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Cited by 680Diabetes Management and EducationDiabetes Management and ResearchDiabetes Treatment and Management

The DOI matches its Crossref record; 76 of the 76 references it cites were found in a registry or an index.

Barriers to diabetes management: Patient and provider factors

Nam, Soohyun, Chesla, Catherine, Stotts, Nancy A., Kroon, Lisa, Janson, Susan L.·2011·Diabetes Research and Clinical Practice
DOI 10.1016/j.diabres.2011.02.002
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Abstract

Despite significant advances in diagnosis and treatment, the persistence of inadequate metabolic control continues. Poor glycemic control may be reflected by both the failure of diabetes self-management by patients as well as inadequate intervention strategies by clinicians. The purpose of this systematic review is to summarize existing knowledge regarding various barriers of diabetes management from the perspectives of both patients and clinicians. A search of PubMed, CINAHL, ERIC, and PsycINFO identified 1454 articles in English published between 1990 and 2009, addressing type 2 diabetes, patient's barriers, clinician's barriers, and self-management. Patients' adherence, attitude, beliefs, and knowledge about diabetes may affect diabetes self-management. Culture and language capabilities influence the patient's health beliefs, attitudes, health literacy, thereby affecting diabetes self-management. Other influential factors include the patient's financial resources, co-morbidities, and social support. Clinician's attitude, beliefs and knowledge about diabetes also influence diabetes management. Clinicians may further influence the patient's perception through effective communication skills and by having a well-integrated health care system. Identifying barriers to diabetes management is necessary to improve the quality of diabetes care, including the improvement of metabolic control, and diabetes self-management. Further research that considers these barriers is necessary for developing interventions for individuals with type 2 diabetes.

Overview

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Crossref · 10.1016/j.diabres.2011.02.002

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Research works printed but not linked: 1

  1. Polonsky, 2003, Why do patients resist insulin therapy?, Diabetes, 52, A417

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Metadata

Authors
Nam, S., Chesla, C., Stotts, N. A., Kroon, L., & Janson, S. L.
Affiliations
  • Johns Hopkins University (US)
  • University of California, San Francisco (US)
ORCID
Venue
Diabetes Research and Clinical Practice
Publisher
Elsevier BV
Published
2011-07
Volume
93
Issue
1
Pages
1-9
ISSN
0168-8227 (ISSN-L)
DOI
10.1016/j.diabres.2011.02.002
OpenAlex
W1974561455
Cited by
680
References
75
Citations by year
2026: 18 · 2025: 27 · 2024: 38 · 2023: 57 · 2022: 41 · 2021: 58 · 2020: 61 · 2019: 39 · 2018: 61 · 2017: 54 · 2016: 60 · 2015: 61 · 2014: 37 · 2013: 43 · 2012: 20
FWCI
4.53
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Diabetes Research and Clinical Practice (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • California Endowment and American Association of Colleges of Nursing (AACN)
  • Nurse Faculty Program
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
Keywords
type 2 diabetes, diabetes self-management, glycemic control, patient adherence, health literacy, health beliefs, language and cultural barriers, financial barriers, comorbidities, social support, clinician-patient communication, integrated care
MeSH terms
Diabetes Mellitus, Type 2, Humans, Patient Compliance, Patient Education as Topic, Self Care, Social Support, Disease Management

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