Diabetes self-management arrangements in Europe: a realist review to facilitate a project implemented in six countries View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2014-10-02

AUTHORS

Antonis A Kousoulis, Evridiki Patelarou, Sue Shea, Christina Foss, Ingrid A Ruud Knutsen, Elka Todorova, Poli Roukova, Mari Carmen Portillo, María J Pumar-Méndez, Agurtzane Mujika, Anne Rogers, Ivaylo Vassilev, Manuel Serrano-Gil, Christos Lionis

ABSTRACT

BACKGROUND: Self-management of long term conditions can promote quality of life whilst delivering benefits to the financing of health care systems. However, rarely are the meso-level influences, likely to be of direct relevance to these desired outcomes, systematically explored. No specific international guidelines exist suggesting the features of the most appropriate structure and organisation of health care systems within which to situate self-management approaches and practices. This review aimed to identify the quantitative literature with regard to diabetes self-management arrangements currently in place within the health care systems of six countries (The United Kingdom, The Netherlands, Norway, Spain, Bulgaria, and Greece) and explore how these are integrated into the broader health care and welfare systems in each country. METHODS: The methodology for a realist review was followed. Publications of interest dating from 2000 to 2013 were identified through appropriate MeSH terms by a systematic search in six bibliographic databases. A search diary was maintained and the studies were assessed for their quality and risk of bias. RESULTS: Following the multi-step search strategy, 56 studies were included in the final review (the majority from the UK) reporting design methods and findings on 21 interventions and programmes for diabetes and chronic disease self-management. Most (11/21, 52%) of the interventions were designed to fit within the context of primary care. The majority (11/21, 52%) highlighted behavioural change as an important goal. Finally, some (5/21, 24%) referred explicitly to Internet-based tools. CONCLUSIONS: This review is based on results which are derived from a total of at least 5,500 individuals residing in the six participating countries. It indicates a policy shift towards patient-centred self-management of diabetes in a primary care context. The professional role of diabetes specialist nurses, the need for multidisciplinary approaches and a focus on patient education emerge as fundamental principles in the design of relevant programmes. Socio-economic circumstances are relevant to the capacity to self-manage and suggest that any gains and progress will be hard to maintain during economic austerity. This realist review should be interpreted within the wider context of a whole systems approach regarding self-care support and chronic illness management. More... »

PAGES

453

References to SciGraph publications

  • 2012-01-26. A cluster randomised controlled trial of the clinical and cost-effectiveness of a 'whole systems' model of self-management support for the management of long- term conditions in primary care: trial protocol in IMPLEMENTATION SCIENCE
  • 2011-09-20. Digging Deeper: The Role of Qualitative Research in Behavioral Diabetes in CURRENT DIABETES REPORTS
  • 2006-11-27. A psychological approach to providing self-management education for people with type 2 diabetes: the Diabetes Manual in BMC FAMILY PRACTICE
  • 2010-04-09. Perceived barriers to the development of modern public health in Bulgaria: a qualitative study in INTERNATIONAL JOURNAL OF PUBLIC HEALTH
  • <error retrieving object. in <ERROR RETRIEVING OBJECT
  • 2006-07-17. The Diabetes Manual trial protocol – a cluster randomized controlled trial of a self-management intervention for type 2 diabetes [ISRCTN06315411] in BMC FAMILY PRACTICE
  • 2009-04-09. Use of diagnostic self-tests on body materials among Internet users in the Netherlands: prevalence and correlates of use in BMC PUBLIC HEALTH
  • 2011-09-19. An evaluation of Birmingham Own Health® telephone care management service among patients with poorly controlled diabetes. a retrospective comparison with the General Practice Research Database in BMC PUBLIC HEALTH
  • 2009-06-09. Web-based guided insulin self-titration in patients with type 2 diabetes: the Di@log study. Design of a cluster randomised controlled trial [TC1316] in BMC FAMILY PRACTICE
  • 2008-03-18. Self-management of type 2 diabetes mellitus: a qualitative investigation from the perspective of participants in a nurse-led, shared-care programme in the Netherlands in BMC PUBLIC HEALTH
  • 2012-03-12. The ideal of biopsychosocial chronic care: How to make it real? A qualitative study among Dutch stakeholders in BMC FAMILY PRACTICE
  • 2007-09-14. Brief Intervention in Type 1 diabetes – Education for Self-efficacy (BITES): Protocol for a randomised control trial to assess biophysical and psychological effectiveness in BMC ENDOCRINE DISORDERS
  • 2012-03-14. Does self monitoring of blood glucose as opposed to urinalysis provide additional benefit in patients newly diagnosed with type 2 diabetes receiving structured education? The DESMOND SMBG randomised controlled trial protocol in BMC FAMILY PRACTICE
  • 2005-05-12. GPs' perspectives of type 2 diabetes patients' adherence to treatment: A qualitative analysis of barriers and solutions in BMC FAMILY PRACTICE
  • 2012-03-29. "This does my head in". Ethnographic study of self-management by people with diabetes in BMC HEALTH SERVICES RESEARCH
  • 2012-12-19. Self-management experiences among men and women with type 2 diabetes mellitus: a qualitative analysis in BMC FAMILY PRACTICE
  • 2008-10-17. The emotional context of self-management in chronic illness: A qualitative study of the role of health professional support in the self-management of type 2 diabetes in BMC HEALTH SERVICES RESEARCH
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1186/1472-6963-14-453

    DOI

    http://dx.doi.org/10.1186/1472-6963-14-453

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1030475927

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/25278037


    Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
    Incoming Citations Browse incoming citations for this publication using opencitations.net

    JSON-LD is the canonical representation for SciGraph data.

    TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

    [
      {
        "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
        "about": [
          {
            "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
            "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
            "name": "Medical and Health Sciences", 
            "type": "DefinedTerm"
          }, 
          {
            "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1117", 
            "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
            "name": "Public Health and Health Services", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Diabetes Mellitus", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Europe", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Health Literacy", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Humans", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Patient Education as Topic", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Self Care", 
            "type": "DefinedTerm"
          }
        ], 
        "author": [
          {
            "affiliation": {
              "alternateName": "Clinic of Social and Family Medicine, Faculty of Medicine, University of Crete, Voutes, P.O. Box 2208, Heraklion 71003 Greece", 
              "id": "http://www.grid.ac/institutes/grid.8127.c", 
              "name": [
                "Clinic of Social and Family Medicine, Faculty of Medicine, University of Crete, Voutes, P.O. Box 2208, Heraklion 71003 Greece"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Kousoulis", 
            "givenName": "Antonis A", 
            "id": "sg:person.0762415540.04", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0762415540.04"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Florence Nightingale School of Nursing and Midwifery, King\u2019s College London, London, UK", 
              "id": "http://www.grid.ac/institutes/grid.13097.3c", 
              "name": [
                "Clinic of Social and Family Medicine, Faculty of Medicine, University of Crete, Voutes, P.O. Box 2208, Heraklion 71003 Greece", 
                "Florence Nightingale School of Nursing and Midwifery, King\u2019s College London, London, UK"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Patelarou", 
            "givenName": "Evridiki", 
            "id": "sg:person.0655233521.23", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0655233521.23"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Clinic of Social and Family Medicine, Faculty of Medicine, University of Crete, Voutes, P.O. Box 2208, Heraklion 71003 Greece", 
              "id": "http://www.grid.ac/institutes/grid.8127.c", 
              "name": [
                "Clinic of Social and Family Medicine, Faculty of Medicine, University of Crete, Voutes, P.O. Box 2208, Heraklion 71003 Greece"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Shea", 
            "givenName": "Sue", 
            "id": "sg:person.01206053031.49", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01206053031.49"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Institute of Health and Society, University of Oslo, Oslo, Norway", 
              "id": "http://www.grid.ac/institutes/grid.5510.1", 
              "name": [
                "Institute of Health and Society, University of Oslo, Oslo, Norway"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Foss", 
            "givenName": "Christina", 
            "id": "sg:person.01061413050.32", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01061413050.32"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Institute of Health and Society, University of Oslo, Oslo, Norway", 
              "id": "http://www.grid.ac/institutes/grid.5510.1", 
              "name": [
                "Institute of Health and Society, University of Oslo, Oslo, Norway"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Knutsen", 
            "givenName": "Ingrid A Ruud", 
            "id": "sg:person.0653147315.49", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0653147315.49"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Department of Economic Sociology, University of National and World Economy, Sofia, Bulgaria", 
              "id": "http://www.grid.ac/institutes/grid.5098.4", 
              "name": [
                "Department of Economic Sociology, University of National and World Economy, Sofia, Bulgaria"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Todorova", 
            "givenName": "Elka", 
            "id": "sg:person.01013277650.13", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01013277650.13"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "NIGGG, Bulgarian Academy of Sciences, Sofia, Bulgaria", 
              "id": "http://www.grid.ac/institutes/grid.425018.a", 
              "name": [
                "NIGGG, Bulgarian Academy of Sciences, Sofia, Bulgaria"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Roukova", 
            "givenName": "Poli", 
            "id": "sg:person.0677051250.03", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0677051250.03"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "School of Nursing, University of Navarra, Pamplona, Spain", 
              "id": "http://www.grid.ac/institutes/grid.5924.a", 
              "name": [
                "School of Nursing, University of Navarra, Pamplona, Spain"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Portillo", 
            "givenName": "Mari Carmen", 
            "id": "sg:person.01306226750.69", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01306226750.69"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "School of Nursing, University of Navarra, Pamplona, Spain", 
              "id": "http://www.grid.ac/institutes/grid.5924.a", 
              "name": [
                "School of Nursing, University of Navarra, Pamplona, Spain"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Pumar-M\u00e9ndez", 
            "givenName": "Mar\u00eda J", 
            "id": "sg:person.01320564217.04", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01320564217.04"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "School of Nursing, University of Navarra, Pamplona, Spain", 
              "id": "http://www.grid.ac/institutes/grid.5924.a", 
              "name": [
                "School of Nursing, University of Navarra, Pamplona, Spain"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Mujika", 
            "givenName": "Agurtzane", 
