ArticleBMC primary care2022
The experiences of people with type 2 diabetes in communicating with general practitioners in China - a primary care focus group study.
Article in BMC primary care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 20 citations in OpenAlex.
- Navigating Diabetes Management in the Digital Era: Scoping Review of Online Health Information-Seeking Behavior.Journal of medical Internet research · 2026Article
- Enhancing cardiovascular disease risk communication in diabetes care using Kern's six-step model: development and pilot of a training program for general practitioners.BMC primary care · 2026Article
- Tele-nursing awareness, needs, and related influences in T2DM patients: qualitative descriptive study.BMC nursing · 2025Article
- Using normalisation process theory to understand implementation of effective early-onset type 2 diabetes treatment and care within England: a qualitative study.BMC health services research · 2025Article
- Patient-physician communication of health and risk information in the management of cardiovascular diseases and diabetes: a systematic scoping review.BMC medicine · 2025Article
- Primary Care Physicians' Responses to Treatment Burden in People With Type 2 Diabetes: A Qualitative Video Analysis in China.Annals of family medicine · 2025Article
- Using a mixed method to identify communication skills training priorities for Chinese general practitioners in diabetes care.BMC primary care · 2022Review
- Process quality of type 2 diabetes mellitus care and association with patient perceived attributes of family doctor service in urban general practices, Beijing, China.BMC primary care · 2022Article
- Is Web-Based Program Effective on Self-Care Behaviors and Glycated Hemoglobin in Patients with Type 2 Diabetes: A Randomized Controlled Trial.Iranian journal of nursing and midwifery researchArticle
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Authors and funding
10 authors at 4 institutions in 3 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundWith the implementation of health care reforms in China, primary care is on a journey to provide care for most patients with type 2 diabetes. While Chinese general practitioners (GPs) have described challenges in communication with diabetes patients in their daily practice, little is known about patients' experiences in communicating with their GPs.
methodsFive focus groups (of 4-5 participants each) were used to explore views from patients with type 2 diabetes. Purposive sampling was used to recruit a spread of participants from general practices in Guangzhou city, China. Focus groups were audio-recorded, transcribed, and thematically analyzed using the Framework Method.
resultsTen males and 12 female patients from five general practices participated in focus group discussions, with a mean age of 57.3 years and 7.3 years of diabetes duration. Five main themes emerged: patients' understanding about diabetes, diabetes medication, communication with GPs, physician-patient relationships, and healthcare systems and context. Patients generally searched for information on the internet, but they weren't always sure if it was trustworthy. Several communication needs were described by diabetes patients, such as explanation of blood glucose monitoring, medication information support, communication in the risk of diabetes complications and cardiovascular disease, and language barriers. Communication was frequently brief and not tailored to their concerns, and some described being scolded or panicked by GPs. Participants acknowledged the pressures within the health system, such as short consultation times, an incoherent GP-hospital interface and high demand.
conclusionsKey issues from the patients' perspective for the development of primary care based management of diabetes in China were identified. People with type 2 diabetes require more access to trustworthy diabetes information and wish for better channels of communication with their GPs. Strategies may be required to improve GPs' communication skills with their patients that also consider the context of the wider health system environment in China.
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