Lillian Bird
LOGICAL REASONING ABILITY AND STUDENT PERFORMANCE IN GENERAL CHEMISTRY
Journal of chemical education
prevalence type 2 diabetes t2dm china 10 affecting around 114 million people despite inclusion t2dm national basic public health service program nbphsp people t2dm experience challenges achieving optimal management targets study aimed identify barriers facilitators diabetes management perspectives primary health care phc service providers recipients mixedmethods study conducted shijiazhuang city hebei province china quantitative phc facility assessment survey conducted administrative districts qualitative indepth interviews conducted one district government officials medical staff patients t2dm family members interviews thematically analyzed findings synthesized using michies comb theory total 197 villagecommunity level phc facilities 66 townshipstreet level phc facilities answered survey 42 indepth interviews conducted key facilitators stemmed nbphsp policy standardized basic infrastructure medical equipment medication phc facilities provided training ncd prevention control compensated phc workers however identified detrimental cycle among phc providers characterized inadequate capacity overwhelming workloads insufficient income limited career development opportunities challenges attracting young talents although patients covered national medical insurance schemes experienced capability constraints primarily driven low education levels advanced age low health literacy proliferation misinformation factors influenced patients motivation actively engaged care contributed inertia intensify treatment achieve clinical management goals study identifies several major facilitators barriers perspectives phc providers patients t2dm findings suggest substantial opportunities strengthen nbphsp including improving capacity income level phc providers attracting retaining skilled health workers rural areas supporting patients improve health literacy take active role health care improving access highquality care digital health approaches clinicaltrialsgov record nct02726100 03222016