PDF(Pubmed)
Abstract：
UNASSIGNED: Despite its overall good performance, the Belgium healthcare system scores less well in providing equal access to healthcare compared to other European countries. This increases the risk of people worse off to receive late diagnosis and to get complications of chronic diseases.
UNASSIGNED: This study aims to achieve a deeper understanding of how people with complications of a chronic disease - diabetes type 2 - experience care in the Belgium health system through semi-structured interviews with extreme case study sampling of people with advanced diabetes, and inductive analysis.
UNASSIGNED: The results show that most respondents were diagnosed late in the course of their disease. There are variations in treatment and type of provider. People appreciate the personal and long-lasting contact with a medical doctor, while the contact with and role of paramedical providers was less recognized. Disease management has a significant impact on their financial budget and some respondents experienced barriers to obtain additional financial support.
UNASSIGNED: Non-medical costs are not reimbursed, presenting a high burden to people. Self-management is tedious and hampered by other worries that people may have, such as financial constraints and coping with important life events. To conclude this study highlighted the need to improve diabetes screening. We suggest to enhance the role of paramedical professionals, integrate a social care worker, reduce financial constraints, and increase health literacy through more patient-centered, goal-oriented care.
UNASSIGNED: This study aims to achieve a deeper understanding of how people with complications of a chronic disease - diabetes type 2 - experience care in the Belgium health system through semi-structured interviews with extreme case study sampling of people with advanced diabetes, and inductive analysis.
UNASSIGNED: The results show that most respondents were diagnosed late in the course of their disease. There are variations in treatment and type of provider. People appreciate the personal and long-lasting contact with a medical doctor, while the contact with and role of paramedical providers was less recognized. Disease management has a significant impact on their financial budget and some respondents experienced barriers to obtain additional financial support.
UNASSIGNED: Non-medical costs are not reimbursed, presenting a high burden to people. Self-management is tedious and hampered by other worries that people may have, such as financial constraints and coping with important life events. To conclude this study highlighted the need to improve diabetes screening. We suggest to enhance the role of paramedical professionals, integrate a social care worker, reduce financial constraints, and increase health literacy through more patient-centered, goal-oriented care.
摘要：
■尽管其整体性能良好，与其他欧洲国家相比，比利时的医疗保健系统在提供平等的医疗保健方面得分较低。这增加了人们接受晚期诊断和获得慢性疾病并发症的风险。
■这项研究旨在通过对晚期糖尿病患者的极端案例研究抽样的半结构化访谈，更深入地了解患有慢性疾病-2型糖尿病并发症的人如何在比利时卫生系统中体验护理。和归纳分析。
■结果显示，大多数受访者在疾病过程中被诊断为晚期。治疗方法和提供者类型有所不同。人们欣赏与医生的个人和持久的接触，而与辅助医疗服务提供者的接触和作用则较少得到认可。疾病管理对他们的财务预算有重大影响，一些受访者遇到了获得额外财务支持的障碍。
■非医疗费用不予报销，给人们带来沉重的负担。自我管理是乏味的，受到人们可能有的其他担忧的阻碍，如资金紧张和应对重要的生活事件。最后，这项研究强调了改善糖尿病筛查的必要性。我们建议加强辅助医疗专业人员的作用，整合一名社会护理工作者，减少资金约束，通过更加以患者为中心来提高健康素养，目标导向的护理。
■这项研究旨在通过对晚期糖尿病患者的极端案例研究抽样的半结构化访谈，更深入地了解患有慢性疾病-2型糖尿病并发症的人如何在比利时卫生系统中体验护理。和归纳分析。
■结果显示，大多数受访者在疾病过程中被诊断为晚期。治疗方法和提供者类型有所不同。人们欣赏与医生的个人和持久的接触，而与辅助医疗服务提供者的接触和作用则较少得到认可。疾病管理对他们的财务预算有重大影响，一些受访者遇到了获得额外财务支持的障碍。
■非医疗费用不予报销，给人们带来沉重的负担。自我管理是乏味的，受到人们可能有的其他担忧的阻碍，如资金紧张和应对重要的生活事件。最后，这项研究强调了改善糖尿病筛查的必要性。我们建议加强辅助医疗专业人员的作用，整合一名社会护理工作者，减少资金约束，通过更加以患者为中心来提高健康素养，目标导向的护理。
