Table 3 Barriers to insulin initiation faced by Malaysian healthcare professionals
Patient barriers | |
• | Fear of side effects and pain |
• | Misconceptions about insulin |
Insulin is lethal | |
Insulin is a punishment | |
Insulin is a stigma | |
Insulin is a medication for old people | |
Insulin causes sexual dysfunction | |
Insulin is unlawful for Muslims | |
• | Seeking alternative treatment |
• | Lack of knowledge and self efficacy |
• | Negative influence from family members |
Healthcare professional barriers | |
• | Negative attitudes towards insulin |
• | Lack of motivation and confidence |
• | Training-related barriers |
• | Conflicting advice from the healthcare professionals |
System barriers | |
• | Lack of continuity of care |
• | Lack of manpower |
• | Lack of resources |
• | Language barriers |