Barriers to diabetes care
The role of healthcare providers in care of diabetic
patients has been well recognized. Socio-demographic and
cultural barriers such as poor access to drugs, high cost,
patient satisfaction with their medical care, patient
provider relationship, degree of symptoms, unequal distribution
of health providers between urban and rural areas
have restricted self-care activities in developing countries
[39,55-58]. In a study to identify the barriers from the provider’s
perspective in regard to diabetes care factors like
affordability by the patient, belief by providers that medications
cannot cure patient condition, no confidence in
their own ability to alter patient behavior were identified
[59]. Another study stressed on both patient factors
(adherence, attitude, beliefs, knowledge about diabetes,
culture and language capabilities, health literacy, financial
resources, co-morbidities and social support) and clinician
related factors (attitude, beliefs and