Back to Journals » Patient Preference and Adherence » Volume 5

Living with diabetes: quality of care and quality of life

Authors Isla Pera P

Published 20 January 2011 Volume 2011:5 Pages 65—72

DOI https://doi.org/10.2147/PPA.S16551

Review by Single-blind

Peer reviewer comments 2

Pilar Isla Pera
Department of Public Health Nursing, Mental and Mother and Child Health, University of Barcelona, Spain

Background: The aim of this research was to characterize the experience of living with diabetes mellitus (DM) and identify patients’ opinions of the quality of care received and the results of interventions.
Methods: A descriptive, exploratory evaluation study using qualitative methodology was performed. Participants consisted of 40 adult patients diagnosed with DM and followed up in a public hospital in Barcelona, Spain. A semistructured interview and a focus group were used and a thematic content analysis was performed.
Results: Patients described DM as a disease that is difficult to control and that provokes lifestyle changes requiring effort and sacrifice. Insulin treatment increased the perception of disease severity. The most frequent and dreaded complication was hypoglycemia. The main problems perceived by patients affecting the quality of care were related to a disease-centered medical approach, lack of information, limited participation in decision-making, and the administrative and bureaucratic problems of the health care system.
Conclusion: The bureaucratic circuits of the health care system impair patients’ quality of life and perceived quality of care. Health professionals should foster patient participation in decision-making. However, this requires not only training and appropriate attitudes, but also adequate staffing and materials.

Keywords: diabetes mellitus, health care quality, quality of life, qualitative research

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]

 

Other articles by this author:

Obesity, knee osteoarthritis, and polypathology: factors favoring weight loss in older people

Isla Pera P, Olivé Ferrer MC, Nuñez Juarez M, Nuñez Juarez E, Maciá Soler L, López Matheu C, Rigol Cuadra A, Honrubia Pérez M, Marre D

Patient Preference and Adherence 2016, 10:957-965

Published Date: 27 May 2016

Perceptions of diabetes obtained through drawing in childhood and adolescence

Isla Pera P, Palacin Lois M, López Matheu C, Honrubia Pérez M, Gómez Rodriguez AM, Armengol Camps E, Sánchez Villalba C, Insa Soria R, Rigol Cuadra A, Marre D

Patient Preference and Adherence 2013, 7:595-605

Published Date: 20 June 2013

Impact of simultaneous pancreas-kidney transplantation: patients' perspectives

Isla Pera P, Moncho Vasallo J, Guasch Andreu O, Ricart Brulles MJ, Torras Rabasa A

Patient Preference and Adherence 2012, 6:597-603

Published Date: 24 August 2012

Readers of this article also read:

Green synthesis of water-soluble nontoxic polymeric nanocomposites containing silver nanoparticles

Prozorova GF, Pozdnyakov AS, Kuznetsova NP, Korzhova SA, Emel’yanov AI, Ermakova TG, Fadeeva TV, Sosedova LM

International Journal of Nanomedicine 2014, 9:1883-1889

Published Date: 16 April 2014

Methacrylic-based nanogels for the pH-sensitive delivery of 5-Fluorouracil in the colon

Ashwanikumar N, Kumar NA, Nair SA, Kumar GS

International Journal of Nanomedicine 2012, 7:5769-5779

Published Date: 15 November 2012

A novel preparation method for silicone oil nanoemulsions and its application for coating hair with silicone

Hu Z, Liao M, Chen Y, Cai Y, Meng L, Liu Y, Lv N, Liu Z, Yuan W

International Journal of Nanomedicine 2012, 7:5719-5724

Published Date: 12 November 2012

Cross-linked acrylic hydrogel for the controlled delivery of hydrophobic drugs in cancer therapy

Deepa G, Thulasidasan AK, Anto RJ, Pillai JJ, Kumar GS

International Journal of Nanomedicine 2012, 7:4077-4088

Published Date: 27 July 2012

Crystallization after intravitreal ganciclovir injection

Pitipol Choopong, Nattaporn Tesavibul, Nattawut Rodanant

Clinical Ophthalmology 2010, 4:709-711

Published Date: 14 July 2010