Are patients with type 2 diabetes in the Waikato District provided with adequate education and support in primary care to self-manage their condition? A qualitative study.

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dc.citation.issue1
dc.citation.volume16
dc.contributor.authorCrosswell R
dc.contributor.authorNorman K
dc.contributor.authorCassim S
dc.contributor.authorPapa V
dc.contributor.authorKeenan R
dc.contributor.authorPaul R
dc.contributor.authorChepulis L
dc.contributor.editorStokes T
dc.coverage.spatialAustralia
dc.date.accessioned2024-06-25T21:53:56Z
dc.date.available2024-06-25T21:53:56Z
dc.date.issued2024-03
dc.description.abstractIntroduction In Aotearoa New Zealand (NZ), type 2 diabetes (T2D) is predominantly managed in primary care. Despite established guidelines, patients are often suboptimally managed, with inequitable health outcomes. To date, few NZ studies have evaluated the primary care management of T2D at the time of diagnosis. Aim This study aims to explore patients' the provision of education and delivery of care to patients at the time of diagnosis, which is a crucial time in the disease trajectory. Methods Participants were recruited from a Māori health provider in the Waikato District, and diagnosed with T2D after January 2020. Patients were texted a link to opt into a survey (larger study) and then registered interest by providing contact details for an interview (current study). Semi-structured interviews were conducted and were audio recorded, transcribed, and thematically analysed. Results In total, 11 participants aged 19-65 years completed the interviews (female n  = 9 and male n  = 20); the comprised Māori (n  = 5), NZ European (n  = 5) and Asian (n  = 1) participants. Three overarching themes were identified, including: (1) ineffective provision of resources and education methods; (2) poor communication from healthcare practitioners; and (3) health system barriers. Discussion Evidently, there are difficulties in primary care diabetes mellitus diagnosis and management. Improvements could include locally relevant resources tailored to patients' experiences and cultural identities. Utilising whānau support and a non-clinical workforce, such as health navigators/kaiāwhina, will drastically address current workforce issues and assist patient self-management. This will allow improved diagnosis experiences and better health outcomes for patients and whānau.
dc.description.confidentialfalse
dc.format.pagination61-69
dc.identifier.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/38546777
dc.identifier.citationCrosswell R, Norman K, Cassim S, Papa V, Keenan R, Paul R, Chepulis L. (2024). Are patients with type 2 diabetes in the Waikato District provided with adequate education and support in primary care to self-manage their condition? A qualitative study.. J Prim Health Care. 16. 1. (pp. 61-69).
dc.identifier.doi10.1071/HC23141
dc.identifier.eissn1172-6156
dc.identifier.elements-typejournal-article
dc.identifier.issn1172-6164
dc.identifier.piiHC23141
dc.identifier.urihttps://mro.massey.ac.nz/handle/10179/70006
dc.languageeng
dc.publisherCSIRO Publishing on behalf of The Royal New Zealand College of General Practitioners
dc.publisher.urihttps://www.publish.csiro.au/HC/HC23141
dc.relation.isPartOfJ Prim Health Care
dc.rights(c) 2024 The Author/s
dc.rightsCC BY-NC-ND 4.0
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectDiabetes Mellitus, Type 2
dc.subjectMaori People
dc.subjectNew Zealand
dc.subjectPrimary Health Care
dc.subjectQualitative Research
dc.subjectSelf-Management
dc.subjectWhite People
dc.subjectAsian People
dc.subjectYoung Adult
dc.subjectAdult
dc.subjectMiddle Aged
dc.subjectAged
dc.titleAre patients with type 2 diabetes in the Waikato District provided with adequate education and support in primary care to self-manage their condition? A qualitative study.
dc.typeJournal article
pubs.elements-id488136
pubs.organisational-groupOther
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