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Contextualizing Evidence for Action on Diabetes in Low-Resource Settings-Project CEAD Part-II, Strengthening the Health System: A Mixed-Methods Study Protocol

Bernal-Soriano, Mari Carmen ; Barrera-Guarderas, Francisco ; Alonso-Jaquete, Alfonso ; Chilet-Rosell, Elisa ; Benazizi, Ikram ; Caicedo-Montaño, Cintia ; Márquez-Figueroa, Mónica ; Puig-García, Marta ; Lumbreras, Blanca ; Hernández-Aguado, Ildefonso ; Torres-Castillo, Ana Lucía ; Parker, Lucy Anne

International journal of environmental research and public health, 2021-03, Vol.18 (7), p.3391 [Periódico revisado por pares]

Switzerland: MDPI AG

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Título:
Contextualizing Evidence for Action on Diabetes in Low-Resource Settings-Project CEAD Part-II, Strengthening the Health System: A Mixed-Methods Study Protocol
Autor: Bernal-Soriano, Mari Carmen ; Barrera-Guarderas, Francisco ; Alonso-Jaquete, Alfonso ; Chilet-Rosell, Elisa ; Benazizi, Ikram ; Caicedo-Montaño, Cintia ; Márquez-Figueroa, Mónica ; Puig-García, Marta ; Lumbreras, Blanca ; Hernández-Aguado, Ildefonso ; Torres-Castillo, Ana Lucía ; Parker, Lucy Anne
Assuntos: Adult ; Clinical medicine ; Collaboration ; Context ; Decision making ; Delivery of Health Care ; Diabetes ; Diabetes mellitus ; Diabetes Mellitus - therapy ; Ecuador ; Government Programs ; Health care ; Health care facilities ; Health facilities ; Health services ; Humans ; Innovations ; Low income groups ; Medical personnel ; Middle Aged ; Patients ; Population ; Prospective Studies ; Public health ; Qualitative research ; Retrospective Studies ; Sample size ; Social support ; Study Protocol
É parte de: International journal of environmental research and public health, 2021-03, Vol.18 (7), p.3391
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: Diabetes is a major public health problem, increasingly affecting low- and middle-income countries. The project CEAD (Contextualizing Evidence for Action in Diabetes in low-resource settings) aims to evaluate the implementation of comprehensive diabetes care in two low-resource settings in Ecuador and to stimulate context-led health systems innovations to improve diabetes care and reduce inequity. The mixed-methods approach includes a 24-month retrospective study to assess the current level of implementation of comprehensive diabetes care and participants will be followed up prospectively for two years to assess changes in healthcare and clinical outcomes from the outset of the research. We will include individuals diagnosed with type-2 diabetes aged over 18 years, who are accessing diabetes care in health facilities in the study districts. Varied stakeholders (patients and family members, community members, healthcare workers and decision-makers) will interpret the underlying causes of the observed weaknesses and propose solutions to strengthen diabetes-related healthcare in focus group discussions (FG). A second set of FG will analyze perceived improvements in healthcare based on prospective cohort findings and consider the success/failure of any context-led innovations occurring throughout the research. Our study will demonstrate how evidence can be contextualized to stimulate local innovations and overcome weaknesses of diabetes-related healthcare in low resource settings.
Editor: Switzerland: MDPI AG
Idioma: Inglês

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Contextualizing Evidence for Action on Diabetes in Low-Resource Settings-Project CEAD Part-II, Strengthening the Health System: A Mixed-Methods Study Protocol

Switzerland: MDPI AG

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