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Health expectations in patients with diabetes mellitus and the factors affecting it: an integrative systematic review† Cover

Health expectations in patients with diabetes mellitus and the factors affecting it: an integrative systematic review†

Open Access
|Jun 2025

Figures & Tables

Figure 1.

PRISMA flow diagram of the present study.
Note: PRISMA, Preferred Reporting Items for Systematic Reviews and Meta-Analyses.
PRISMA flow diagram of the present study. Note: PRISMA, Preferred Reporting Items for Systematic Reviews and Meta-Analyses.

Sampleof a database search strategy using keyword combinations_

Search keywords: “expectation”, “experiences”, “perception”, “health”, “care”, “system”, “service”, “hospital”, “setting”, “diabetes”, “diabetes mellitus”
(“patient expectation”[Title/Abstract] OR “patient experiences”[Title/Abstract] OR “patient perception “[Title/Abstract]) AND (“diabetes mellitus”[Title/Abstract] OR “diabetes”[Title/Abstract]) AND “setting”[Title/Abstract] OR “health”[Title/Abstract] OR “care”[Title/Abstract] OR “service”[Title/Abstract] OR “system”[Title/Abstract] OR “hospital”[Title/Abstract]

Details of literature reviewed in this study_

Author (Publication year)Design of studyAims of studyHEs in patients with diabetes mellitus and factors affecting it
Atapour et al. (2023)29Qualitative studyInvestigating the consequences of meeting the HEs of patients with diabetes-related visual impairmentMain category: improving access to comprehensive care, and four sub-categories: receiving preventive care, access to home care, safety promotion, and increasing health literacy
Yao et al. (2022)30Qualitative studyA review of the experiences of people with type 2 diabetes in relation to general practitioners in Chinapatients’ understanding, diabetes medication, communication with general practitioners, physician-patient relationships, and healthcare systems and context
Chan et al. (2020)31Qualitative studyTo explore the barriers and recommendations regarding service delivery and research of IM service among diabetes patients and physiciansSeven subthemes regarding barriers towards IM (integrative medicine) service were identified including finance, service access, advice from medical professionals, uncertainty of service quality, uncertainty of CM effect, difficulty in understanding CM epistemology and access to medical records
Halperin et al. (2018)32Qualitative studyTo gather patient perspectives on quality of care provided in diabetes clinicsKnowledgeable, caring, available, and communicative team that assists with self-management and overall control of diabetes (effective, patient-centered and timely), avoiding the complications of diabetes, participating in care planning and achieve patientcentered goals, financial support to cover medical and pharmaceutical expenses
da Silva et al. (2018)16Qualitative studyTo identify the experiences, needs, and expectations of subjects with diabetes, for self-reliance for health promotionRecognizing the rights and responsibilities, the capacity to decide, responsibly, protagonism of subjects, autonomy for them to have a better quality of life
Vachon et al. (2017)33Qualitative studyInvestigating patients’ expectations and solutions for improving primary diabetes careFollow-up by a family physician, continuous access to services adapted to evolving needs, motivation and maintenance of healthy behaviors, knowledge about diabetes, psychological support, financial constraints, and collaboration with secondary-level services, facilitating access to services, disseminating information about available services, centralizing diabetes information on the internet, offering personalized services and improving inter-professional collaboration
Jacklin et al. (2017)34Qualitative studyReviewing the healthcare experiences of people with type 2 diabetesThe colonial legacy of healthcare, the perpetuation of inequalities, structural barriers to care, and the role of the healthcare relationship in mitigating harm
Gadsby et al. (2017)35Quantitative studyMeasuring patient experience in diabetes careMore explanation and advice during appointments, listening to the patient, respecting the patient, increasing continuity of care, effective communication, screening services, ensuring regular foot, examinations and increasing access to foot care, easy access to Blood sugar control equipment and drugs, sufficient number of personnel, more support in early diagnosis, coordination in providing services, especially scheduling blood tests and multidisciplinary appointments in the clinic
Boyle et al. (2016)36Qualitative interpretiveExplaining the experiences of patients with type 2 diabetes from the careAdditional information and counseling
Oberg et al. (2012)37Qualitative studyAssessing the perception of people with type 2 diabetes from their first experiences with naturopathic care for diabetesHealth promotion, improving self-efficacy, pragmatic and practical self-care recommendations, novel treatment options, strengthening hope, improving patient education
Bowling et al. (2012)14Mixed-methods studyThe concept of HE and develop scalePersonal experience of the patient and health staff, counseling, review of counseling outcomes, space and environment, time, Outcome, examinations and tests, treatment and medicine
Escudero-Carretero et al. (2007)11Qualitative studyTo understand the expectations held by type 1 and 2 diabetes mellitus patients and their relatives regarding the healthcare provided to themExpectations regarding healthcare professionals: understanding, treatment and communication capacity, providing information, recognition, perception of patients, respectful behavior, good communication skills, knowledge of patients’ knowledge and skills and providing transparent information, the ability to respond, have a normal life and no restrictions on work, education, social and family due to having diabetes and preventing complications expectations regarding healthcare centers: primary care consultation, specialized care consultation, necessary and sufficient equipment for treatment
Alazri et al. (2006)38Qualitative studyTo evaluate the perceptions and experiences of patients with type 2 diabetes from continuing care, focusing on the advantages and disadvantagesPersonal factors between themselves and the health care professional, their beliefs and behaviors, the presence of diabetes, and the systems and structures of general practices
Clementi (2006)39Dissertation (qualitative study)Evaluation of experiences of patients during encounters with healthcare providersCore category: respectful behavior other categories: appropriate body language, truth-telling, listening, problem-solving, effective communication, reassurance, outcome
Naithani et al. (2006)40Qualitative studyTo identify patients experiences and values with respect to continuity in diabetes careRegular clinical testing and provision of advice over time (longitudinal continuity) communication, understanding patients, concerned and interested in listening and explaining, and spending time communicating with the patient (relational continuity) flexibility of service provision in response to changing needs or situations (flexible continuity); and consistency and coordination between members of staff, and between hospital and general practice or community settings (team and cross-boundary continuity)
Lawton et al. (2005)41Qualitative studyTo explore newly diagnosed Type 2 diabetes patients’ views about Scottish diabetes servicesInformation about self-management, the presence of a diabetes specialist and the availability of a specialist, specialist nurses, time
Hornsten et al. (2005)42Qualitative studyTo report the findings of a study that elucidated the experiences and reflections of people with type 2diabetes about clinical encountersAgreeing vs. in disagreement about the goals, autonomy, and equality vs. feeling forced into adaptation and submission, feeling worthy as a person vs. feeling worthless, being attended to and feeling welcome vs. ignored, and feeling safe and confident vs. feeling unsafe and lacking confidence
DOI: https://doi.org/10.2478/fon-2025-0018 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
Language: English
Page range: 163 - 175
Submitted on: Sep 25, 2024
Accepted on: Nov 4, 2024
Published on: Jun 11, 2025
Published by: Shanxi Medical Periodical Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Shahrzad Ghiyasvandian, Akram Sadat Sadat Hoseini, Mahnaz Atapour, Zahra Behboodi Moghdam, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution 4.0 License.