Peacock Scholarship

Insurance and Other Barriers to Successful Self-Management of Type 2 Diabetes: An Integrative Review

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Self-management is the preferred way to treat patients diagnosed with type 2 diabetes because it puts the emphasis on the patient to change their diet and lifestyle as well as manage their medications in order to successfully manage their diabetes and prevent related complications. However, there are many barriers that exist which may prevent patients from being able to successfully manage their own condition. The aim of this integrative review was to identify and describe potential barriers to diabetes self-management in patients and to explore compliance and success in management with an emphasis on insurance coverage. The literature search was conducted using EBSCOhost, MEDLINE, and CINAHL databases with a search strategy of using keywords such as diabetes, diabetes self-management, barriers to diabetes management, insurance coverage, and successful outcomes in order to gather relevant peer-reviewed articles and studies. The search was limited to a twelve year age limit for sources in an attempt to keep data relevant. The data collection and analysis was based on the conceptual framework developed by Whittemore and Knafl (2005). A total of thirteen studies were included in the review. Three themes occurred as common barriers: insurance coverage, financial burden, and lack of motivation. In conclusion, education has shown to be the most important and cost effective way to overcome barriers and improve diabetes self-management in patients. Recommendations for future research include conducting more studies on self- management of type 2 diabetes, as well as increasing research on how to minimize barriers so that patients can overcome them.

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  • 06/13/2023
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