Türkiye'de diyabette hastalık yönetimi politikalarının iyileştirilmesi üzerine nitel bir çalışma

Çalışmada Türkiye’de diyabette hastalık yönetimi ihtiyacının belirlenmesi ve belirlenen ihtiyaçlar kapsamında diyabette hastalık yönetimi politikaları için öneriler ortaya koymak amaçlanmıştır. Bu çalışmada araştırma deseni durum çalışması olarak planmlış ve nitel araştırma kapsamında kartopu örnekleme yöntemi kullanılmıştır. 6 hekim, 3 diyabet hemşiresi, 6 akademisyen ve 6 yetişkin diyabet hastası olmak üzere toplam 21 kişi ile yarı yapılandırılmış formlar aracılığıyla derinlemesine görüşme tekniği ile mülakat gerçekleştirilmiştir. Toplam veriler betimsel analiz ve içerik analizi yöntemleri ile değerlendirilmiştir. Verilerin analizinde “Nvivo 12. Programı” kullanılmıştır. Çözümleme sonucu elde edilen bulgular, ilgili literatüre dayalı olarak tartışılmış ve araştırma amaçları doğrultusunda sonuç ve önerilere ulaşılmıştır. Katılımcılar tarafından diyabette hastalık yönetimine ilişkin uygulamaların eskiye oranla iyileştiği, fakat gelişim sürecine devam etmesi gerektiği belirtilmiştir. Katılımcılar, hastayı ve ihtiyaçlarını ön planda tutan, hastaların hayatlarını sağlıklı ve komplikasyondan uzak bir şekilde geçirmelerine yardımcı olacak, multidisipliner sistematik süreç yapılandırılmasına ihtiyaç duyulduğunu ifade etmişlerdir. Diyabet hem dünyada hem de Türkiye’de var olan global bir sorundur ve hastalık yükü açısından önem arz eden bir noktadadır. Türkiye’de diyabette hastalık yönetimi yaklaşımına ilişkin politika, sağlık hizmeti sunumu, sağlık sistemi, multidisipliner çalışma ile ilgili ihtiyaçların belirlenmesini ve iyileştirmeye yönelik adımlar atılmasını öneriyoruz.

Anahtar Kelimeler:

Diyabet, Diyabet Yönetimi, Hastalık Yönetimi

A QUALITATIVE STUDY ON THE IMPROVEMENT OF DISEASE MANAGEMENT POLICIES IN DIABETES IN TURKEY

This study, it was aimed to determine the need for disease management in diabetes in Turkey and to reveal the recommendations for diabetes disease management policies as part of the identified needs. In this study, the research design was planned as a case study and, the snowball sampling method was used as part of the scope of qualitative research. A total of 21 individuals, 6 doctors, 3 diabetic nurses, 6 academics, and 6 adult diabetics were actualized using semi-structured forms with a thorough interview technique. The data collected were evaluated with descriptive analysis and content analysis methods. In the analysis of the data, the “Nvivo 12. Program” was used. The findings were discussed based on the relevant literature, and conclusions and recommendations were reached in line with the research purposes. The participants stated that the practices related to disease management in diabetes have improved compared to the past, but that the development process should continue. The participants stated that there is a need for a multidisciplinary systematic process structuring that will prioritize the patient and their needs and that will help patients to live their lives healthy and free from complications. In terms of the burden of disease, diabetes is a significant issue that affects both Turkey and the rest of the world. We propose that the health policy, health service delivery, health system structure, and multidisciplinary work related to the disease management approach in diabetes in Turkey should be determined and steps should be taken to improve it.

Keywords:

Diabetes, diabetes management, disease management,

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