            "id": "sg:person.01007172356.85", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01007172356.85"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "NIHR CLAHRC Wessex, Health Sciences, University of Southampton, Hampshire, UK", 
              "id": "http://www.grid.ac/institutes/grid.5491.9", 
              "name": [
                "NIHR CLAHRC Wessex, Health Sciences, University of Southampton, Hampshire, UK"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Rogers", 
            "givenName": "Anne", 
            "id": "sg:person.012126504237.81", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.012126504237.81"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Fundaci\u00f3n Educaci\u00f3n Salud y Sociedad, Murcia, Spain", 
              "id": "http://www.grid.ac/institutes/None", 
              "name": [
                "Fundaci\u00f3n Educaci\u00f3n Salud y Sociedad, Murcia, Spain"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Vassilev", 
            "givenName": "Ivaylo", 
            "id": "sg:person.0762435350.01", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0762435350.01"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Fundaci\u00f3n Educaci\u00f3n Salud y Sociedad, Murcia, Spain", 
              "id": "http://www.grid.ac/institutes/None", 
              "name": [
                "Fundaci\u00f3n Educaci\u00f3n Salud y Sociedad, Murcia, Spain"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Serrano-Gil", 
            "givenName": "Manuel", 
            "id": "sg:person.01323707553.71", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01323707553.71"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Clinic of Social and Family Medicine, Faculty of Medicine, University of Crete, Voutes, P.O. Box 2208, Heraklion 71003 Greece", 
              "id": "http://www.grid.ac/institutes/grid.8127.c", 
              "name": [
                "Clinic of Social and Family Medicine, Faculty of Medicine, University of Crete, Voutes, P.O. Box 2208, Heraklion 71003 Greece"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Lionis", 
            "givenName": "Christos", 
            "id": "sg:person.01177526340.59", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01177526340.59"
            ], 
            "type": "Person"
          }
        ], 
        "citation": [
          {
            "id": "sg:pub.10.1186/1471-2296-10-40", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1047275370", 
              "https://doi.org/10.1186/1471-2296-10-40"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1472-6963-12-83", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1005605555", 
              "https://doi.org/10.1186/1472-6963-12-83"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s11892-011-0226-7", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1044220538", 
              "https://doi.org/10.1007/s11892-011-0226-7"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1471-2296-6-20", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1044257893", 
              "https://doi.org/10.1186/1471-2296-6-20"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1471-2458-8-91", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1053562732", 
              "https://doi.org/10.1186/1471-2458-8-91"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1471-2296-13-122", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1005345518", 
              "https://doi.org/10.1186/1471-2296-13-122"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s00038-010-0140-9", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1025099368", 
              "https://doi.org/10.1007/s00038-010-0140-9"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1471-2296-13-14", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1030881481", 
              "https://doi.org/10.1186/1471-2296-13-14"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1748-5908-7-7", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1026545727", 
              "https://doi.org/10.1186/1748-5908-7-7"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1471-2296-7-70", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1026337313", 
              "https://doi.org/10.1186/1471-2296-7-70"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1471-2296-13-18", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1041560407", 
              "https://doi.org/10.1186/1471-2296-13-18"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1471-2288-6-35", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1006121046", 
              "https://doi.org/10.1186/1471-2288-6-35"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1472-6823-7-6", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1042216483", 
              "https://doi.org/10.1186/1472-6823-7-6"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1471-2458-11-707", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1029002284", 
              "https://doi.org/10.1186/1471-2458-11-707"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1472-6963-8-214", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1021197185", 
              "https://doi.org/10.1186/1472-6963-8-214"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1471-2296-7-45", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1023863372", 
              "https://doi.org/10.1186/1471-2296-7-45"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1471-2458-9-100", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1051066443", 
              "https://doi.org/10.1186/1471-2458-9-100"
            ], 
            "type": "CreativeWork"
          }
        ], 
        "datePublished": "2014-10-02", 
        "datePublishedReg": "2014-10-02", 
        "description": "BACKGROUND: Self-management of long term conditions can promote quality of life whilst delivering benefits to the financing of health care systems. However, rarely are the meso-level influences, likely to be of direct relevance to these desired outcomes, systematically explored. No specific international guidelines exist suggesting the features of the most appropriate structure and organisation of health care systems within which to situate self-management approaches and practices. This review aimed to identify the quantitative literature with regard to diabetes self-management arrangements currently in place within the health care systems of six countries (The United Kingdom, The Netherlands, Norway, Spain, Bulgaria, and Greece) and explore how these are integrated into the broader health care and welfare systems in each country.