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首页> 外文期刊>Diabetic medicine: A journal of the British Diabetic Association >Exploring organizational support for the provision of structured self-management education for people with Type 2 diabetes: findings from a qualitative study
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Exploring organizational support for the provision of structured self-management education for people with Type 2 diabetes: findings from a qualitative study

机译：探索为2型糖尿病患者提供结构性自我管理教育的组织支持：从定性研究中发现

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Aim To explore the organizational context in which Type 2 diabetes structured group education is provided. Methods Four Clinical Commissioning Groups in England providing Type 2 diabetes structured self-management education participated in a qualitative study exploring the context for provision of that education. Using UK National Diabetes Audit returns, two Clinical Commissioning Groups were selected that had non-attendance rates of = 50%. Between May 2016 and August 2017, 20 interviews were conducted with Clinical Commissioning Group staff including: commissioners, healthcare professionals, managers, general practitioners and diabetes educators. Data gathering was prolonged as it proved challenging to engage with healthcare staff as a result of frequent local restructuring and service disruption. Results Local audits revealed discrepancies in basic data such as referral and attendance numbers compared with national audit data. There was a commonality in the themes identified from interviews: diabetes education was rarely embedded in service structure; where education uptake was poor, a lack of central support to delivery teams was noticeable; and where education uptake was positive, delivery teams were actively engaged, sometimes relying on enthusiastic individuals. Both situations put the local sustainability of diabetes education at risk. Conclusions There appears to be a link between attendance rates and organizational issues, therefore, when considering how to increase attendance rates, the state of the diabetes education infrastructure should be reviewed. Good uptake of diabetes education can be too reliant on the enthusiastic commitment of small teams or individuals delivering the education.
机译：旨在探讨提供2型糖尿病结构群体教育的组织背景。方法采用四种临床调试组，提供2型糖尿病结构化自我管理教育参与了一个定性研究，探讨了提供该教育的规范。使用英国国家糖尿病审计返回，选择了两组临床调试组，其非出勤率= 50％。 2016年5月至2017年5月期间，使用临床调试集团工作人员进行了20次采访，包括：专员，医疗保健专业人员，经理，一般从业者和糖尿病教育者。由于频繁的地方重组和服务中断，数据收集延长了与医疗保健工作人员进行具有挑战性。结果本地审核显示与国家审计数据相比的基本数据中的基本数据差异。从采访中确定的主题中有一个共同性：糖尿病教育很少嵌入服务结构;教育摄取贫困的地方，缺乏对交付团队的核心支持是明显的;在教育上涨是积极的，交付团队积极参与，有时依靠热情的人。这两种情况都将糖尿病教育的局部可持续发展置于风险。结论似乎存在出勤率和组织问题之间的联系，因此，在考虑如何提高出勤率时，应审查糖尿病教育基础设施的状态。良好的糖尿病教育吸收可能太依赖了小组或个人提供了教育的热情承诺。

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