ABSTRACT The argument centres around the notion that conventional biomedical healthcare models are behaviour change-orientated but do not cater for patients on an individual level. Healthcare systems need to acknowledge and support alternative medical therapy and also cater for the social aspect of the patient, which includes family support. This article attempts to make a case for the patient's social context to be incorporated in diabetes healthcare by proposing a new model for diabetes healthcare as a contribution to current literature. A qualitative case study design was used to explore individual patient perspectives on diabetic healthcare and treatment options within a South African public healthcare setting. Data were collected through interviews with diabetic patients, personal observation and document analysis. Findings indicate that problematic aspects related to issues of negligence and non-adherence need to be resolved by the healthcare professional, as recognizing patients’ social contexts and their lifestyle management can positively impact on such issues.

中文翻译：

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重新思考糖尿病沟通：基于社会背景的模型

摘要 争论的中心是传统的生物医学医疗保健模式以行为改变为导向，但并未在个体层面上满足患者的需求。医疗保健系统需要承认和支持替代医学疗法，还要照顾到患者的社会方面，包括家庭支持。本文试图通过提出一种新的糖尿病医疗保健模式作为对当前文献的贡献，为将患者的社会背景纳入糖尿病医疗保健提供一个案例。使用定性案例研究设计来探索个体患者对南非公共医疗保健环境中糖尿病医疗保健和治疗方案的看法。通过对糖尿病患者的访谈、个人观察和文件分析收集数据。