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Updated: May 25, 2026

Evaluating the Function of the Foot Core System in the Elderly

Evaluating the Function of the Foot Core System in the Elderly

Published on: March 11, 2022

Barriers to implementing foot care.

W H van Houtum¹

¹Department of Internal Medicine, Spaarne Ziekenhuis Hoofddorp, Spaarne Poort 1, Hoofddorp, 2134 TM, The Netherlands. wvanhoutum@spaarneziekenhuis.nl

Diabetes/Metabolism Research and Reviews

|January 25, 2012

Summary

Diabetic foot complications like ulcers and gangrene cause significant harm but are often neglected. Overcoming barriers in healthcare systems and attitudes is crucial for effective preventive care.

Area of Science:

Podiatry
Diabetology
Public Health

Background:

Diabetic foot disease leads to significant morbidity and mortality, including ulceration, infection, and gangrene.
Despite its severity, diabetic foot care has historically been neglected by healthcare services.
Recent years have seen increased interest, improved evidence, and international guidelines for diagnosis and treatment.

Purpose of the Study:

To highlight the persistent barriers hindering the implementation of optimal diabetic foot care.
To emphasize the need for multidisciplinary approaches and preventive strategies.
To call for collaboration between policymakers and healthcare professionals to improve care.

Main Methods:

Review of current knowledge and clinical practice in diabetic foot care.

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Analysis of barriers to implementing multidisciplinary care.

Synthesis of evidence for diagnostic and treatment strategies.

Main Results:

Growing evidence base and international consensus exist for diabetic foot care.
Significant barriers remain, including professional and patient attitudes and healthcare system structures.
Multidisciplinary care is often lacking, preventing patients from receiving necessary treatment.

Conclusions:

Overcoming attitudinal and systemic barriers is essential for improving diabetic foot care.
Development of sound, cost-effective strategies and collaborative efforts are needed.
Effective preventive measures are paramount to reducing the impact of diabetic foot disease and amputations.