Evidence map›Paper›PMID 41179987›Full record

ArticleInternational journal of integrated care

Navigating the Labyrinth: Organizational Challenges in Integrated Diabetes Care for Individuals with Type 2-Diabetes and Schizophrenia: A Qualitative Exploration from the Healthcare Professionals' Perspective.

Tanja Juhl Mikkelsen, Dorte Moeller Jensen, Elsebeth Stenager, Mette Juel Rothmann

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In one paragraph

Article in International journal of integrated care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Tanja Juhl MikkelsenSteno Diabetes Center Odense, Odense University Hospital, Odense, Denmark.ORCID https://orcid.org/0000-0002-7218-6567
Dorte Moeller JensenSteno Diabetes Center Odense, Odense University Hospital, Odense, Denmark.ORCID https://orcid.org/0000-0002-3298-9824
Elsebeth StenagerPsychiatric Research Unit, Aabenraa, Department of Regional Health Services Research, University of Southern Denmark, Denmark.ORCID https://orcid.org/0000-0002-4752-3648
Mette Juel RothmannSteno Diabetes Center Odense, Odense University Hospital, Odense, Denmark.ORCID https://orcid.org/0000-0001-6505-4163

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: This study explores the challenges faced by healthcare professionals in providing integrated care for individuals living with co-occurring schizophrenia and type 2 diabetes in Denmark. Despite the increased complexity of managing both conditions, little research has focused on healthcare professionals experiences and the organizational challenges involved in delivering integrated care. Description: Using a qualitative exploratory design, the study involved semi-structured interviews with four healthcare professionals, 17 field observations of outpatient consultations, and one focus group interview, conducted between August 2020 and February 2021. Ricoeur's interpretive philosophy was used for data analysis, focusing on the healthcare practices and challenges identified by healthcare professionals. Discussion: Three key themes emerged: (1) Specialization leads to lack of knowledge and fragmented care, (2) The need for guiding in a complex healthcare system, and (3) The missing link - a lack of overview of healthcare services. These challenges impact integrated care delivery, as discussed in the context of Denmark's healthcare system and international evidence. Conclusion: The study highlights the need for a more integrated, holistic approach to care, including improved collaboration between specialized and general healthcare professionals, better care coordination, and policy improvements. Further research is needed to identify effective strategies for overcoming these barriers and to create more integrated care pathways for patients with complex conditions.

Indexed as

co-occurring schizophreniadual diagnosisholistic perspectiveintegrated caretype 2 diabetes

Identifiers

PMID41179987
PMCPMC12577554

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Registered trials

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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.