Modelling self-management pathways for people with diabetes in primary care

BMC Family Practice
Marion L PennTom Monks

Abstract

Self-management support to facilitate people with type 2 diabetes to effectively manage their condition is complex to implement. Organisational and system elements operating in relation to providing optimal self-management support in primary care are poorly understood. We have applied operational research techniques to model pathways in primary care to explore and illuminate the processes and points where people struggle to find self-management support. Primary care clinicians and support staff in 21 NHS general practices created maps to represent their experience of patients' progress through the system following diagnosis. These were collated into a combined pathway. Following consideration of how patients reduce dependency on the system to become enhanced self-managers, a model was created to show the influences on patients' pathways to self-management. Following establishment of diagnosis and treatment, appointment frequency decreases and patient self-management is expected to increase. However, capacity to consistently assess self-management capabilities; provide self-management support; or enhance patient-led self-care activities is missing from the pathways. Appointment frequencies are orientated to bio-medical monitorin...Continue Reading

References

Jan 18, 2005·Social Science & Medicine·Julia LawtonMargaret Douglas
Oct 6, 2005·The Milbank Quarterly·Barbara StarfieldJames Macinko
Dec 29, 2005·Health Care Management Science·Marion S RaunerEva-Maria Pesendorfer
Sep 26, 2006·Social Science & Medicine·Paul Ciechanowski, Wayne J Katon
Jun 7, 2008·BMJ : British Medical Journal·Philip HomeUNKNOWN Guideline Development Group
Jun 28, 2008·Health Care Management Science·Mitul Shivam DesaiMax Chipulu
Mar 25, 2009·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Julia LawtonMargaret Douglas
Sep 24, 2009·Emergency Medicine Journal : EMJ·M M Günal, M Pidd
Mar 25, 2011·Qualitative Health Research·Timothy GomersallLucinda K M Summers
Jul 6, 2012·Diabetes Research and Clinical Practice·Elke RaumHermann Brenner
Dec 26, 2012·Current Diabetes Reports·Tim Doran, Evangelos Kontopantelis
Feb 23, 2013·Preventing Chronic Disease·Michael StellefsonChristine Stopka
Apr 26, 2013·The New England Journal of Medicine·Graham T McMahon, Robert G Dluhy
May 15, 2013·BMJ : British Medical Journal·Anne KennedyUNKNOWN Salford National Institute for Health Research Gastrointestinal programme Grant Research Group
Jul 23, 2013·BMC Family Practice·Carolyn A Chew-GrahamPeter Salmon
Dec 21, 2013·Diabetes Care·Linda HaasUNKNOWN 2012 Standards Revision Task Force
Jun 18, 2014·Expert Review of Cardiovascular Therapy·Dorothy Lall, Dorairaj Prabhakaran
Jul 16, 2014·BMC Public Health·Ivaylo VassilevJan Koetsenruijter
Aug 17, 2014·The Lancet. Diabetes & Endocrinology·Edward W GreggTheodore J Thompson
Nov 14, 2014·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Anne KennedyMichel Wensing
Jan 18, 2015·Health Care Management Science·Sarah KokUNKNOWN Vancouver HIV Testing Program Modelling Group

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Methods Mentioned

BETA
contraception

Software Mentioned

WISE
WISE ( System Informing Self - management Engagement )

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