Figure 1
Examples of structural analysis process.
Table 1
Overview of themes and subthemes.
| THEME | SUBTHEMES |
|---|---|
| Theme 1: Specialization leads to lack of knowledge and fragmented care |
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| Theme 2: The need for guiding in a complex healthcare system |
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| Theme 3: The missing link – a lack of overview of healthcare services |
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| RESEARCH OBJECTIVES | OVERALL QUESTION | SUBSIDIARY QUESTIONS |
|---|---|---|
| 1) How do patients with schizophrenia and diabetes, relatives, and healthcare professionals experience current practices regarding diabetes care? | What is your usual practice when a patient with schizophrenia also has diabetes? For this first topic, I would like each of you to jot down a few keywords on a post-it note about the topic and then take turns sharing what you have written. What are your immediate thoughts on the current practice for managing a diabetes diagnosis in psychiatry? Again, feel free to individually jot down a few keywords on a post-it note, after which we’ll discuss them collectively. Do you have a specific program or offer for these patients in psychiatry? Please elaborate (what do they consist of?) Group discussion. How could you envision or wish for a course of treatment to best support patients who have both schizophrenia and diabetes? For this topic, I’d like each of you to once again jot down a few keywords on a post-it note and then take turns sharing what you have written. | Do you do anything special for this patient group that is different? How do you experience that the patient is supported in having both a mental and a physical illness? Why/why not? Could you/I elaborate on what you/they are saying? Could you/I possibly add a few more words? In what way does it manifest? What makes it difficult/not difficult? Can you/I tell more about why you think that? Do you find that there is collaboration across sectors such as with the hospital or general practitioner? Please elaborate? How does it work? Why/why not? Is there something missing in your opinion? Hvordan kunne det effektueres? How could it be implemented? How could it benefit the patient? Who should have ”responsibility” in the patient process? Could it also benefit you as healthcare professionals? How/why? Please elaborate? |
| 2) What challenges and needs do patients with schizophrenia and diabetes, relatives, and healthcare professionals express in achieving improved diabetes care? | What do you find most challenging for the patient with schizophrenia in having to manage diabetes at the same time? Feel free to individually jot down a few keywords on a post-it note, after which we’ll discuss them collectively. What is your experience when patients with schizophrenia also have diabetes – do you do anything differently? Group discussion. What do you find occupies the patient with schizophrenia and diabetes the most? And is diabetes even addressed by you/them or the patient in the conversation? Further discussion in the group. How could there be more focus on both diseases in psychiatry in the future? For this, please jot down a few keywords on a post-it note individually, and then take turns sharing what you have written. What other needs could you/I imagine or wish for in relation to patients with schizophrenia achieving improved diabetes care? Feel free to individually jot down a few keywords on a post-it note (think outside the box), after which we’ll discuss them collectively. | Why can it be a challenge? Could you/I possibly add a few more words? What is particularly challenging for this patient group compared to others? Why/why not? Could you/I tell a little more about what is the focus of your conversations? Can you/I elaborate? Why do you/they think that? What could be the reason in your/their opinion? Why do you/they address it/not address it in the conversation? Can you/I add a few more words? What factors influence it (time, lack of knowledge, other)? What is needed or should something be done? Could you/I elaborate more on how? Is it a shared responsibility (role distribution)? Where/what do you think are your and the patients’ responsibilities? Is it something you could see as an advantage for the patients? Why/why not? What would it require from you/them? Why? How? Could you/I elaborate more? Do you/they have experience with something that has worked well/less well? Would you/I like to add a few more words to that? |
| As a conclusion, I’d like to ask if there’s anything else you didn’t get to share or would like to supplement with? Plenum. | If necessary, I may need to come back to you to get more information about your experiences? |
| RESEARCH OBJECTIVES | OVERALL QUESTION | SUBSIDIARY QUESTIONS |
|---|---|---|
| Introduction: Brief information on how the interview will proceed – informed consent, and recording Would you start by briefly introducing yourself? Your age, seniority, how long you have been working in this area? | ||
| 1) How do patients with schizophrenia and diabetes, relatives, and healthcare professionals experience current practices regarding diabetes care? | As you have been informed in the materials sent, our project focuses on citizens who have both schizophrenia and type 2 diabetes. Do you have experience with this group of patients? Could you try to tell me about your experiences? Do you have a specific program or offer for these citizens? Please elaborate (what do they consist of?) Who is involved (staff) in these programs/offers or citizens? Please elaborate. Can you tell me a bit about how a typical program for citizens with schizophrenia and type 2 diabetes proceeds here? | What you’re saying… Why? How? Can you elaborate? Can you put more words on it? In what way? How does it manifest? Can you tell me more about why you think that way? To make sure I understand what you’re saying… Is it correctly understood that… Can you elaborate on how/why? Is there cooperation across sectors, e.g., with the hospital or general practitioner? Can you elaborate more on what the basis is for the current treatment? Can you tell me more about what is often or particularly focused on in the meeting/conversation? |
| 2) What challenges and needs do patients with schizophrenia and diabetes, relatives, and healthcare professionals express in achieving improved diabetes care? | Schizophrenia and diabetes are two chronic diseases that can affect each other. How do you perceive that both conditions are addressed when citizens with schizophrenia and type 2 diabetes are seen by you? Do you find support and treatment for this group of citizens particularly challenging? Is it your experience that you have a special approach to care and treatment when you see citizens with schizophrenia and diabetes? If we assume that anything could be possible, is there anything you would like to do? Or do differently compared to usual practice? | Why/why not? Can you tell me more about it? Do you have a specific situation/experience that has made an impression on you? If yes, would you tell me more about this and what significance it had for you? Why do you think it’s like that? Can you tell me a bit more about what you’re articulating? What, in your experience, is the reason for this? Please elaborate. |
| As a conclusion, I would like to hear if you have anything else you didn’t get to mention or would like to add? If necessary, may I contact you again to learn more about your experiences? Lastly, I would like to hear about your experience of being interviewed by me, and if there was anything I could do differently next time? If you think of anything after we have finished the interview, you are more than welcome to contact me. |