title: [Patient and health professional perceptions on the quality of care provided to diabetic patients].
abstract: OBJECTIVE
  To describe the knowledge and perceptions of patients and health professionals on the factors that influence the quality and continuity of care of diabetic patients provided in Primary Care.
  
  
  METHODS
  A qualitative study using a phenomenological perspective.
  
  
  METHODS
  Medical and nursing professionals working in Primary Care Centres in the city of Zaragoza, and patients with diabetes mellitus attended in the same centres. Two group (focus group) and 6 individual interviews were carried out in February and March 2010. A predetermined script, with the variables to explore, was used.
  
  
  RESULTS
  The patients and health professionals interviewed identified problems in assuming diabetes as a chronic disease. Among the factors related to success in changing habits and lifestyles, were gender (women showed greater difficulties to change), type of job and work situation. Health professionals identified the availability of guidelines and protocols, and personal motivation as factors that work in favour; and lack of time and current information systems as factors that hamper the provision of good quality care. There were discrepancies among health professionals as regards the role played by patient groups and associations.
  
  
  CONCLUSIONS
  It is important to take into account the factors that make changes in habits and lifestyles difficult, such as gender and the employment situation, when designing actions aimed at modifying risk factors in diabetic patients.
authors.affiliation: Unidad de Cirugía Otorrinolaringológica y Cirugía Maxilofacial, Hospital Miguel Servet, Zaragoza, España. elena_tambo@hotmail.com
authors.forename: E
authors.initials: E
authors.lastname: Tambo-Lizalde
authors.forename: J M
authors.initials: JM
authors.lastname: Carrasco-Gimeno
authors.forename: S
authors.initials: S
authors.lastname: Mayoral-Blasco
authors.forename: M J
authors.initials: MJ
authors.lastname: Rabanaque-Hernández
authors.forename: J M
authors.initials: JM
authors.lastname: Abad-Díez
mesh_terms: D000328:Adult; D000368:Aged; D001294:Attitude to Health; D003266:Continuity of Patient Care; D003920:Diabetes Mellitus / Q000451:nursing / Q000523:psychology / Q000628:therapy*; D005260:Female; D017144:Focus Groups; D006184:Habits; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009790:Occupations; D010349:Patient Compliance; D010353:Patient Education as Topic; D010361:Patients / Q000523:psychology*; D011320:Primary Health Care / Q000458:organization & administration*; D036301:Qualitative Research; D011787:Quality of Health Care; D012307:Risk Factors; D012648:Self Care; D012938:Social Perception; D013030:Spain