Perceptions of a service redesign by adults living with type 2 diabetes

McDowell, J.R.S., McPhail, K., Halyburton, G., Brown, M. and Lindsay, G. (2009) Perceptions of a service redesign by adults living with type 2 diabetes. Journal of Advanced Nursing, 65(7), pp. 1432-1441. (doi: 10.1111/j.1365-2648.2009.05003.x)

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<b>Aim:</b> This article is a report of a study conducted to explore the perceptions of adults with type 2 diabetes towards the service redesign. <b>Background:</b> Diabetes is reaching epidemic proportions and the management of this chronic illness is changing in response to this challenge. In the United Kingdom, there is ongoing restructuring of healthcare services for people with chronic illnesses to ensure that their general health and clinical needs are met predominantly in primary care. <b>Method:</b> An explorative qualitative approach was used. Eight focus groups were conducted with 35 people with type 2 diabetes in one urban location between 2003 and 2004. Five focus groups were conducted with people who had recently experienced the restructured service and three groups with people who had up to 2 years' experience of the new service. Concurrent data collection and thematic analysis were conducted by three researchers and credibility and verification sought by feedback to participants. <b>Findings:</b> Five main themes were identified: impact of living with diabetes; understanding diabetes; drivers for organizational change; care in context and individual concerns. Participants identified issues for ongoing development of the service. <b>Conclusion:</b> People with type 2 diabetes appreciate their care management within the primary care setting where there has been investment in staff to deliver this care. Healthcare resources are required to support the development of staff and the necessary infrastructure to undertake management in primary care. Policy makers need to address the balance of resources between primary and secondary care.

Item Type:Articles
Additional Information:The definitive version is available at
Keywords:adults, focus groups, nursing, perceptions, service redesign, type 2 diabetes
Glasgow Author(s) Enlighten ID:Lindsay, Dr Grace and McDowell, Dr Joan
Authors: McDowell, J.R.S., McPhail, K., Halyburton, G., Brown, M., and Lindsay, G.
Subjects:R Medicine > RT Nursing
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Nursing and Health Care
Journal Name:Journal of Advanced Nursing
Copyright Holders:Copyright © 2009 Blackwell Publishing
First Published:First published in Journal of Advanced Nursing 65(7):1432-1441
Publisher Policy:Reproduced in accordance with the copyright policy of the publisher.

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