University of Worcester Worcester Research and Publications
 
  USER PANEL:
  ABOUT THE COLLECTION:
  CONTACT DETAILS:

Lay Perceptions of Type 2 Diabetes in Scotland: Bringing Health Services Back In.

Lawton, J. and Peel, Elizabeth and Parry, O. and Araoz, G. and Douglas, M. (2005) Lay Perceptions of Type 2 Diabetes in Scotland: Bringing Health Services Back In. Social Science & Medicine, 60 (7). pp. 1423-1435. ISSN 0277-9536

Full text not available from this repository.

Abstract

The growing prevalence of type 2 diabetes is placing Scottish health services under considerable strain. Consequently, diabetes services are undergoing a major process of reorganisation, including the devolvement of routine diabetes care/diabetic review from secondary to primary healthcare settings. This qualitative study was devised to explore newly diagnosed type 2 diabetes patients' perceptions of their disease and the health services they receive at a time when this restructuring of services is taking place. The sample comprised 40 patients resident in Lothian, Scotland, who had diverse experiences of services, some receiving GP-based care only, others having varying contact with hospital diabetes clinics. In-depth interviews were undertaken with patients, three times at six monthly intervals over 1 year, enabling their experiences to be tracked at critical junctures during the post-diagnostic period. Disease perceptions and health service delivery were found to be mutually informing and effecting. Not only did (different types of) health service delivery influence the ways in which patients thought about and self-managed their disease, over time patients? disease perceptions also informed their expectations of, and preferences for, diabetes services. We thus argue that there is a need for a reconceptualisation within the medical social sciences to take into account the context of healthcare and the economic/policy factors that inform health service delivery when looking at patients? disease perceptions. We also discuss the logistical and ethical challenges of drawing upon patients? perspectives, preferences and views in the design and delivery of future health services.

Item Type: Article
Additional Information:

The full-text cannot be supplied for this item. Please check availability with your local library or Interlibrary Requests Service.

Uncontrolled Keywords: diabetes, lay understandings, health service delivery, self-management, Scotland, UK
Subjects: H Social Sciences > H Social Sciences (General)
Divisions: Academic Departments > Institute of Health and Society
Depositing User: Elizabeth Peel
Date Deposited: 24 Oct 2013 15:04
Last Modified: 22 Mar 2016 17:19
URI: https://eprints.worc.ac.uk/id/eprint/2588

Actions (login required)

View Item View Item
 
     
Worcester Research and Publications is powered by EPrints 3 which is developed by the School of Electronics and Computer Science at the University of Southampton. More information and software credits.