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 language | English |
|---|---|
| Pages (from-to) | 495-514 |
| Number of pages | 20 |
| Journal | Primary Care Diabetes |
| Volume | 11 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - 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
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).
In: Primary Care Diabetes, Vol. 11, No. 6, 01.12.2017, p. 495-514.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Psychosocial barriers to healthcare use among individuals with diabetes mellitus
T2 - A systematic review
AU - on behalf of the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS)
AU - Paduch, Andrea
AU - Kuske, Silke
AU - Schiereck, Tim
AU - Droste, Sigrid
AU - Loerbroks, Adrian
AU - Sørensen, Monica
AU - Maggini, Marina
AU - Icks, Andrea
PY - 2017/12/1
Y1 - 2017/12/1
N2 - 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.
AB - 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.
KW - Barriers
KW - Diabetes
KW - Healthcare use
KW - Psychosocial
KW - Social
UR - http://www.scopus.com/inward/record.url?scp=85029214682&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85029214682&partnerID=8YFLogxK
U2 - 10.1016/j.pcd.2017.07.009
DO - 10.1016/j.pcd.2017.07.009
M3 - Review article
AN - SCOPUS:85029214682
VL - 11
SP - 495
EP - 514
JO - Primary Care Diabetes
JF - Primary Care Diabetes
SN - 1751-9918
IS - 6
ER -