Diabetes service provision : a qualitative study of the experiences and views of Pakistani and Indian patients with Type 2 diabetes

Lawton, J., Ahmad, N., Hanna, L., Douglas, M. and Hallowell, N. 2006, Diabetes service provision : a qualitative study of the experiences and views of Pakistani and Indian patients with Type 2 diabetes, Diabetic medicine : journal of diabetes UK, vol. 23, no. 9, pp. 1003-1007, doi: 10.1111/j.1464-5491.2006.01922.x.

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Title Diabetes service provision : a qualitative study of the experiences and views of Pakistani and Indian patients with Type 2 diabetes
Author(s) Lawton, J.
Ahmad, N.
Hanna, L.ORCID iD for Hanna, L. orcid.org/0000-0003-3173-3381
Douglas, M.
Hallowell, N.
Journal name Diabetic medicine : journal of diabetes UK
Volume number 23
Issue number 9
Start page 1003
End page 1007
Total pages 5
Publisher Wiley-Blackwell
Place of publication Oxford, England
Publication date 2006
ISSN 0742-3071
Summary Aims To explore Pakistani and Indian patients' experiences of, and views about, diabetes services in order to inform the development of culturally sensitive services.

Design Qualitative, interview study involving 23 Pakistani and nine Indian patients with Type 2 diabetes recruited from general practices and the local community in Edinburgh, Scotland. Data collection and analysis occurred concurrently and recruitment continued until no new themes emerged from the interviews.

Results Respondents expressed gratitude for the availability of free diabetes services in Britain, as they were used to having to pay to access health care on the Indian subcontinent. Most looked to services for the prompt detection and treatment of complications, rather than the provision of advice about managing their condition. As respondents attached importance to receiving physical examinations, they could be disappointed when these were not offered by health-care professionals. They disliked relying on interpreters and identified a need for bilingual professionals with whom they could discuss their diabetes care directly.

Conclusions Gratitude for free services in Britain may instil a sense of indebtedness which makes it difficult for Pakistanis and Indians to be critical of their diabetes care. Health-care professionals may need to describe their roles carefully, and explain how different diabetes services fit together, to avoid Pakistani and Indian patients perceiving treatment as unsatisfactory. Whilst linkworker schemes may meet patients' need to receive culturally sensitive information in their first language, work is needed to assess their effectiveness and sustainability.
Language eng
DOI 10.1111/j.1464-5491.2006.01922.x
Field of Research 111799 Public Health and Health Services not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2006, The Authors. Journal compilation, Diabetes UK
Persistent URL http://hdl.handle.net/10536/DRO/DU:30023702

Document type: Journal Article
Collections: Faculty of Health
School of Health and Social Development
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