Voluntary Organizations and Community Groups as New Partners in Diabetes Self-management and Education

Abstract

This review has uncovered a range of facets of voluntary organizations and community groups relevant for supporting diabetes self-management such as the context within which they act and the nature of relationships developed with community and health services. The principles of "assistance, support, sharing, and link" seem essential for this voluntary initiative in self-management to establish effective reciprocal collaboration with health professionals.

How can clinical practices pragmatically increase physical activity for patients with type 2 diabetes? A systematic review

“…However, two of the effective interventions in the top tier of pragmatism would be pragmatic to deliver in standard primary care clinics, as well as PCMH models, as they did not rely on a population health team for intervention delivery [50,53]. Finally, we only assessed interventions that were clinically integrated; a prior review has identified important strategies for partnership between clinics and community organizations to improve diabetes selfmanagement [29], and future research should identify pragmatic and effective interventions that can be delivered in partnership with community organizations.…”

“…Community-based interventions have been translated broadly for the Diabetes Prevention Program, and economic analyses suggest that these programs are highly costeffective [26]. In contrast to diabetes prevention, there are more limited examples of communitybased programs independently delivering diabetes self-management separately from clinical practices [27][28][29]. The National Diabetes Education Program has sought to clarify the key roles that communities can play to support patients with diabetes in their self-management [30], and a recent review summarizes how communities and clinical practices may collaborate to improve diabetes selfmanagement [29].…”

“…In contrast to diabetes prevention, there are more limited examples of communitybased programs independently delivering diabetes self-management separately from clinical practices [27][28][29]. The National Diabetes Education Program has sought to clarify the key roles that communities can play to support patients with diabetes in their self-management [30], and a recent review summarizes how communities and clinical practices may collaborate to improve diabetes selfmanagement [29]. While the relevance of community-based programs for diabetes selfmanagement should not be ignored, the focus of this review will be on the delivery of evidencebased physical activity counseling programs into clinical practice.…”

Health Care in Challenging Times of Transition

“…Increasing pressure to achieve better patient outcomes and the shortages in the nursing workforce are a clear threat to sustainable community care, which is increasingly depending on the nursing staff, patients and their families, and the social sector [5]. However, are government agendas and education systems considering the importance of developing further posts, training and education for nurses regarding community care?…”

“…Governance and financial initiatives could be implemented based on the ideology of a parallel system. In other words, the complexity of patients and family's context and needs requires the synchronization of health care policies and services, and other alternatives agencies [5][6][7] Voluntary organizations and families are gaining major roles in health care delivery and a shared understanding of their experience in terms of management of resources and illness is essential for formal services moving on. A real commitment to excellence and shared decision making is the key to create a long standing health team which approaches the users' complex needs in the community, prevents complications and illness, and increases safety and autonomy for professionals and users and quality of life.…”