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Qualitative
Patients focused on integrating diabetes into their daily lives; practitioners focused on glucose control

https://doi.org/10.1136/ebn.2.3.96

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    Hunt LH, Arar NH, Larme AC.Contrasting patient and practitioner perspectives in type 2 diabetes management.West J Nurs Res1998 Dec; 20:656–82.OpenUrlCrossRefPubMedWeb of Science

    Question Are patient and provider perspectives on the management of type 2 diabetes mellitus similar for issues of control, goal setting, evaluation of success, and treatment strategies?

    Design

    Qualitative, exploratory study.

    Setting

    Public clinics and community health centres in Texas, USA.

    Participants

    51 Mexican-American adults who had diabetes for >1 year and no major diabetes related impairment (mean age 52.9 y, 51% men, and mean annual household income US$12 500) and 35 practitioners (26 physicians, 5 physician's assistants, 2 nurse practitioners, and 2 staff nurses) who had direct patient care responsibilities (mean age 43.3 y, 71% men, and 51% Hispanic).

    Methods

    Patients were interviewed in their homes using semi-structured questions on illness history, coping strategies, perceived barriers to care, the illness, and its management. Practitioners were interviewed with emphasis on treating diabetes (attitudes, difficulties, and …

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    Footnotes

    • Sources of funding: Texas Diabetes Institute and the Mexican American Medical Treatment Effectiveness Research Center.

    • For correspondence: Dr Linda M Hunt, School of Nursing, University of Texas Health Science Center, 7703 Floyd Curl Drive, San Antonio, TX 78284, USA. Fax +1 210 567 5822.