Applications of a Chronic Care Model for Self-Management of Type 2 Diabetes: A Qualitative Analysis

Rashid M. Ansari, Mark F. Harris, Hassan Hosseinzadeh and Nicholas Zwar
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Rashid M. Ansari: Faculty of Medicine, School of Population Health, University of New South Wales, Sydney, NSW 2052, Australia
Mark F. Harris: Centre for Primary Health Care and Equity, University of New South Wales, Sydney, NSW 2052, Australia
Hassan Hosseinzadeh: Faculty of Medicine and Health, School of Health and Society, University of Wollongong, Sydney, NSW 2522, Australia
Nicholas Zwar: Faculty of Medicine and Health, School of Health and Society, University of Wollongong, Sydney, NSW 2522, Australia

IJERPH, 2021, vol. 18, issue 20, 1-11

Abstract: The main aim of this study was to explore the suitability, practicality, and acceptability of the self-management support and delivery system design components of the Chronic Care Model (CCM) in type 2 diabetes self-management in primary care settings in rural Pakistan. Thirty patients living with type 2 diabetes and 20 healthcare professionals (10 general practitioners and 10 nurses) were recruited from Al-Rehman Hospital at Abbottabad, Pakistan. The study data were collected using semi-structured interviews and analyzed using thematic analysis. The self-management element of the CCM played an important role in managing type 2 diabetes, and self-efficacy in relation to diet and diabetes management were the most effective strategies. Surprisingly, considering the local culture around diabetes, patient care reflecting their cultural background was identified as an important factor by patients not healthcare professionals. The delivery system design element of the CCM promoted multidisciplinary teamwork. Our findings suggest that the self-management support and delivery system design components of the CCM provided an effective framework for supporting diabetes self-management education and support in rural areas.

Keywords: chronic care model; self-management of type 2 diabetes; chronic disease; healthcare system of Pakistan; patients’ quality of life; qualitative analysis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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