Psychosocial barriers to healthcare use among individuals with diabetes mellitus: A systematic review

on behalf of the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS)

Research output: Contribution to journalReview article

Abstract

Purpose To conduct a systematic review regarding psychosocial barriers to healthcare use in individuals with diabetes mellitus, using a well-established model of health-service use as a theoretical framework. Methods We used database-specific controlled vocabularies and additional free text terms, and conducted searches via MEDLINE, EMBASE, PsycINFO, CINAHL, Web of Science, OVID Journals. Included studies were rated according to the UK National Institute for Health and Care Excellence (NICE) criteria. A narrative data synthesis was conducted, using the Andersen model and developing categories from the included studies. Principal results In total, 2923 studies were identified, and 15 finally included. We identified barriers according to the main categories “population characteristics”, “norms and values”, and “healthcare services” on a contextual and individual level, as well as “health status”. Frequently reported barriers were “socioeconomic status”, and “physician characteristics”. Ethnic minorities were frequently analysed and may have specific barriers, e.g. “cultural beliefs” and “language”. Major conclusions We identified a broad range of barriers to healthcare use in individuals with diabetes mellitus. However, the number of studies is low. Further research is needed to analyse barriers in more detail considering special subgroups.

Original languageEnglish
Pages (from-to)495-514
Number of pages20
JournalPrimary Care Diabetes
Volume11
Issue number6
DOIs
Publication statusPublished - Dec 1 2017

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Keywords

  • Barriers
  • Diabetes
  • Healthcare use
  • Psychosocial
  • Social

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

Cite this

on behalf of the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS) (2017). Psychosocial barriers to healthcare use among individuals with diabetes mellitus: A systematic review. Primary Care Diabetes, 11(6), 495-514. https://doi.org/10.1016/j.pcd.2017.07.009