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Title: Type 2 diabetes management : patient knowledge and health care team perceptions, South Africa
Authors: Mshunqane, Nombeko 
Stewart, Aimee V. 
Rothberg, Allan D. 
Issue Date: 18-Oct-2012
Publisher: OpenJournals
Background: South African research indicates that the highest death rates between 2004
and 2005 were from diabetes mellitus. There is minimal research information on interactions
between what patients know about their disease and what health professionals perceive that
patients should know to control their disease well.
Objectives: This study determined the knowledge that patients with type 2 diabetes have
about the management of their disease, as well as the perceptions of the health care team about
the services given to patients.
Method: Qualitative data were collected using two focus groups and in-depth interviews.
Patient focus group (n = 10) explored patients’ knowledge about management of type
2 diabetes. Patients were recruited from Dr George Mukhari Hospital outpatients’ diabetes
clinic. Professional focus group (n = 8) explored the health care team’s experiences, barriers
and facilitators in managing the disease. Professional focus group participants were recruited
because of their expertise in chronic disease management, working in the community (public
health) or working directly with patients with type 2 diabetes. Five health care professionals
were interviewed using the same guide of questions as for the focus group.
Results: Participants identified type 2 diabetes as a chronic disease that needs behaviour
change for good control. Five major themes were identified: patients’ knowledge; education
programmes; behaviour change; support; and a patient-centred approach.
Conclusion: Management of type 2 diabetes may be enhanced by reinforcing patients’
knowledge, encouraging behaviour change whilst taking into consideration patients’
backgrounds. The health care team needs to utilise a patient-centred approach.
Originally published in: African Journal of Primary Health Care & Family Medicine; Vol. 4, No. 1, 2012.
DOI: http://dx.doi. org/10.4102/phcfm.v4i1.392
Appears in Collections:Research Publications (Health Sciences)

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