\nMETHODS: The methodology for a realist review was followed. Publications of interest dating from 2000 to 2013 were identified through appropriate MeSH terms by a systematic search in six bibliographic databases. A search diary was maintained and the studies were assessed for their quality and risk of bias.\nRESULTS: Following the multi-step search strategy, 56 studies were included in the final review (the majority from the UK) reporting design methods and findings on 21 interventions and programmes for diabetes and chronic disease self-management. Most (11/21, 52%) of the interventions were designed to fit within the context of primary care. The majority (11/21, 52%) highlighted behavioural change as an important goal. Finally, some (5/21, 24%) referred explicitly to Internet-based tools.\nCONCLUSIONS: This review is based on results which are derived from a total of at least 5,500 individuals residing in the six participating countries. It indicates a policy shift towards patient-centred self-management of diabetes in a primary care context. The professional role of diabetes specialist nurses, the need for multidisciplinary approaches and a focus on patient education emerge as fundamental principles in the design of relevant programmes. Socio-economic circumstances are relevant to the capacity to self-manage and suggest that any gains and progress will be hard to maintain during economic austerity. This realist review should be interpreted within the wider context of a whole systems approach regarding self-care support and chronic illness management.", 
        "genre": "article", 
        "id": "sg:pub.10.1186/1472-6963-14-453", 
        "inLanguage": "en", 
        "isAccessibleForFree": true, 
        "isPartOf": [
          {
            "id": "sg:journal.1327417", 
            "issn": [
              "1472-6963"
            ], 
            "name": "BMC Health Services Research", 
            "publisher": "Springer Nature", 
            "type": "Periodical"
          }, 
          {
            "issueNumber": "1", 
            "type": "PublicationIssue"
          }, 
          {
            "type": "PublicationVolume", 
            "volumeNumber": "14"
          }
        ], 
        "keywords": [
          "health care system", 
          "care system", 
          "diabetes specialist nurses", 
          "risk of bias", 
          "self-care support", 
          "realist review", 
          "primary care context", 
          "chronic illness management", 
          "specific international guidelines", 
          "quality of life", 
          "self-management approach", 
          "long-term conditions", 
          "appropriate MeSH terms", 
          "specialist nurses", 
          "primary care", 
          "chronic diseases", 
          "illness management", 
          "international guidelines", 
          "final review", 
          "broader health care", 
          "systematic search", 
          "multi-step search strategy", 
          "MeSH terms", 
          "health care", 
          "multidisciplinary approach", 
          "care context", 
          "term conditions", 
          "publications of interest", 
          "diabetes", 
          "behavioral changes", 
          "care", 
          "bibliographic databases", 
          "intervention", 
          "review", 
          "whole system approach", 
          "socio-economic circumstances", 
          "search strategy", 
          "professional role", 
          "quantitative literature", 
          "disease", 
          "nurses", 
          "Internet-based tools", 
          "outcomes", 
          "risk", 
          "total", 
          "study", 
          "important goal", 
          "guidelines", 
          "diary", 
          "relevant programs", 
          "majority", 
          "findings", 
          "program", 
          "individuals", 
          "countries", 
          "management", 
          "quality", 
          "database", 
          "life", 
          "role", 
          "benefits", 
          "direct relevance", 
          "relevance", 
          "changes", 
          "regard", 
          "need", 
          "search", 
          "practice", 
          "literature", 
          "welfare system", 
          "publications", 
          "support", 
          "strategies", 
          "bias", 
          "gain", 
          "features", 
          "approach", 
          "focus", 
          "results", 
          "progress", 
          "circumstances", 
          "capacity", 
          "system", 
          "meso-level influences", 
          "goal", 
          "tool", 
          "context", 
          "conditions", 
          "method", 
          "influence", 
          "organization", 
          "interest", 
          "Europe", 
          "place", 
          "terms", 
          "shift", 
          "systems approach", 
          "fundamental principles", 
          "design", 
          "emerge", 
          "policy shift", 
          "economic austerity", 
          "financing", 
          "project", 
          "arrangement", 
          "appropriate structure", 
          "principles", 
          "wider context", 
          "methodology", 
          "structure", 
          "austerity", 
          "education emerge", 
          "design method", 
          "self-management arrangements", 
          "search diary", 
          "patient education emerge"
        ], 
        "name": "Diabetes self-management arrangements in Europe: a realist review to facilitate a project implemented in six countries", 
        "pagination": "453", 
        "productId": [
          {
            "name": "dimensions_id", 
            "type": "PropertyValue", 
            "value": [
              "pub.1030475927"
            ]
          }, 
          {
            "name": "doi", 
            "type": "PropertyValue", 
            "value": [
              "10.1186/1472-6963-14-453"
            ]
          }, 
          {
            "name": "pubmed_id", 
            "type": "PropertyValue", 
            "value": [
              "25278037"
            ]
          }
        ], 
        "sameAs": [
          "https://doi.org/10.1186/1472-6963-14-453", 
          "https://app.dimensions.ai/details/publication/pub.1030475927"
        ], 
        "sdDataset": "articles", 
        "sdDatePublished": "2022-01-01T18:32", 
        "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
        "sdPublisher": {
          "name": "Springer Nature - SN SciGraph project", 
          "type": "Organization"
        }, 
        "sdSource": "s3://com-springernature-scigraph/baseset/20220101/entities/gbq_results/article/article_623.jsonl", 
        "type": "ScholarlyArticle", 
        "url": "https://doi.org/10.1186/1472-6963-14-453"
      }
    ]
     

