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A phenomenological study on barriers of adherence to medical advice among type 2 diabetic patients

BACKGROUND: More than three decades of research and study for overcoming the problem of “non-acceptance/non-compliance” of patients has neither resolved nor reduced the severity of this problem. This phenomenological study aimed to identify barriers of adherence to medical advice among type 2 diabet...

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Autores principales: Davoodi, Monire, Dindamal, Behnaz, Dargahi, Hossein, Faraji-Khiavi, Farzad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8740353/
https://www.ncbi.nlm.nih.gov/pubmed/34991587
http://dx.doi.org/10.1186/s12902-021-00928-x
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author Davoodi, Monire
Dindamal, Behnaz
Dargahi, Hossein
Faraji-Khiavi, Farzad
author_facet Davoodi, Monire
Dindamal, Behnaz
Dargahi, Hossein
Faraji-Khiavi, Farzad
author_sort Davoodi, Monire
collection PubMed
description BACKGROUND: More than three decades of research and study for overcoming the problem of “non-acceptance/non-compliance” of patients has neither resolved nor reduced the severity of this problem. This phenomenological study aimed to identify barriers of adherence to medical advice among type 2 diabetic patients. METHODS: This study was a qualitative research using phenomenology approach, and the data were analyzed using content analysis approach. Participants were 69 type 2 diabetic patients covered by the diabetes unit of West and East Community Health Centers of Ahvaz, Iran. The views and attitudes of patients about the barriers of adherence to medical advice were elicited by conducting 20–45 min sessions of semi-structured interviews. Data analysis was performed following Colaizzi’s seven-step method. RESULTS: Barriers of adherence to medical advice were classified into systemic and individual barriers. Individual barriers included 11 codes and 5 categories, and systemic barriers contained within 5 codes and 3 categories. Physiologic and physical factors, financial problems, occupational factors, attitudinal problems and lack of knowledge, and social and family problems were identified as individual barriers. Systemic barriers included inadequate publicizing and limited notification, inadequate equipment and facilities, and poor inter-sectional coordination. CONCLUSIONS: Generally, problems stated by diabetic patients at the individual level can partly be solved by training patients and the people around them. However, as for the systemic problems, it seems that solving the barriers of adherence to medical advice requires coordination with other organizations as well as intersection coordination. Overall, these problems require not only comprehensive health service efforts, but also the support of policymakers to resolve barriers at infrastructure level.
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spelling pubmed-87403532022-01-07 A phenomenological study on barriers of adherence to medical advice among type 2 diabetic patients Davoodi, Monire Dindamal, Behnaz Dargahi, Hossein Faraji-Khiavi, Farzad BMC Endocr Disord Research BACKGROUND: More than three decades of research and study for overcoming the problem of “non-acceptance/non-compliance” of patients has neither resolved nor reduced the severity of this problem. This phenomenological study aimed to identify barriers of adherence to medical advice among type 2 diabetic patients. METHODS: This study was a qualitative research using phenomenology approach, and the data were analyzed using content analysis approach. Participants were 69 type 2 diabetic patients covered by the diabetes unit of West and East Community Health Centers of Ahvaz, Iran. The views and attitudes of patients about the barriers of adherence to medical advice were elicited by conducting 20–45 min sessions of semi-structured interviews. Data analysis was performed following Colaizzi’s seven-step method. RESULTS: Barriers of adherence to medical advice were classified into systemic and individual barriers. Individual barriers included 11 codes and 5 categories, and systemic barriers contained within 5 codes and 3 categories. Physiologic and physical factors, financial problems, occupational factors, attitudinal problems and lack of knowledge, and social and family problems were identified as individual barriers. Systemic barriers included inadequate publicizing and limited notification, inadequate equipment and facilities, and poor inter-sectional coordination. CONCLUSIONS: Generally, problems stated by diabetic patients at the individual level can partly be solved by training patients and the people around them. However, as for the systemic problems, it seems that solving the barriers of adherence to medical advice requires coordination with other organizations as well as intersection coordination. Overall, these problems require not only comprehensive health service efforts, but also the support of policymakers to resolve barriers at infrastructure level. BioMed Central 2022-01-06 /pmc/articles/PMC8740353/ /pubmed/34991587 http://dx.doi.org/10.1186/s12902-021-00928-x Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Davoodi, Monire
Dindamal, Behnaz
Dargahi, Hossein
Faraji-Khiavi, Farzad
A phenomenological study on barriers of adherence to medical advice among type 2 diabetic patients
title A phenomenological study on barriers of adherence to medical advice among type 2 diabetic patients
title_full A phenomenological study on barriers of adherence to medical advice among type 2 diabetic patients
title_fullStr A phenomenological study on barriers of adherence to medical advice among type 2 diabetic patients
title_full_unstemmed A phenomenological study on barriers of adherence to medical advice among type 2 diabetic patients
title_short A phenomenological study on barriers of adherence to medical advice among type 2 diabetic patients
title_sort phenomenological study on barriers of adherence to medical advice among type 2 diabetic patients
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8740353/
https://www.ncbi.nlm.nih.gov/pubmed/34991587
http://dx.doi.org/10.1186/s12902-021-00928-x
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