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Understanding physicians' challenges when treating type 2 diabetic patients' social and emotional difficulties: a
Elizabeth A Beverly1, Brittney A Hultgren, Kelly M Brooks
1Joslin Diabetes Center, Boston, Massachusetts, USA.
Objective:
To explore physicians' awareness of and responses to type 2 diabetic patients' social and emotional difficulties.
Research Design And Methods:
We conducted semistructured interviews with 19 physicians. Interviews were transcribed, coded, and analyzed using thematic analysis.
Results:
Three themes emerged: 1) physicians' awareness of patients' social and emotional difficulties: physicians recognized the frequency and seriousness of patients' social and emotional difficulties; 2) physicians' responses to patients' social and emotional difficulties: many reported that intervening with these difficulties was challenging with few treatment options beyond making referrals, individualizing care, and recommending more frequent follow-up visits; and 3) the impact of patients' social and emotional difficulties on physicians: few available patient treatment options, time constraints, and a perceived lack of psychological expertise contributed to physicians' feeling frustrated, inadequate, and overwhelmed.
Conclusions:
Recognition and understanding of physicians' challenges when treating diabetes patients' social and emotional difficulties are important for developing programmatic interventions.
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