Evidence map›Paper›PMID 31753894›Full record

ArticleBMJ open2019

Patients' and healthcare providers' perspectives of diabetes management in Cambodia: a qualitative study.

Ei Ei Khaing Nang, Chhavarath Dary, Li Yang Hsu, Sokrath Sor, Vonthanak Saphonn, Konstantin Evdokimov

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ei Ei Khaing NangEpidemiology Domain, Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore nangeiei.khaing@nih.gov.ORCID 0000-0002-5361-0481
Chhavarath DaryUniversity of Health Sciences, Phnom Penh, Cambodia.
Li Yang HsuEpidemiology Domain, Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Sokrath SorCenter for Livestock and Agriculture Development (CelAgrid), Phnom Penh, Cambodia.
Vonthanak SaphonnUniversity of Health Sciences, Phnom Penh, Cambodia.
Konstantin EvdokimovEpidemiology Domain, Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to explore the challenges encountered by patients and healthcare providers and opportunities for improvement in managing diabetes mellitus (DM) in a low- and middle-income country (LMIC) facing a rise in DM prevalence.

designQualitative cross-sectional study.

settingUrban, semiurban, and rural areas in Cambodia.

participantsThirty health service providers and fifty-nine adult DM patients.

resultsMost of the 59 DM patients reported having developed DM complications when they first sought treatment. The biggest challenges for the patients were geographical barriers, diet control, and shortage of medication supply. The healthcare staff expressed concerns about their limited knowledge and lack of confidence to treat diabetes, limited availability of diabetes care services, inadequate laboratory services, shortage of staff, poor patients' compliance, and insufficient medication supplies. Both healthcare staff and patients urged an expansion of diabetes services in Cambodia and prioritisation of diabetes care in a manner similar to communicable disease control programmes of the recent past.

conclusionsCurrently, the Cambodian healthcare system has very limited capacity to provide quality care for chronic diseases. As a consequence, many patients are either left untreated or have interrupted care due to several barriers including financial, geographical, and lack of knowledge and skills. A more comprehensive and multipronged approach is urgently needed to improve DM care, which would require a collaborative effort from government, external funding agencies, private sector, and communities.

Indexed as

Health Knowledge, Attitudes, PracticeAdultCambodiaChronic DiseaseCross-Sectional StudiesDeveloping CountriesDiabetes MellitusFemaleHealth PersonnelHealth Services AccessibilityHumansInterviews as TopicMaleMiddle AgedPatient Acceptance of Health CareQualitative ResearchCambodiachallengesgeneral diabeteshealth servicesopportunitiesqualitative research

Identifiers

PMID31753894
PMCPMC6887069

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.