Table 3

Themes, categories and codes.

Theme

code


Barriers to adherence

Patient

Categorical approach

Social isolation

Deficient knowledge of diabetes

Minimising of the disease

Opposition to change

'Modern' medicine

Physician

Choosing the easiest way

Supposed lack of respect

Model of health care

No repayment for self-monitoring

Lack of multidisciplinary support


Solutions

Communication

Evaluate knowledge

Give information

Repeat

Control how it can be achieved

In the patient's language

Work in a structured way

Make appointments

Standardized educational packages

Structured file administration

Shared care

Multidisciplinary teams

Identical messages


Coping mechanisms

Physicians

Directing /paternalistic attitude

Induction of guilt and fright

Patients

Discussed decision-making


Wens et al. BMC Family Practice 2005 6:20   doi:10.1186/1471-2296-6-20

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