    Download the RDF metadata as:  json-ld nt turtle xml License info

    HOW TO GET THIS DATA PROGRAMMATICALLY:

    JSON-LD is a popular format for linked data which is fully compatible with JSON.

    curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1186/1472-6963-14-453'

    N-Triples is a line-based linked data format ideal for batch operations.

    curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1186/1472-6963-14-453'

    Turtle is a human-readable linked data format.

    curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1186/1472-6963-14-453'

    RDF/XML is a standard XML format for linked data.

    curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/1472-6963-14-453'


     

    This table displays all metadata directly associated to this object as RDF triples.

    382 TRIPLES      22 PREDICATES      165 URIs      140 LITERALS      13 BLANK NODES

    Subject Predicate Object
    1 sg:pub.10.1186/1472-6963-14-453 schema:about N2ca08c084651496ea414e6a82d483280
    2 N4f3984c0b24a4010b361639de0029234
    3 N5b146821a897458aa094dc6551c05cd6
    4 N64c96a3c8d6c4360b268d485b2629bff
    5 Nd6442ffa9ca4474ebb9aba972d826338
    6 Neda58203dfee4047a159aad0e7af8a77
    7 anzsrc-for:11
    8 anzsrc-for:1117
    9 schema:author Ne3f5ea46270d4108b69c371fee602219
    10 schema:citation sg:pub.10.1007/s00038-010-0140-9
    11 sg:pub.10.1007/s11892-011-0226-7
    12 sg:pub.10.1186/1471-2288-6-35
    13 sg:pub.10.1186/1471-2296-10-40
    14 sg:pub.10.1186/1471-2296-13-122
    15 sg:pub.10.1186/1471-2296-13-14
    16 sg:pub.10.1186/1471-2296-13-18
    17 sg:pub.10.1186/1471-2296-6-20
    18 sg:pub.10.1186/1471-2296-7-45
    19 sg:pub.10.1186/1471-2296-7-70
    20 sg:pub.10.1186/1471-2458-11-707
    21 sg:pub.10.1186/1471-2458-8-91
    22 sg:pub.10.1186/1471-2458-9-100
    23 sg:pub.10.1186/1472-6823-7-6
    24 sg:pub.10.1186/1472-6963-12-83
    25 sg:pub.10.1186/1472-6963-8-214
    26 sg:pub.10.1186/1748-5908-7-7
    27 schema:datePublished 2014-10-02
    28 schema:datePublishedReg 2014-10-02
    29 schema:description BACKGROUND: Self-management of long term conditions can promote quality of life whilst delivering benefits to the financing of health care systems. However, rarely are the meso-level influences, likely to be of direct relevance to these desired outcomes, systematically explored. No specific international guidelines exist suggesting the features of the most appropriate structure and organisation of health care systems within which to situate self-management approaches and practices. This review aimed to identify the quantitative literature with regard to diabetes self-management arrangements currently in place within the health care systems of six countries (The United Kingdom, The Netherlands, Norway, Spain, Bulgaria, and Greece) and explore how these are integrated into the broader health care and welfare systems in each country. METHODS: The methodology for a realist review was followed. Publications of interest dating from 2000 to 2013 were identified through appropriate MeSH terms by a systematic search in six bibliographic databases. A search diary was maintained and the studies were assessed for their quality and risk of bias. RESULTS: Following the multi-step search strategy, 56 studies were included in the final review (the majority from the UK) reporting design methods and findings on 21 interventions and programmes for diabetes and chronic disease self-management. Most (11/21, 52%) of the interventions were designed to fit within the context of primary care. The majority (11/21, 52%) highlighted behavioural change as an important goal. Finally, some (5/21, 24%) referred explicitly to Internet-based tools. CONCLUSIONS: This review is based on results which are derived from a total of at least 5,500 individuals residing in the six participating countries. It indicates a policy shift towards patient-centred self-management of diabetes in a primary care context. The professional role of diabetes specialist nurses, the need for multidisciplinary approaches and a focus on patient education emerge as fundamental principles in the design of relevant programmes. Socio-economic circumstances are relevant to the capacity to self-manage and suggest that any gains and progress will be hard to maintain during economic austerity. This realist review should be interpreted within the wider context of a whole systems approach regarding self-care support and chronic illness management.
    30 schema:genre article
    31 schema:inLanguage en
    32 schema:isAccessibleForFree true
    33 schema:isPartOf N239ac0c0489842079e0bf9fbb1734abb
    34 N80618efcd2834aa9bd0f54f84f845c49
    35 sg:journal.1327417
    36 schema:keywords Europe
    37 Internet-based tools
    38 MeSH terms
    39 approach
    40 appropriate MeSH terms
    41 appropriate structure
    42 arrangement
    43 austerity
    44 behavioral changes
    45 benefits
    46 bias
    47 bibliographic databases
    48 broader health care
    49 capacity
    50 care
    51 care context
    52 care system
    53 changes
    54 chronic diseases
    55 chronic illness management
    56 circumstances
    57 conditions
    58 context
    59 countries
    60 database
    61 design
    62 design method
    63 diabetes
