Abstract:
BACKGROUND:The burden of non-communicable diseases is growing rapidly in low- and middle-income countries. Research suggests that health interventions that aim to improve patient self-management and empower patients to care actively for their disease will improve health outcomes over the long-term. There is, however, a gap in the literature about the potential role of the inpatient setting in supporting chronic care. This is particularly important in low-and-middle income countries where hospitals may be a rare prolonged point of contact between patient and health provider. The aim of this small scale, exploratory study was to understand what factors within the inpatient setting may affect patients' feelings of empowerment in relation to their chronic disease care and provides recommendations for future inpatient-based interventions to support self-management of disease. METHODS:This study was based in a public, academic hospital in South Africa. Eighteen qualitative, semi-structured interviews were conducted with multiple participants with experience of diabetes care: inpatients and health professionals such as nurses, endocrinologists, and dieticians. Findings were analysed using a broad, exploratory, thematic approach, guided by self-management and chronic care literature. RESULTS:Interviews with both patients and providers suggest that patients living in low socio-economic contexts are likely to struggle to access appropriate healthcare information and services, and may often have financial and emotional priorities that take precedence over their chronic illness. Younger people may also be more dependent on their family and community, giving them less ability to take control of their disease care and lifestyle. In addition, hospital care remains bound by an acute care model; and the inpatient setting of focus is characterised by perceived staff shortages and ineffective communication that undermine the implementation of patient empowerment-focused interventions. CONCLUSIONS:Patient and provider contexts are likely to make supporting patient engagement in long-term chronic care difficult in lower income settings. However, knowledge of these factors can be harnessed to improve chronic care interventions in South Africa and other similar countries.
journal_name
BMC Endocr Disordjournal_title
BMC endocrine disordersauthors
Abrahams N,Gilson L,Levitt NS,Dave JAdoi
10.1186/s12902-019-0465-1subject
Has Abstractpub_date
2019-12-05 00:00:00pages
133issue
1issn
1472-6823pii
10.1186/s12902-019-0465-1journal_volume
19pub_type
杂志文章abstract:BACKGROUND:Insulin autoimmune syndrome (IAS) is a rare cause of hypoglycemia and is characterized by the presence of insulin autoantibodies. Patients with IAS usually complain of hypoglycemia without any previous insulin received. Glucocorticoids and immunosuppressants are used to treat IAS. CASE PRESENTATION:We repor...
journal_title:BMC endocrine disorders
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更新日期:2019-12-28 00:00:00
abstract:BACKGROUND:Polycystic ovary syndrome (PCOS) is the most common endocrine disorder in women of childbearing age. This study aimed to compare the effects of lifestyle interventions on anthropometric, clinical, and biochemical parameters in adolescent girls with PCOS. METHODS:PubMed, Scopus, and Web of Science was system...
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更新日期:2020-06-24 00:00:00
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journal_title:BMC endocrine disorders
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journal_title:BMC endocrine disorders
pub_type: 杂志文章
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journal_title:BMC endocrine disorders
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journal_title:BMC endocrine disorders
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journal_title:BMC endocrine disorders
pub_type: 杂志文章
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更新日期:2010-03-19 00:00:00
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journal_title:BMC endocrine disorders
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更新日期:2019-10-30 00:00:00
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journal_title:BMC endocrine disorders
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更新日期:2015-10-30 00:00:00
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pub_type: 杂志文章
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更新日期:2020-02-11 00:00:00
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journal_title:BMC endocrine disorders
pub_type: 杂志文章
doi:10.1186/1472-6823-14-32
更新日期:2014-04-10 00:00:00
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journal_title:BMC endocrine disorders
pub_type: 杂志文章
doi:10.1186/1472-6823-9-13
更新日期:2009-05-09 00:00:00
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journal_title:BMC endocrine disorders
pub_type: 杂志文章
doi:10.1186/s12902-020-00597-2
更新日期:2020-10-22 00:00:00
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journal_title:BMC endocrine disorders
pub_type: 杂志文章
doi:10.1186/1472-6823-8-3
更新日期:2008-03-27 00:00:00
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journal_title:BMC endocrine disorders
pub_type: 杂志文章
doi:10.1186/1472-6823-13-33
更新日期:2013-08-23 00:00:00
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pub_type: 杂志文章,meta分析
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更新日期:2019-02-13 00:00:00
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journal_title:BMC endocrine disorders
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更新日期:2015-06-20 00:00:00
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journal_title:BMC endocrine disorders
pub_type: 杂志文章
doi:10.1186/1472-6823-12-1
更新日期:2012-03-07 00:00:00
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journal_title:BMC endocrine disorders
pub_type: 杂志文章
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更新日期:2018-07-03 00:00:00
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journal_title:BMC endocrine disorders
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更新日期:2016-07-07 00:00:00
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journal_title:BMC endocrine disorders
pub_type: 杂志文章
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更新日期:2016-05-23 00:00:00
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journal_title:BMC endocrine disorders
pub_type: 杂志文章
doi:10.1186/1472-6823-13-41
更新日期:2013-10-05 00:00:00
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journal_title:BMC endocrine disorders
pub_type: 杂志文章
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更新日期:2020-06-30 00:00:00
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journal_title:BMC endocrine disorders
pub_type: 杂志文章
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更新日期:2004-06-29 00:00:00
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journal_title:BMC endocrine disorders
pub_type: 杂志文章
doi:10.1186/1472-6823-14-19
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