Ethical Analysis of Diabetes Self-management Education: Review on Indonesian Healthcare Services


Self-management is a crucial part of diabetes treatment to prevent short-term and longterm complications. Self-management education sometimes raises some ethical issues. This paper aims to discuss the ethical issues arising from diabetes self-management education practice. We discuss the ethical issues based on case study of patient self-management education in a public health centre (PHC) outpatient department in Malang City, Indonesia. We observed the patients’ education practices and conducted interviews randomly with diabetes patients who visited PHC for their treatment. Findings showed that the central theme of ethical issues arising from the movement toward patient self-management must be raised: preparation, empowerment, predominant assumption of self-management, and lack of standards for patient selection. Putting patient education in its rightful place and respecting patient preferences’ was one way to reduce the risk of ethical dilemmas arising from self-management.

Keywords: diabetes self-management, patient education, ethical issues reviews

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