nimesh, Anupam Halder, Arun Mitra, Sanjeev Kumar, Ankur Joshi, Rajnish Joshi, Abhijit Pakhare

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Article in Journal of family medicine and primary care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
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9citing papers in PubMed, 3 pooled it
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

V V NimeshAll India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.
Anupam HalderAll India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.
Arun MitraDepartment of Community and Family Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.
Sanjeev KumarDepartment of Community and Family Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.
Ankur JoshiDepartment of Community and Family Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.
Rajnish JoshiDepartment of Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.
Abhijit PakhareDepartment of Community and Family Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundManagement of diabetes is complex and requires multiple lifestyle modifications, drug therapy, and a sustained regular follow-up. Complexities of health-seeking pattern in individuals with diabetes have been poorly characterized.

objectivesTo understand the health-seeking patterns, and reasons of provider preference and switching among persons with diabetes. MATERIALS AND

methodsWe performed a mixed methods study in an urban slum setting of Bhopal. This urban slum was chosen as being a field practice area of the institute, a complete sampling frame with listing of households, and individuals with chronic disease conditions (including diabetes) was available. To be included in the study, the individual should have been an adult, aged ≥20 years, and diagnosed as type 2 diabetes mellitus. Descriptive statistical analysis of sociodemographic and disease management variables was performed. For qualitative component, interviews were transcribed and primary coding was done by two investigators followed by condensation of codes into themes or categories. The frequency of these content categories was presented with count and proportions.

resultsIn total, 60 individuals with diabetes were interviewed. Of all individuals, 36 (60%) were asymptomatic at the time of the first diagnosis, and 57 (95%) were currently under treatment from some healthcare provider. About 25 (41.6%) switched their first provider and remaining continued with the same provider. Second provider was sought by 9 (36%) of 25 patients. Reasons for switching were perceived nonrelief, cost of care, distance of facility, and behavior of care provider.

conclusionsHealthcare provider switching is common among persons with diabetes which has implications on continuity of care.

Indexed as

Access barriersdiabetes mellitushealthcare seekingprovider preference

Identifiers

PMID30984694
PMCPMC6436270

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.