ArticleFrontiers in health services2026
Barriers and facilitators to using patient-reported experience measures for diabetes care: a qualitative study in Thailand.
Article in Frontiers in health services, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Patient-reported experience measures (PREMs) provide valuable insights into care quality from the patient's perspective and are particularly relevant for chronic conditions such as type 2 diabetes mellitus (T2DM). However, evidence on their implementation in primary care settings of low- and middle-income countries (LMIC) remains limited. Objective: This study explored barriers and facilitators to implementing a diabetes-specific PREM in routine outpatient care in a district-level hospital setting in northern Thailand, to inform strategies for its feasible and sustainable use in similar resource-constrained settings. Methods: A qualitative study was conducted using in-depth interviews and a group interview with patients aged 20 years and older living with T2DM, healthcare providers, and the hospital executive team. A total of 25 participants were purposively selected from a hospital-based non-communicable disease (NCD) clinic. Data were collected using a semi-structured interview guide informed by the Consolidated Framework for Implementation Research (CFIR) and analysed using inductive thematic analysis. Patient demographic data were analysed descriptively. Results: Among the 19 patients included, the mean age was 59.7 years (SD = 11.9), with a range of educational and occupational backgrounds. Thematic analysis revealed three overarching themes influencing PREM implementation: patient-related factors, instrument characteristics, and contextual and implementation factors. Key facilitators included patients' perceived value of the PREM, trust in healthcare providers, and supportive organizational structures that enable workflow integration and staff allocation. Major barriers were limited literacy, functional constraints among older adults, and challenges related to instrument wording, format preferences, and insufficient resources for staff assistance. Conclusion: Addressing these factors through tailored questionnaires, flexible administration, and institutional commitment can support the routine collection of patient-reported experiences, strengthen patient-centred care, and inform implementation strategies in similar primary care settings across Southeast Asia.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.