Considering quality of care for young adults with diabetes in Ireland

Show simple item record

dc.contributor.author Balfe, Myles
dc.contributor.author Brugha, Ruairí
dc.contributor.author Smith, Diarmuid
dc.contributor.author Sreenan, Seamus
dc.contributor.author Doyle, Frank
dc.contributor.author Conroy, Rónán M.
dc.date.accessioned 2016-02-08T15:09:24Z
dc.date.available 2016-02-08T15:09:24Z
dc.date.issued 2013-10-29
dc.identifier.citation BALFE, M., BRUGHA, R., SMITH, D., SREENAN, S., DOYLE, F. & CONROY, R. 2013. Considering quality of care for young adults with diabetes in Ireland. BMC Health Services Research, 13:448, 1-15. http://www.biomedcentral.com/1472-6963/13/448 en
dc.identifier.volume 13 en
dc.identifier.startpage 1 en
dc.identifier.endpage 15 en
dc.identifier.issn 1472-6963
dc.identifier.uri http://hdl.handle.net/10468/2266
dc.identifier.doi 10.1186/1472-6963-13-448
dc.description.abstract Background: Research on the quality of diabetes care provided to young adults with Type 1 diabetes is lacking. This study investigates perceptions of quality of care for young adults with Type 1 diabetes (23–30 years old) living in the Republic of Ireland. Methods: Thirty-five young adults with Type 1 diabetes (twenty-nine women, six men) and thirteen healthcare professionals (ten diabetes nurse specialists, three consultant Endocrinologists) were recruited. All study participants completed semi-structured interviews that explored their perspectives on the quality of diabetes services in Ireland. Interviews were analyzed using standard qualitative thematic analysis techniques. Results: Most interviewees identified problems with Irish diabetes services for young adults. Healthcare services were often characterised by long waiting times, inadequate continuity of care, overreliance on junior doctors and inadequate professional-patient interaction times. Many rural and non-specialist services lacked funding for diabetes education programmes, diabetes nurse specialists, insulin pumps or for psychological support, though these services are important components of quality Type 1 diabetes healthcare. Allied health services such as psychology, podiatry and dietician services appeared to be underfunded in many parts of the country. While Irish diabetes services lacked funding prior to the recession, the economic decline in Ireland, and the subsequent austerity imposed on the Irish health service as a result of that decline, appears to have additional negative consequences. Despite these difficulties, a number of specialist healthcare services for young adults with diabetes seemed to be providing excellent quality of care. Although young adults and professionals identified many of the same problems with Irish diabetes services, professionals appeared to be more critical of diabetes services than young adults. Young adults generally expressed high levels of satisfaction with services, even where they noted that aspects of those services were sub-optimal. Conclusion: Good quality care appears to be unequally distributed throughout Ireland. National austerity measures appear to be negatively impacting health services for young adults with diabetes. There is a need for more Endocrinologist and diabetes nurse specialist posts to be funded in Ireland, as well as allied health professional posts. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher BioMed Central Ltd. en
dc.rights © 2013 Balfe et al.; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. en
dc.rights.uri http://creativecommons.org/licenses/by/2.0 en
dc.subject Type 1 diabetes en
dc.subject Quality of care en
dc.subject Young adult en
dc.subject Emerging adult en
dc.subject Ireland en
dc.title Considering quality of care for young adults with diabetes in Ireland en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Myles Balfe, Department of Sociology, University College Cork, Cork, Ireland. +353-21-490-3000 Email: m.balfe@ucc.ie en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.contributor.funder Health Research Board en
dc.contributor.funder Diabetes Ireland
dc.contributor.funder Medical Research Charities Group, Ireland
dc.description.status Peer reviewed en
dc.identifier.journaltitle BMC Health Services Research en
dc.internal.IRISemailaddress m.balfe@ucc.ie en
dc.identifier.articleid 448


Files in this item

This item appears in the following Collection(s)

Show simple item record

© 2013 Balfe et al.; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Except where otherwise noted, this item's license is described as © 2013 Balfe et al.; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
This website uses cookies. By using this website, you consent to the use of cookies in accordance with the UCC Privacy and Cookies Statement. For more information about cookies and how you can disable them, visit our Privacy and Cookies statement