ArticleBMC family practice2021
Managing diabetes mellitus with comorbidities in primary healthcare facilities in urban settings: a qualitative study among physicians in Odisha, India.
Article in BMC family practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.
- Factors Influencing Medication Adherence Among Adults Living with Diabetes and Comorbidities: a Qualitative Systematic Review.Current diabetes reports · 2024Pooled it
- Pooled it
- Type 2 diabetes care: knowledge and clinical practice among medical practitioners at Medical Teaching Institute Mardan, Pakistan - a cross-sectional study.BMC primary care · 2026Article
- Review
- Preparedness of public & private health facilities for management of diabetes & hypertension in 19 districts in India.The Indian journal of medical research · 2025Article
- Multi-Stakeholders' Perspective on Enhancing Health Literacy for Effective Management of Tuberculosis-Multimorbidity in Odisha, India.Patient preference and adherence · 2025Article
- Health-related quality of life among multimorbid patients using the EQ-5D-5L value set for India.Frontiers in public health · 2025Observational
- Article
- Evaluation of the knowledge and practice of family physicians in the management of diabetes mellitus type 2 in Iran.BMC primary care · 2023Article
- Barriers and facilitators to type 2 diabetes management among slum-dwellers: A systematic review and qualitative meta-synthesis.Health science reports · 2023Article
- Control and complications of diabetes in urban primary care units in Thailand: a cross-sectional study.BMC primary care · 2022Article
- Exploring Factors Affecting Health Care Providers' Behaviors for Maintaining Continuity of Care in Kerala, India; A Qualitative Analysis Using the Theoretical Domains Framework.Frontiers in public health · 2022Article
- Profile of multimorbidity in outpatients attending public healthcare settings: A descriptive cross-sectional study from Odisha, India.Journal of family medicine and primary care · 2021Article
- Perceived benefits and barriers of multidisciplinary teams in the management of diabetes and comorbidities among physicians: A qualitative double-center study.Journal of multimorbidity and comorbidityArticle
- Validation of the HemoCueIndian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo explore the perceived barriers and facilitators in the management of the patients having diabetes with comorbidities by primary care physicians.
methodsA qualitative In-Depth Interview study was conducted among the primary care physicians at seventeen urban primary health care centres at Bhubaneswar city of Odisha, India. The digitally recorded interviews were transcribed verbatim and translated into English. The data were analysed using thematic analysis.
resultsBarriers related to physicians, patients and health system were identified. Physicians felt lack of necessary knowledge and skills, communication skills and overburdening due to multiple responsibilities to be major barriers to quality care. Patients' attitude and beliefs along with socio-economic status played an important role in treatment adherence and in the management of their disease conditions. Poor infrastructure, irregular medicine supply, and shortage of skilled allied health professionals were also found to be barriers to optimal care delivery, as was the lack of electronic medical records and personal treatment records.
conclusionComprehensive guidelines with on the job training for capacity building of the physicians and creation of multidisciplinary teams at primary care level for a more holistic approach towards management of diabetes with comorbidities could be the way forward to optimal delivery of care.
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