Theme | code |
---|---|
Barriers to adherence | Â |
Patient | Categorical approach |
 | Social isolation |
 | Deficient knowledge of diabetes |
 | Minimising of the disease |
 | Opposition to change |
 | 'Modern' medicine |
Physician | Choosing the easiest way |
 | Supposed lack of respect |
Model of health care | No repayment for self-monitoring |
 | Lack of multidisciplinary support |
Solutions | Â |
Communication | Evaluate knowledge |
 | Give information |
 | Repeat |
 | Control how it can be achieved |
 | In the patient's language |
Work in a structured way | Make appointments |
 | Standardized educational packages |
 | Structured file administration |
Shared care | Multidisciplinary teams |
 | Identical messages |
Coping mechanisms | Â |
Physicians | Directing /paternalistic attitude |
 | Induction of guilt and fright |
Patients | Discussed decision-making |