    64 diabetes specialist nurses
    65 diary
    66 direct relevance
    67 disease
    68 economic austerity
    69 education emerge
    70 emerge
    71 features
    72 final review
    73 financing
    74 findings
    75 focus
    76 fundamental principles
    77 gain
    78 goal
    79 guidelines
    80 health care
    81 health care system
    82 illness management
    83 important goal
    84 individuals
    85 influence
    86 interest
    87 international guidelines
    88 intervention
    89 life
    90 literature
    91 long-term conditions
    92 majority
    93 management
    94 meso-level influences
    95 method
    96 methodology
    97 multi-step search strategy
    98 multidisciplinary approach
    99 need
    100 nurses
    101 organization
    102 outcomes
    103 patient education emerge
    104 place
    105 policy shift
    106 practice
    107 primary care
    108 primary care context
    109 principles
    110 professional role
    111 program
    112 progress
    113 project
    114 publications
    115 publications of interest
    116 quality
    117 quality of life
    118 quantitative literature
    119 realist review
    120 regard
    121 relevance
    122 relevant programs
    123 results
    124 review
    125 risk
    126 risk of bias
    127 role
    128 search
    129 search diary
    130 search strategy
    131 self-care support
    132 self-management approach
    133 self-management arrangements
    134 shift
    135 socio-economic circumstances
    136 specialist nurses
    137 specific international guidelines
    138 strategies
    139 structure
    140 study
    141 support
    142 system
    143 systematic search
    144 systems approach
    145 term conditions
    146 terms
    147 tool
    148 total
    149 welfare system
    150 whole system approach
    151 wider context
    152 schema:name Diabetes self-management arrangements in Europe: a realist review to facilitate a project implemented in six countries
    153 schema:pagination 453
    154 schema:productId N2152c43b3fad4c4aad47cfa466d9999f
    155 N7923de1fca8d4fdc8f3357a3dc95a9cb
    156 Naae3188b048549e6990be9d36dfd9ae6
    157 schema:sameAs https://app.dimensions.ai/details/publication/pub.1030475927
    158 https://doi.org/10.1186/1472-6963-14-453
    159 schema:sdDatePublished 2022-01-01T18:32
    160 schema:sdLicense https://scigraph.springernature.com/explorer/license/
    161 schema:sdPublisher Nfc69df374b4b44a2a4aa392f3d5ff505
    162 schema:url https://doi.org/10.1186/1472-6963-14-453
    163 sgo:license sg:explorer/license/
    164 sgo:sdDataset articles
    165 rdf:type schema:ScholarlyArticle
    166 N1beba24d14fe4542a0315e1382341bdb rdf:first sg:person.0653147315.49
    167 rdf:rest N5f6b05aa8bea423f9b8601b09fc926e7
    168 N2152c43b3fad4c4aad47cfa466d9999f schema:name dimensions_id
    169 schema:value pub.1030475927
    170 rdf:type schema:PropertyValue
    171 N239ac0c0489842079e0bf9fbb1734abb schema:volumeNumber 14
    172 rdf:type schema:PublicationVolume
    173 N2692903d01144b31839994302e7c3bac rdf:first sg:person.01206053031.49
    174 rdf:rest N3d88343ae97c444b8deb9285d1a7d8a8
    175 N2ca08c084651496ea414e6a82d483280 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    176 schema:name Humans
    177 rdf:type schema:DefinedTerm
    178 N3d88343ae97c444b8deb9285d1a7d8a8 rdf:first sg:person.01061413050.32
    179 rdf:rest N1beba24d14fe4542a0315e1382341bdb
    180 N4b364cc4e0204396825b7d98fc2b724e rdf:first sg:person.0762435350.01
    181 rdf:rest Ne7a72e29604343f1a47ecb864ba5ae2b
    182 N4f3984c0b24a4010b361639de0029234 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    183 schema:name Diabetes Mellitus
    184 rdf:type schema:DefinedTerm
    185 N5b146821a897458aa094dc6551c05cd6 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    186 schema:name Health Literacy
    187 rdf:type schema:DefinedTerm
    188 N5d93a6ef774c44a39bb6340eab002ae9 rdf:first sg:person.012126504237.81
    189 rdf:rest N4b364cc4e0204396825b7d98fc2b724e
    190 N5f6b05aa8bea423f9b8601b09fc926e7 rdf:first sg:person.01013277650.13
    191 rdf:rest Nc78d75ccb84b4f15af3a664eb6fbe867
    192 N64c96a3c8d6c4360b268d485b2629bff schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    193 schema:name Europe
    194 rdf:type schema:DefinedTerm
    195 N78f8c0dd877747bd8c502773b028acf0 rdf:first sg:person.01306226750.69
    196 rdf:rest Neaed474412dc4c129d48434ce89328bf
    197 N7923de1fca8d4fdc8f3357a3dc95a9cb schema:name pubmed_id
    198 schema:value 25278037
    199 rdf:type schema:PropertyValue
    200 N80618efcd2834aa9bd0f54f84f845c49 schema:issueNumber 1
    201 rdf:type schema:PublicationIssue
    202 N8e472b334937423c948e1b85e807f9a1 rdf:first sg:person.01177526340.59
    203 rdf:rest rdf:nil
    204 Naae3188b048549e6990be9d36dfd9ae6 schema:name doi
    205 schema:value 10.1186/1472-6963-14-453
    206 rdf:type schema:PropertyValue
    207 Naf285baa0e6c4085b3ec81d5574edce9 rdf:first sg:person.0655233521.23
    208 rdf:rest N2692903d01144b31839994302e7c3bac
    209 Nc78d75ccb84b4f15af3a664eb6fbe867 rdf:first sg:person.0677051250.03
    210 rdf:rest N78f8c0dd877747bd8c502773b028acf0
    211 Nd6442ffa9ca4474ebb9aba972d826338 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    212 schema:name Patient Education as Topic
