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Reducing the burden of chronic wounds: Prevention and management of the diabetic foot in the context of clinical guidelines
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| Zeitschriftentitel: | Journal of Health Services Research & Policy |
|---|---|
| Personen und Körperschaften: | , , , , , , , , , |
| In: | Journal of Health Services Research & Policy, 13, 2008, 3_suppl, S. 82-91 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
SAGE Publications
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| Schlagwörter: |
| author_facet |
Searle, Aidan Gale, Lone Campbell, Rona Wetherell, Mark Dawe, Karen Drake, Nikki Dayan, Colin Tarlton, John Miles, Jeremy Vedhara, Kavita Searle, Aidan Gale, Lone Campbell, Rona Wetherell, Mark Dawe, Karen Drake, Nikki Dayan, Colin Tarlton, John Miles, Jeremy Vedhara, Kavita |
|---|---|
| author |
Searle, Aidan Gale, Lone Campbell, Rona Wetherell, Mark Dawe, Karen Drake, Nikki Dayan, Colin Tarlton, John Miles, Jeremy Vedhara, Kavita |
| spellingShingle |
Searle, Aidan Gale, Lone Campbell, Rona Wetherell, Mark Dawe, Karen Drake, Nikki Dayan, Colin Tarlton, John Miles, Jeremy Vedhara, Kavita Journal of Health Services Research & Policy Reducing the burden of chronic wounds: Prevention and management of the diabetic foot in the context of clinical guidelines Public Health, Environmental and Occupational Health Health Policy |
| author_sort |
searle, aidan |
| spelling |
Searle, Aidan Gale, Lone Campbell, Rona Wetherell, Mark Dawe, Karen Drake, Nikki Dayan, Colin Tarlton, John Miles, Jeremy Vedhara, Kavita 1355-8196 1758-1060 SAGE Publications Public Health, Environmental and Occupational Health Health Policy http://dx.doi.org/10.1258/jhsrp.2008.008011 <jats:sec><jats:title>Objectives:</jats:title><jats:p> Chronic wounds such as diabetic foot and venous leg ulcers are a major burden for health services. Our programme was developed to explore the psychological and behavioural factors that may influence both the incidence of chronic wounds and their progression. The present article focuses on two particular aspects of the programme: patient knowledge of diabetic foot ulceration and factors influencing foot-related behaviour in patients with and without foot ulcers; and patient and podiatrist perspectives of consultations for diabetic foot ulcers. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> Two independent qualitative studies were undertaken: one with diabetic patients without a history of ulceration; and the other with diabetic patients with active ulceration and podiatrists treating these patients. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> We found that patients may find it difficult understanding the rationale underlying prevention and treatment of foot ulcers; ulcerated patients may find it difficult to engage in the management of their foot ulcer outside consultations; and some podiatrists feel frustrated and unsupported in their attempts at empowering and building partnerships with patients. </jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p> Patient and practitioner factors may contribute to the effective implementation of clinical guidelines regarding education, partnership building and shared decision-making. These findings are discussed in relation to patient education, partnership building and shared decision-making as recommended in NICE guidelines. </jats:p></jats:sec> Reducing the burden of chronic wounds: Prevention and management of the diabetic foot in the context of clinical guidelines Journal of Health Services Research & Policy |
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Reducing the burden of chronic wounds: Prevention and management of the diabetic foot in the context of clinical guidelines |
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Reducing the burden of chronic wounds: Prevention and management of the diabetic foot in the context of clinical guidelines |
| title_full |
Reducing the burden of chronic wounds: Prevention and management of the diabetic foot in the context of clinical guidelines |
| title_fullStr |
Reducing the burden of chronic wounds: Prevention and management of the diabetic foot in the context of clinical guidelines |
| title_full_unstemmed |
Reducing the burden of chronic wounds: Prevention and management of the diabetic foot in the context of clinical guidelines |
| title_short |
Reducing the burden of chronic wounds: Prevention and management of the diabetic foot in the context of clinical guidelines |
| title_sort |
reducing the burden of chronic wounds: prevention and management of the diabetic foot in the context of clinical guidelines |
| topic |
Public Health, Environmental and Occupational Health Health Policy |
| url |
http://dx.doi.org/10.1258/jhsrp.2008.008011 |
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2008 |
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82-91 |
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<jats:sec><jats:title>Objectives:</jats:title><jats:p> Chronic wounds such as diabetic foot and venous leg ulcers are a major burden for health services. Our programme was developed to explore the psychological and behavioural factors that may influence both the incidence of chronic wounds and their progression. The present article focuses on two particular aspects of the programme: patient knowledge of diabetic foot ulceration and factors influencing foot-related behaviour in patients with and without foot ulcers; and patient and podiatrist perspectives of consultations for diabetic foot ulcers. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> Two independent qualitative studies were undertaken: one with diabetic patients without a history of ulceration; and the other with diabetic patients with active ulceration and podiatrists treating these patients. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> We found that patients may find it difficult understanding the rationale underlying prevention and treatment of foot ulcers; ulcerated patients may find it difficult to engage in the management of their foot ulcer outside consultations; and some podiatrists feel frustrated and unsupported in their attempts at empowering and building partnerships with patients. </jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p> Patient and practitioner factors may contribute to the effective implementation of clinical guidelines regarding education, partnership building and shared decision-making. These findings are discussed in relation to patient education, partnership building and shared decision-making as recommended in NICE guidelines. </jats:p></jats:sec> |
