Experiences of self-management support in patients with diabetes and multimorbidity: a qualitative study in Norwegian general practice.

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  • Additional Information
    • Source:
      Publisher: Cambridge University Press Country of Publication: England NLM ID: 100897390 Publication Model: Electronic Cited Medium: Internet ISSN: 1477-1128 (Electronic) Linking ISSN: 14634236 NLM ISO Abbreviation: Prim Health Care Res Dev Subsets: MEDLINE
    • Publication Information:
      Publication: Cambridge : Cambridge University Press
      Original Publication: London : Arnold, c2000-
    • Subject Terms:
    • Abstract:
      Aim: The purpose of this study was to explore how patients with diabetes and multimorbidity experience self-management support by general practitioners (GPs), nurses and medical secretaries in Norwegian general practice.
      Background: Self-management support is recognised as an important strategy to improve the autonomy and well-being of patients with long-term conditions. Collaborating healthcare professionals (cHCPs), such as nurses and medical secretaries, may have an important role in the provision of self-management support. No previous study has explored how patients with diabetes and multimorbidity experience self-management support provided by cHCPs in general practice in Norway.
      Methods: Semi-structured interviews with 11 patients with type 1 diabetes mellitus (T1DM) or type 2 diabetes mellitus (T2DM) with one or more additional long-term condition were performed during February-May 2017.
      Findings: Patients experienced cHCPs as particularly attentive towards the psychological and emotional aspects of living with diabetes. Compared to GPs, whose appointments were experienced as stressful, patients found cHCPs more approachable and more likely to address patients' questions and worries. In this sense, cHCPs complemented GP-led diabetes care. However, neither cHCPs nor GPs were perceived to involve patients' in clinical decisions or goal setting during consultations.
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    • Contributed Indexing:
      Keywords: general practice; self-management support; type 1 diabetes mellitus; type 2 diabetes mellitus
    • Publication Date:
      Date Created: 20201015 Date Completed: 20210920 Latest Revision: 20210920
    • Publication Date:
      20221213
    • Accession Number:
      PMC7681169
    • Accession Number:
      10.1017/S1463423620000432
    • Accession Number:
      33054888