Repository of Research and Investigative Information

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Dezful University of Medical Sciences

Challenges of managing diabetes in Iran: meta-synthesis of qualitative studies

(2020) Challenges of managing diabetes in Iran: meta-synthesis of qualitative studies. Bmc Health Services Research. p. 12.

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Abstract

Background Although several diabetes management and control programmes are introduced in Iran, many patients do not achieve diabetes-related clinical goals as recommended. The aim of this study was to identify the qualitative evidence for the challenges regarding diabetes management. Methods A systematic review of qualitative studies following PRISMA guidelines was undertaken. Scopus, PubMed, Science Direct, and Web of Knowledge were searched as well as Persian databases including Magiran, Irandoc and SID from inception to August 2019. The included Studies were either in English- or Persian-language qualitative studies reporting the perspectives of patients, their relatives, or healthcare service providers. Content of the findings were analysed and organized according to Chronic Care Model framework. Results Twelve studies met the inclusion criteria. Six main themes were identified including holistic understanding of patients, leadership and governance difficulties, service delivery, workforce, financing, and information and research. Conclusion Challenges regarding the management of diabetes in Iran is multifaceted. Reforming the health care system or developing complementary strategies is essential to improve suitable health care model for patients with chronic conditions such as diabetic patients.

Item Type: Article
Keywords: Systematic review Qualitative studies Diabetes Iran care continuity adherence Health Care Sciences & Services
Subjects: WA Public Health > WA 108-245 Preventive Medicine
WD Disorders of Systemic, Metabolic or Environmental Origin, etc. > WD 200-226 Metabolic Diseases
WZ History of Medicine. Medical Miscellany > WZ 305-350 Miscellany Relating to Medicine
Divisions: Education Vice-Chancellor Department > Faculty of Health > Department of Public health
Page Range: p. 12
Journal or Publication Title: Bmc Health Services Research
Journal Index: ISI
Volume: 20
Number: 1
Identification Number: https://doi.org/10.1186/s12913-020-05130-8
Depositing User: مهندس مهدی شریفی
URI: http://eprints.dums.ac.ir/id/eprint/670

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