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| author | Searle, Aidan, Gale, Lone, Campbell, Rona, Wetherell, Mark, Dawe, Karen, Drake, Nikki, Dayan, Colin, Tarlton, John, Miles, Jeremy, Vedhara, Kavita |
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| description | <jats:sec><jats:title>Objectives:</jats:title><jats:p> Chronic wounds such as diabetic foot and venous leg ulcers are a major burden for health services. Our programme was developed to explore the psychological and behavioural factors that may influence both the incidence of chronic wounds and their progression. The present article focuses on two particular aspects of the programme: patient knowledge of diabetic foot ulceration and factors influencing foot-related behaviour in patients with and without foot ulcers; and patient and podiatrist perspectives of consultations for diabetic foot ulcers. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> Two independent qualitative studies were undertaken: one with diabetic patients without a history of ulceration; and the other with diabetic patients with active ulceration and podiatrists treating these patients. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> We found that patients may find it difficult understanding the rationale underlying prevention and treatment of foot ulcers; ulcerated patients may find it difficult to engage in the management of their foot ulcer outside consultations; and some podiatrists feel frustrated and unsupported in their attempts at empowering and building partnerships with patients. </jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p> Patient and practitioner factors may contribute to the effective implementation of clinical guidelines regarding education, partnership building and shared decision-making. These findings are discussed in relation to patient education, partnership building and shared decision-making as recommended in NICE guidelines. </jats:p></jats:sec> |
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| spelling | Searle, Aidan Gale, Lone Campbell, Rona Wetherell, Mark Dawe, Karen Drake, Nikki Dayan, Colin Tarlton, John Miles, Jeremy Vedhara, Kavita 1355-8196 1758-1060 SAGE Publications Public Health, Environmental and Occupational Health Health Policy http://dx.doi.org/10.1258/jhsrp.2008.008011 <jats:sec><jats:title>Objectives:</jats:title><jats:p> Chronic wounds such as diabetic foot and venous leg ulcers are a major burden for health services. Our programme was developed to explore the psychological and behavioural factors that may influence both the incidence of chronic wounds and their progression. The present article focuses on two particular aspects of the programme: patient knowledge of diabetic foot ulceration and factors influencing foot-related behaviour in patients with and without foot ulcers; and patient and podiatrist perspectives of consultations for diabetic foot ulcers. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> Two independent qualitative studies were undertaken: one with diabetic patients without a history of ulceration; and the other with diabetic patients with active ulceration and podiatrists treating these patients. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> We found that patients may find it difficult understanding the rationale underlying prevention and treatment of foot ulcers; ulcerated patients may find it difficult to engage in the management of their foot ulcer outside consultations; and some podiatrists feel frustrated and unsupported in their attempts at empowering and building partnerships with patients. </jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p> Patient and practitioner factors may contribute to the effective implementation of clinical guidelines regarding education, partnership building and shared decision-making. These findings are discussed in relation to patient education, partnership building and shared decision-making as recommended in NICE guidelines. </jats:p></jats:sec> Reducing the burden of chronic wounds: Prevention and management of the diabetic foot in the context of clinical guidelines Journal of Health Services Research & Policy |
| spellingShingle | Searle, Aidan, Gale, Lone, Campbell, Rona, Wetherell, Mark, Dawe, Karen, Drake, Nikki, Dayan, Colin, Tarlton, John, Miles, Jeremy, Vedhara, Kavita, Journal of Health Services Research & Policy, Reducing the burden of chronic wounds: Prevention and management of the diabetic foot in the context of clinical guidelines, Public Health, Environmental and Occupational Health, Health Policy |
| title | Reducing the burden of chronic wounds: Prevention and management of the diabetic foot in the context of clinical guidelines |
| title_full | Reducing the burden of chronic wounds: Prevention and management of the diabetic foot in the context of clinical guidelines |
| title_fullStr | Reducing the burden of chronic wounds: Prevention and management of the diabetic foot in the context of clinical guidelines |
| title_full_unstemmed | Reducing the burden of chronic wounds: Prevention and management of the diabetic foot in the context of clinical guidelines |
| title_short | Reducing the burden of chronic wounds: Prevention and management of the diabetic foot in the context of clinical guidelines |
| title_sort | reducing the burden of chronic wounds: prevention and management of the diabetic foot in the context of clinical guidelines |
| title_unstemmed | Reducing the burden of chronic wounds: Prevention and management of the diabetic foot in the context of clinical guidelines |
| topic | Public Health, Environmental and Occupational Health, Health Policy |
| url | http://dx.doi.org/10.1258/jhsrp.2008.008011 |