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

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

Prim Care Diabetes

Heinrich Heine University Düsseldorf, Faculty of Medicine, Institute for Health Services Research and Health Economics, Centre for Health and Society, Moorenstraße 5, 40225 Düsseldorf, Germany; German Diabetes Center (DDZ), Leibniz Institute for Diabetes Research at Heinrich Heine University Düsseldorf, Institute for Health Services Research and Health Economics, Auf'm Hennekamp 65, 40225 Düsseldorf, Germany; German Centre for Diabetes Research, Munich-Neuherberg, Germany. Electronic address:

Published: December 2017

AI Article Synopsis

  • The study systematically reviews psychosocial barriers to healthcare for individuals with diabetes, guided by a health-service use model.
  • A total of 2923 studies were reviewed, with 15 meeting inclusion criteria, highlighting barriers like socioeconomic status, physician characteristics, and specific issues faced by ethnic minorities.
  • The findings indicate a variety of barriers, but emphasize the need for more detailed research on subgroups to better understand these challenges.

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.

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Source
http://dx.doi.org/10.1016/j.pcd.2017.07.009DOI Listing

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