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Diabetes management challenges in Iran: A qualitative content analysis
Nasrin Soltani Molayaghobi1, Parvaneh Abazari1, Fariba Taleghani1
1Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Journal of Nursing Management
|April 6, 2019
Summary
This study found that both healthcare systems and patient self-care present significant challenges in managing type 2 diabetes in Iran. Addressing these issues is crucial for improving patient health outcomes.
Area of Science:
- Healthcare Management
- Endocrinology
- Public Health
Background:
- Effective diabetes management requires consistent patient follow-up and a coordinated care delivery system.
- A systematic approach with a skilled, specialist healthcare team is essential for managing chronic diseases like diabetes.
Purpose of the Study:
- To explore and analyze the challenges encountered in diabetes management among patients attending a diabetes unit in Iran.
Main Methods:
- Qualitative research conducted at a specialized poly-clinic in Isfahan, Iran, in 2016.
- Purposeful sampling of 21 type 2 diabetic patients and key members of the diabetes unit (physician, nurse, secretary, director).
- Data collection through semi-structured interviews and analysis using content analysis.
Main Results:
- Identified two primary categories of challenges: a weak care delivery system and defective diabetes self-care.
- System-centered challenges relate to the healthcare infrastructure and processes.
- Patient-centered challenges highlight issues with self-management behaviors and adherence.
Conclusions:
- Diabetes management in Iran faces both system-level and patient-level obstacles that impact health outcomes.
- Findings serve as a critical warning for policymakers and managers to prioritize and reform diabetes management infrastructures.
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