    213 rdf:type schema:DefinedTerm
    214 Ne3f5ea46270d4108b69c371fee602219 rdf:first sg:person.0762415540.04
    215 rdf:rest Naf285baa0e6c4085b3ec81d5574edce9
    216 Ne7a72e29604343f1a47ecb864ba5ae2b rdf:first sg:person.01323707553.71
    217 rdf:rest N8e472b334937423c948e1b85e807f9a1
    218 Ne9ce166d516040768b5d66f7671cea0e rdf:first sg:person.01007172356.85
    219 rdf:rest N5d93a6ef774c44a39bb6340eab002ae9
    220 Neaed474412dc4c129d48434ce89328bf rdf:first sg:person.01320564217.04
    221 rdf:rest Ne9ce166d516040768b5d66f7671cea0e
    222 Neda58203dfee4047a159aad0e7af8a77 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    223 schema:name Self Care
    224 rdf:type schema:DefinedTerm
    225 Nfc69df374b4b44a2a4aa392f3d5ff505 schema:name Springer Nature - SN SciGraph project
    226 rdf:type schema:Organization
    227 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
    228 schema:name Medical and Health Sciences
    229 rdf:type schema:DefinedTerm
    230 anzsrc-for:1117 schema:inDefinedTermSet anzsrc-for:
    231 schema:name Public Health and Health Services
    232 rdf:type schema:DefinedTerm
    233 sg:journal.1327417 schema:issn 1472-6963
    234 schema:name BMC Health Services Research
    235 schema:publisher Springer Nature
    236 rdf:type schema:Periodical
    237 sg:person.01007172356.85 schema:affiliation grid-institutes:grid.5924.a
    238 schema:familyName Mujika
    239 schema:givenName Agurtzane
    240 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01007172356.85
    241 rdf:type schema:Person
    242 sg:person.01013277650.13 schema:affiliation grid-institutes:grid.5098.4
    243 schema:familyName Todorova
    244 schema:givenName Elka
    245 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01013277650.13
    246 rdf:type schema:Person
    247 sg:person.01061413050.32 schema:affiliation grid-institutes:grid.5510.1
    248 schema:familyName Foss
    249 schema:givenName Christina
    250 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01061413050.32
    251 rdf:type schema:Person
    252 sg:person.01177526340.59 schema:affiliation grid-institutes:grid.8127.c
    253 schema:familyName Lionis
    254 schema:givenName Christos
    255 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01177526340.59
    256 rdf:type schema:Person
    257 sg:person.01206053031.49 schema:affiliation grid-institutes:grid.8127.c
    258 schema:familyName Shea
    259 schema:givenName Sue
    260 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01206053031.49
    261 rdf:type schema:Person
    262 sg:person.012126504237.81 schema:affiliation grid-institutes:grid.5491.9
    263 schema:familyName Rogers
    264 schema:givenName Anne
    265 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.012126504237.81
    266 rdf:type schema:Person
    267 sg:person.01306226750.69 schema:affiliation grid-institutes:grid.5924.a
    268 schema:familyName Portillo
    269 schema:givenName Mari Carmen
    270 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01306226750.69
    271 rdf:type schema:Person
    272 sg:person.01320564217.04 schema:affiliation grid-institutes:grid.5924.a
    273 schema:familyName Pumar-Méndez
    274 schema:givenName María J
    275 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01320564217.04
    276 rdf:type schema:Person
    277 sg:person.01323707553.71 schema:affiliation grid-institutes:None
    278 schema:familyName Serrano-Gil
    279 schema:givenName Manuel
    280 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01323707553.71
    281 rdf:type schema:Person
    282 sg:person.0653147315.49 schema:affiliation grid-institutes:grid.5510.1
    283 schema:familyName Knutsen
    284 schema:givenName Ingrid A Ruud
    285 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0653147315.49
    286 rdf:type schema:Person
    287 sg:person.0655233521.23 schema:affiliation grid-institutes:grid.13097.3c
    288 schema:familyName Patelarou
    289 schema:givenName Evridiki
    290 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0655233521.23
    291 rdf:type schema:Person
    292 sg:person.0677051250.03 schema:affiliation grid-institutes:grid.425018.a
    293 schema:familyName Roukova
    294 schema:givenName Poli
    295 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0677051250.03
    296 rdf:type schema:Person
    297 sg:person.0762415540.04 schema:affiliation grid-institutes:grid.8127.c
    298 schema:familyName Kousoulis
    299 schema:givenName Antonis A
    300 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0762415540.04
    301 rdf:type schema:Person
    302 sg:person.0762435350.01 schema:affiliation grid-institutes:None
    303 schema:familyName Vassilev
    304 schema:givenName Ivaylo
    305 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0762435350.01
    306 rdf:type schema:Person
    307 sg:pub.10.1007/s00038-010-0140-9 schema:sameAs https://app.dimensions.ai/details/publication/pub.1025099368
    308 https://doi.org/10.1007/s00038-010-0140-9
    309 rdf:type schema:CreativeWork
    310 sg:pub.10.1007/s11892-011-0226-7 schema:sameAs https://app.dimensions.ai/details/publication/pub.1044220538
    311 https://doi.org/10.1007/s11892-011-0226-7
    312 rdf:type schema:CreativeWork
