Patient-perceived and Practitioner-perceived Barriers to Accessing Foot Care Services for People With Diabetes Mellitus: A Systematic Literature Review

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aut.relation.articlenumber92en_NZ
aut.relation.issue1en_NZ
aut.relation.journalJournal of Foot and Ankle Researchen_NZ
aut.relation.volume15en_NZ
aut.researcherCarroll, Matthew
dc.contributor.authorMcPherson, Men_NZ
dc.contributor.authorCarroll, Men_NZ
dc.contributor.authorStewart, Sen_NZ
dc.date.accessioned2023-01-13T00:45:57Z
dc.date.available2023-01-13T00:45:57Z
dc.description.abstractBackground Foot-related complications are common in people with diabetes mellitus, however foot care services are underutilized by this population. This research aimed to systematically review the literature to identify patient and practitioner-perceived barriers to accessing foot care services for people with diabetes. Methods PRISMA guidelines were used to inform the data collection and extraction methods. CINAHL, MEDLINE, and Scopus databases were searched in March 2022 to identify original research articles that reported on barriers to accessing diabetes foot care services from the patient and/or practitioner perspective. Both quantitative and qualitative studies were included. The methodological quality of included studies was assessed using the Critical Appraisal Skills Program (CASP) tool for qualitative/mixed methods studies or the National Heart, Lung & Blood Institute (NHLBI) tool for quantitative studies. Following data extraction, content analysis was used to identify reported barriers. Themes and subthemes were presented separately for patient-perspectives and practitioner-perspectives. A narrative summary was used to synthesize the findings from the included studies. Results A total of 20 studies were included. The majority of CASP and NHLBI criteria were met by most studies, indicating good overall methodological quality. Three predominant themes emerged from the patient perspective that represented barriers to accessing foot care services: lack of understanding, socioeconomic factors, and lack of service availability. Four themes emerged from the practitioner perspective: poor interprofessional communication, lack of resources, lack of practitioner knowledge, and perceived patient factors. Conclusions This study has identified a number of barriers to accessing foot care services from both the patient and practitioner perspectives. Although patients focused predominantly on patient-level factors, while practitioners focused on barriers related to the health care system, there was some overlap between them. This emphasizes the importance of recognising both perspectives for the future integration of policy changes and access facilitators that may help to overcome these barriers.en_NZ
dc.identifier.citationJournal of Foot and Ankle Research 15, 92 (2022). https://doi.org/10.1186/s13047-022-00597-6
dc.identifier.doi10.1186/s13047-022-00597-6en_NZ
dc.identifier.issn1757-1146en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/15802
dc.languageenen_NZ
dc.publisherSpringer Science and Business Media LLCen_NZ
dc.relation.urihttps://jfootankleres.biomedcentral.com/articles/10.1186/s13047-022-00597-6en_NZ
dc.rights.accessrightsOpenAccessen_NZ
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectDiabetes; Foot care; Podiatry; Service access; Barriers
dc.titlePatient-perceived and Practitioner-perceived Barriers to Accessing Foot Care Services for People With Diabetes Mellitus: A Systematic Literature Reviewen_NZ
dc.typeJournal Article
pubs.elements-id487647
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Faculty of Health & Environmental Sciences
pubs.organisational-data/AUT/Faculty of Health & Environmental Sciences/School of Clinical Sciences
pubs.organisational-data/AUT/Faculty of Health & Environmental Sciences/School of Clinical Sciences/Podiatry Department
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