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Barriers and Facilitators in Implementing Non-Face-to-Face Chronic Care Management in an Elderly Population with Diabetes: A Qualitative Study of Physician and Health System Perspectives
The burden of illness related to diabetes and its complications is exceedingly high and growing globally. Systematic approaches to managing chronic care are needed to address the complex nature of the disease, taking into account health system structures. This study presents data collected from inte...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262419/ https://www.ncbi.nlm.nih.gov/pubmed/30463310 http://dx.doi.org/10.3390/jcm7110451 |
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author | Bazzano, Alessandra N. Wharton, M. Kristina Monnette, Alisha Nauman, Elizabeth Price-Haywood, Eboni Glover, Cathy Dominick, Patricia Malone, Peggy Hu, Gang Shi, Lizheng |
author_facet | Bazzano, Alessandra N. Wharton, M. Kristina Monnette, Alisha Nauman, Elizabeth Price-Haywood, Eboni Glover, Cathy Dominick, Patricia Malone, Peggy Hu, Gang Shi, Lizheng |
author_sort | Bazzano, Alessandra N. |
collection | PubMed |
description | The burden of illness related to diabetes and its complications is exceedingly high and growing globally. Systematic approaches to managing chronic care are needed to address the complex nature of the disease, taking into account health system structures. This study presents data collected from interviews with physicians, health system administrators, and other healthcare staff about chronic care management for elderly people with diabetes co-morbid with other chronic conditions in light of new programs intended to reduce barriers by incentivizing care encounters that take place through telephone and electronic communications (non-face-to-face care). Results indicate that health system personnel view non-face-to-face care as potentially providing value for patients and addressing systemic needs, yet challenging to implement in practice. Barriers and facilitators to this approach for managing diabetes and chronic care management for its complications are presented, with consideration to different types of health systems, and recommendations are provided for implementation. |
format | Online Article Text |
id | pubmed-6262419 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-62624192018-12-03 Barriers and Facilitators in Implementing Non-Face-to-Face Chronic Care Management in an Elderly Population with Diabetes: A Qualitative Study of Physician and Health System Perspectives Bazzano, Alessandra N. Wharton, M. Kristina Monnette, Alisha Nauman, Elizabeth Price-Haywood, Eboni Glover, Cathy Dominick, Patricia Malone, Peggy Hu, Gang Shi, Lizheng J Clin Med Article The burden of illness related to diabetes and its complications is exceedingly high and growing globally. Systematic approaches to managing chronic care are needed to address the complex nature of the disease, taking into account health system structures. This study presents data collected from interviews with physicians, health system administrators, and other healthcare staff about chronic care management for elderly people with diabetes co-morbid with other chronic conditions in light of new programs intended to reduce barriers by incentivizing care encounters that take place through telephone and electronic communications (non-face-to-face care). Results indicate that health system personnel view non-face-to-face care as potentially providing value for patients and addressing systemic needs, yet challenging to implement in practice. Barriers and facilitators to this approach for managing diabetes and chronic care management for its complications are presented, with consideration to different types of health systems, and recommendations are provided for implementation. MDPI 2018-11-20 /pmc/articles/PMC6262419/ /pubmed/30463310 http://dx.doi.org/10.3390/jcm7110451 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Bazzano, Alessandra N. Wharton, M. Kristina Monnette, Alisha Nauman, Elizabeth Price-Haywood, Eboni Glover, Cathy Dominick, Patricia Malone, Peggy Hu, Gang Shi, Lizheng Barriers and Facilitators in Implementing Non-Face-to-Face Chronic Care Management in an Elderly Population with Diabetes: A Qualitative Study of Physician and Health System Perspectives |
title | Barriers and Facilitators in Implementing Non-Face-to-Face Chronic Care Management in an Elderly Population with Diabetes: A Qualitative Study of Physician and Health System Perspectives |
title_full | Barriers and Facilitators in Implementing Non-Face-to-Face Chronic Care Management in an Elderly Population with Diabetes: A Qualitative Study of Physician and Health System Perspectives |
title_fullStr | Barriers and Facilitators in Implementing Non-Face-to-Face Chronic Care Management in an Elderly Population with Diabetes: A Qualitative Study of Physician and Health System Perspectives |
title_full_unstemmed | Barriers and Facilitators in Implementing Non-Face-to-Face Chronic Care Management in an Elderly Population with Diabetes: A Qualitative Study of Physician and Health System Perspectives |
title_short | Barriers and Facilitators in Implementing Non-Face-to-Face Chronic Care Management in an Elderly Population with Diabetes: A Qualitative Study of Physician and Health System Perspectives |
title_sort | barriers and facilitators in implementing non-face-to-face chronic care management in an elderly population with diabetes: a qualitative study of physician and health system perspectives |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262419/ https://www.ncbi.nlm.nih.gov/pubmed/30463310 http://dx.doi.org/10.3390/jcm7110451 |
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