    313 sg:pub.10.1186/1471-2288-6-35 schema:sameAs https://app.dimensions.ai/details/publication/pub.1006121046
    314 https://doi.org/10.1186/1471-2288-6-35
    315 rdf:type schema:CreativeWork
    316 sg:pub.10.1186/1471-2296-10-40 schema:sameAs https://app.dimensions.ai/details/publication/pub.1047275370
    317 https://doi.org/10.1186/1471-2296-10-40
    318 rdf:type schema:CreativeWork
    319 sg:pub.10.1186/1471-2296-13-122 schema:sameAs https://app.dimensions.ai/details/publication/pub.1005345518
    320 https://doi.org/10.1186/1471-2296-13-122
    321 rdf:type schema:CreativeWork
    322 sg:pub.10.1186/1471-2296-13-14 schema:sameAs https://app.dimensions.ai/details/publication/pub.1030881481
    323 https://doi.org/10.1186/1471-2296-13-14
    324 rdf:type schema:CreativeWork
    325 sg:pub.10.1186/1471-2296-13-18 schema:sameAs https://app.dimensions.ai/details/publication/pub.1041560407
    326 https://doi.org/10.1186/1471-2296-13-18
    327 rdf:type schema:CreativeWork
    328 sg:pub.10.1186/1471-2296-6-20 schema:sameAs https://app.dimensions.ai/details/publication/pub.1044257893
    329 https://doi.org/10.1186/1471-2296-6-20
    330 rdf:type schema:CreativeWork
    331 sg:pub.10.1186/1471-2296-7-45 schema:sameAs https://app.dimensions.ai/details/publication/pub.1023863372
    332 https://doi.org/10.1186/1471-2296-7-45
    333 rdf:type schema:CreativeWork
    334 sg:pub.10.1186/1471-2296-7-70 schema:sameAs https://app.dimensions.ai/details/publication/pub.1026337313
    335 https://doi.org/10.1186/1471-2296-7-70
    336 rdf:type schema:CreativeWork
    337 sg:pub.10.1186/1471-2458-11-707 schema:sameAs https://app.dimensions.ai/details/publication/pub.1029002284
    338 https://doi.org/10.1186/1471-2458-11-707
    339 rdf:type schema:CreativeWork
    340 sg:pub.10.1186/1471-2458-8-91 schema:sameAs https://app.dimensions.ai/details/publication/pub.1053562732
    341 https://doi.org/10.1186/1471-2458-8-91
    342 rdf:type schema:CreativeWork
    343 sg:pub.10.1186/1471-2458-9-100 schema:sameAs https://app.dimensions.ai/details/publication/pub.1051066443
    344 https://doi.org/10.1186/1471-2458-9-100
    345 rdf:type schema:CreativeWork
    346 sg:pub.10.1186/1472-6823-7-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1042216483
    347 https://doi.org/10.1186/1472-6823-7-6
    348 rdf:type schema:CreativeWork
    349 sg:pub.10.1186/1472-6963-12-83 schema:sameAs https://app.dimensions.ai/details/publication/pub.1005605555
    350 https://doi.org/10.1186/1472-6963-12-83
    351 rdf:type schema:CreativeWork
    352 sg:pub.10.1186/1472-6963-8-214 schema:sameAs https://app.dimensions.ai/details/publication/pub.1021197185
    353 https://doi.org/10.1186/1472-6963-8-214
    354 rdf:type schema:CreativeWork
    355 sg:pub.10.1186/1748-5908-7-7 schema:sameAs https://app.dimensions.ai/details/publication/pub.1026545727
    356 https://doi.org/10.1186/1748-5908-7-7
    357 rdf:type schema:CreativeWork
    358 grid-institutes:None schema:alternateName Fundación Educación Salud y Sociedad, Murcia, Spain
    359 schema:name Fundación Educación Salud y Sociedad, Murcia, Spain
    360 rdf:type schema:Organization
    361 grid-institutes:grid.13097.3c schema:alternateName Florence Nightingale School of Nursing and Midwifery, King’s College London, London, UK
    362 schema:name Clinic of Social and Family Medicine, Faculty of Medicine, University of Crete, Voutes, P.O. Box 2208, Heraklion 71003 Greece
    363 Florence Nightingale School of Nursing and Midwifery, King’s College London, London, UK
    364 rdf:type schema:Organization
    365 grid-institutes:grid.425018.a schema:alternateName NIGGG, Bulgarian Academy of Sciences, Sofia, Bulgaria
    366 schema:name NIGGG, Bulgarian Academy of Sciences, Sofia, Bulgaria
    367 rdf:type schema:Organization
    368 grid-institutes:grid.5098.4 schema:alternateName Department of Economic Sociology, University of National and World Economy, Sofia, Bulgaria
    369 schema:name Department of Economic Sociology, University of National and World Economy, Sofia, Bulgaria
    370 rdf:type schema:Organization
    371 grid-institutes:grid.5491.9 schema:alternateName NIHR CLAHRC Wessex, Health Sciences, University of Southampton, Hampshire, UK
    372 schema:name NIHR CLAHRC Wessex, Health Sciences, University of Southampton, Hampshire, UK
    373 rdf:type schema:Organization
    374 grid-institutes:grid.5510.1 schema:alternateName Institute of Health and Society, University of Oslo, Oslo, Norway
    375 schema:name Institute of Health and Society, University of Oslo, Oslo, Norway
    376 rdf:type schema:Organization
    377 grid-institutes:grid.5924.a schema:alternateName School of Nursing, University of Navarra, Pamplona, Spain
    378 schema:name School of Nursing, University of Navarra, Pamplona, Spain
    379 rdf:type schema:Organization
    380 grid-institutes:grid.8127.c schema:alternateName Clinic of Social and Family Medicine, Faculty of Medicine, University of Crete, Voutes, P.O. Box 2208, Heraklion 71003 Greece
    381 schema:name Clinic of Social and Family Medicine, Faculty of Medicine, University of Crete, Voutes, P.O. Box 2208, Heraklion 71003 Greece
    382 rdf:type schema:Organization
     




    Preview window. Press ESC to close (or click here)


    ...