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September 14, 2026DiabetologyOpen Access

The Friendly Neighbourhood Hospital: Rethinking Diabetes Care Beyond the Consultation: A Conceptual Perspective

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Authors

ZPZandra Overgaard PedersenBCBryan ClealKMKristoffer Marsaa

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Overview

Conceptual analysis proposes a community-centered hospital model for diabetes care, suggesting that peer interaction and shared physical spaces enhance long-term disease self-management.

Key Points

  • To propose a conceptual model—the Friendly Neighbourhood Hospital—that repositions diabetes care within social and physical environments to better support chronic disease self-management.
  • Synthesized theoretical principles from affordance theory, social architecture, and urban social geography to evaluate how hospital spaces influence health behavior.
  • Developed a conceptual framework illustrating five informal spatial and social settings designed to complement standard clinical visits.
  • Identified peer interaction, tacit knowledge exchange, situated learning, and institutional trust as key environmental mechanisms driving lifestyle modification.
  • Defined five illustrative hospital settings to facilitate self-care: communal cooking spaces, movement areas, cultural events, flexible access zones, and digital interaction platforms.
  • Hypothesized that anchoring clinical care within shared social spaces will foster stronger patient belonging and sustained behavioral change compared to isolated consultations.

Cite This Study

Pedersen et al. (2026) studied this question.

synapsesocial.com/papers/6aa7b2e10926e14a848b169chttps://doi.org/10.3390/diabetology7090180
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