Pub Date : 2023-05-31DOI: 10.26442/00403660.2023.04.202158
G N Soboleva, A A Minasyan, S A Gaman, A N Rogoza, L P Molina, T V Soboleva, M A Shariya, S K Ternovoy, Y A Karpov
Aim: To study myocardial perfusion in patients with coronary artery disease (CAD) with and without type 2 diabetes mellitus (DM) using volumetric computed tomography (VCT) of the heart with a pharmacological test with adenosine triphosphate (ATP).
Materials and methods: The study included 93 patients, of which 18 had CAD with DM, and 50 had CAD without DM. All patients underwent one of the stress tests, cardiac VCT with ATP test, invasive coronary angiography, or CT coronary angiography. Left ventricle (LV) myocardial perfusion was evaluated for hypoperfusion zones and the calculation of semi-quantitative indices: decrease of LV myocardial density, LV myocardial perfusion index, transmural perfusion coefficient, and our proposed new indicator - myocardial perfusion reserve (MPR).
Results: The MPR index value in the hypoperfusion zones in patients with CAD and DM was 0.64 [0.62-0.66], in patients with CAD without diabetes 0.65 [0.63-0.66]; p=0.4; the value of the transmural perfusion coefficient in the areas of abnormal LV myocardial perfusion in patients with CAD and DM was 0.81 [0.80-0.86] versus 0.83 [0.80-0.85] in patients with CAD without DM (p=0.6). More hypoperfusion segments were observed in patients with CAD and DM (33.3%) compared to those without DM (14%; p=0.029). The MPR index in the hypoperfusion zones in patients with CAD with intact coronary arteries (CA) and DM was 0.56 [0.54-0.60] versus 0.55 [0.54-0.62] in patients with CAD with intact CA without DM; p=0.2.
Conclusion: In patients with CAD and type 2 DM, according to the VCT with ATP test, more foci hypoperfusion areas were detected, regardless of the severity of coronary artery involvement, compared with patients with CAD without DM, which may be due to the microangiopathy in the myocardium. The similarity of the MPR parameters in the hypoperfusion zones associated with hemodynamic stenosis of the CA and with intact CAs indicates the ischemic genesis of these zones. For citation: Soboleva GN, Minasyan AA, Gaman SA, Rogoza AN, Molina LP, Soboleva TV, Shariya MA, Ternovoy SK, Karpov YuA. Type 2 diabetes mellitus and coronary artery disease: features of perfusion volume computed tomography of the heart in a pharmacological test with adenosine triphosphate. Terapevticheskii Arkhiv (Ter. Arkh.). 2023;95(4):309-315. DOI: 10.26442/00403660.2023.04.202158.
{"title":"[Type 2 diabetes mellitus and coronary artery disease: features of perfusion volume computed tomography of the heart in a pharmacological test with adenosine triphosphate].","authors":"G N Soboleva, A A Minasyan, S A Gaman, A N Rogoza, L P Molina, T V Soboleva, M A Shariya, S K Ternovoy, Y A Karpov","doi":"10.26442/00403660.2023.04.202158","DOIUrl":"10.26442/00403660.2023.04.202158","url":null,"abstract":"<p><strong>Aim: </strong>To study myocardial perfusion in patients with coronary artery disease (CAD) with and without type 2 diabetes mellitus (DM) using volumetric computed tomography (VCT) of the heart with a pharmacological test with adenosine triphosphate (ATP).</p><p><strong>Materials and methods: </strong>The study included 93 patients, of which 18 had CAD with DM, and 50 had CAD without DM. All patients underwent one of the stress tests, cardiac VCT with ATP test, invasive coronary angiography, or CT coronary angiography. Left ventricle (LV) myocardial perfusion was evaluated for hypoperfusion zones and the calculation of semi-quantitative indices: decrease of LV myocardial density, LV myocardial perfusion index, transmural perfusion coefficient, and our proposed new indicator - myocardial perfusion reserve (MPR).</p><p><strong>Results: </strong>The MPR index value in the hypoperfusion zones in patients with CAD and DM was 0.64 [0.62-0.66], in patients with CAD without diabetes 0.65 [0.63-0.66]; <i>p</i>=0.4; the value of the transmural perfusion coefficient in the areas of abnormal LV myocardial perfusion in patients with CAD and DM was 0.81 [0.80-0.86] versus 0.83 [0.80-0.85] in patients with CAD without DM (<i>p</i>=0.6). More hypoperfusion segments were observed in patients with CAD and DM (33.3%) compared to those without DM (14%; <i>p</i>=0.029). The MPR index in the hypoperfusion zones in patients with CAD with intact coronary arteries (CA) and DM was 0.56 [0.54-0.60] versus 0.55 [0.54-0.62] in patients with CAD with intact CA without DM; <i>p</i>=0.2.</p><p><strong>Conclusion: </strong>In patients with CAD and type 2 DM, according to the VCT with ATP test, more foci hypoperfusion areas were detected, regardless of the severity of coronary artery involvement, compared with patients with CAD without DM, which may be due to the microangiopathy in the myocardium. The similarity of the MPR parameters in the hypoperfusion zones associated with hemodynamic stenosis of the CA and with intact CAs indicates the ischemic genesis of these zones. For citation: Soboleva GN, Minasyan AA, Gaman SA, Rogoza AN, Molina LP, Soboleva TV, Shariya MA, Ternovoy SK, Karpov YuA. Type 2 diabetes mellitus and coronary artery disease: features of perfusion volume computed tomography of the heart in a pharmacological test with adenosine triphosphate. Terapevticheskii Arkhiv (Ter. Arkh.). 