title: Convergences and divergences of diabetic patients' and healthcare professionals' opinions of care: a qualitative study.
abstract: OBJECTIVE
  To investigate opinions' convergences and divergences of diabetic patients and health-care professionals on diabetes care and the development of a regional diabetes programme.
  
  
  BACKGROUND
  Development and implementation of a regional diabetes programme.
  
  
  METHODS
  Qualitative study using focus groups to elicit diabetic patients' and health-care professionals' opinions, followed by content analysis.
  
  
  METHODS
  Eight focus groups: four focus groups with diabetic patients (n = 39) and four focus groups with various health-care professionals (n = 34) residing or practicing in the canton of Vaud, Switzerland, respectively.
  
  
  RESULTS
  Perceived quality of diabetes care varied between individuals and types of participants. To improve quality, patients favoured a comprehensive follow-up while professionals suggested considering existing structures and trained professionals. All participants mentioned communication difficulties between professionals and were favouring teamwork. In addition, they described the role that patients should have in care and self-management. Financial difficulties were also mentioned by both groups of participants. Finally, they were in favour of the development of a regional diabetes programme adapted to actors' needs. For patients indeed, such a programme would represent an opportunity to improve information and to have access to comprehensive care. For professionals, it would help the development of local networks and the reinforcement of existing tools and structures.
  
  
  CONCLUSIONS
  Acknowledging convergences and divergences of opinions of both diabetic patients and health-care professionals should help the further development of a programme adapted to users' needs, taking all stakeholders interests and priorities into consideration.
authors.affiliation: Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital, Lausanne, Switzerland.
authors.forename: Stéphanie
authors.initials: S
authors.lastname: Lauvergeon
authors.forename: Désirée
authors.initials: D
authors.lastname: Mettler
authors.forename: Bernard
authors.initials: B
authors.lastname: Burnand
authors.forename: Isabelle
authors.initials: I
authors.lastname: Peytremann-Bridevaux
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D003920:Diabetes Mellitus / Q000523:psychology* / Q000628:therapy; D005260:Female; D017144:Focus Groups; D006282:Health Personnel / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011369:Professional-Patient Relations; D016730:Program Development; D036301:Qualitative Research; D012424:Rural Population; D017678:Sex Distribution; D013557:Switzerland; D014505:Urban Population
keywords: chronic disease management; diabetes; patients' and professionals' opinions; qualitative study