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October 9, 2025Jurnal NERSOpen Access

Structural constraints and patient agency in diabetes self-management: a critical case study in a primary healthcare center in Indonesia

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Authors

YYYulia YuliaWAWendy AbigailEWEileen Willis

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Overview

Qualitative case study reveals barriers to self-management in type 2 diabetes patients, highlighting needed improvements in patient-centered care and communication.

Key Points

  • Effective self-management of type 2 diabetes is hindered by systemic and interpersonal barriers in Indonesia's healthcare system.
  • Data from in-depth interviews and focus groups outlined five significant themes impacting diabetes care and patient empowerment.
  • Employing a qualitative case study approach allowed for deeper insights into patient experiences and challenges faced in primary care.
  • Shifting to patient-centered care and enhancing communication could significantly improve diabetes management for individuals in Indonesia.

Cite This Study

Yulia et al. (2025) studied this question.

synapsesocial.com/papers/68e70db290569dd607ee61b8https://doi.org/10.20473/jn.v20i3.71301
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Perceived barriers to management of patients with diabetes mellitus and hypertension in primary care centers in Indonesia2026 · 2 citations
  2. 2Dilemma of self-management among patients with diabetes in primary care settings in China: a qualitative study2026
  3. 3Understanding type 2 diabetes self-management in the Marshall Islands: A mixed-methods exploration of sociocultural and structural barriers2026
  4. 4Patient-Perceived Challenges to Type 2 Diabetes Self-Management in Sub-Saharan Africa: A Qualitative Exploratory Study2024 · 18 citations
  5. 5Experiences and Perceptions of Diabetes Patients and Families in Implementing Diabetic Self-Care: A Qualitative Study2025