2023;95(4):309-315. DOI: 10.26442/00403660.2023.04.202158.</p>","PeriodicalId":48366,"journal":{"name":"Journal of Public Administration Research and Theory","volume":"12 1","pages":"309-315"},"PeriodicalIF":0.3,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83163187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correction to: Shared Positions on Divisive Beliefs Explain Interorganizational Collaboration: Evidence from Climate Change Policy Subsystems in 11 Countries","authors":"","doi":"10.1093/jopart/muad008","DOIUrl":"https://doi.org/10.1093/jopart/muad008","url":null,"abstract":"","PeriodicalId":48366,"journal":{"name":"Journal of Public Administration Research and Theory","volume":"1 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2023-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41407560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract Applications based on artificial intelligence (AI) play an increasing role in the public sector and invoke political discussions. Research gaps exist regarding the disclosure effects—reactions to disclosure of the use of AI applications—and the deployment effect—efficiency gains in data savvy tasks. This study analyzes disclosure effects and explores the deployment of an AI application in a preregistered field experiment (n = 2,000) co-designed with a public organization in the context of employer-driven recruitment. The linear regression results show that disclosing the use of the AI application leads to significantly less interest in an offer among job candidates. The explorative analysis of the deployment of the AI application indicates that the person–job fit determined by the leaders can be predicted by the AI application. Based on the literature on algorithm aversion and digital discretion, this study provides a theoretical and empirical disentanglement of the disclosure effect and the deployment effect to inform future evaluations of AI applications in the public sector. It contributes to the understanding of how AI applications can shape public policy and management decisions, and discusses the potential benefits and downsides of disclosing and deploying AI applications in the public sector and in employer-driven recruitment.
{"title":"No Thanks, Dear AI! Understanding the Effects of Disclosure and Deployment of Artificial Intelligence in Public Sector Recruitment","authors":"Florian Keppeler","doi":"10.1093/jopart/muad009","DOIUrl":"https://doi.org/10.1093/jopart/muad009","url":null,"abstract":"Abstract Applications based on artificial intelligence (AI) play an increasing role in the public sector and invoke political discussions. Research gaps exist regarding the disclosure effects—reactions to disclosure of the use of AI applications—and the deployment effect—efficiency gains in data savvy tasks. This study analyzes disclosure effects and explores the deployment of an AI application in a preregistered field experiment (n = 2,000) co-designed with a public organization in the context of employer-driven recruitment. The linear regression results show that disclosing the use of the AI application leads to significantly less interest in an offer among job candidates. The explorative analysis of the deployment of the AI application indicates that the person–job fit determined by the leaders can be predicted by the AI application. Based on the literature on algorithm aversion and digital discretion, this study provides a theoretical and empirical disentanglement of the disclosure effect and the deployment effect to inform future evaluations of AI applications in the public sector. It contributes to the understanding of how AI applications can shape public policy and management decisions, and discusses the potential benefits and downsides of disclosing and deploying AI applications in the public sector and in employer-driven recruitment.","PeriodicalId":48366,"journal":{"name":"Journal of Public Administration Research and Theory","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135539210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correction to: The Enduring Role of Sector: Citizen Preferences in Mixed Markets","authors":"","doi":"10.1093/jopart/muad007","DOIUrl":"https://doi.org/10.1093/jopart/muad007","url":null,"abstract":"","PeriodicalId":48366,"journal":{"name":"Journal of Public Administration Research and Theory","volume":" ","pages":""},"PeriodicalIF":4.2,"publicationDate":"2023-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46313332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Reviewer acknowledgements for Public Administration Research, Vol. 12, No. 1, 2023.
《公共管理研究》第12卷第1期，2023年。
{"title":"Reviewer Acknowledgements for Public Administration Research, Vol. 12, No. 1","authors":"Gabriel Tai","doi":"10.5539/par.v12n1p78","DOIUrl":"https://doi.org/10.5539/par.v12n1p78","url":null,"abstract":"Reviewer acknowledgements for Public Administration Research, Vol. 12, No. 1, 2023.","PeriodicalId":48366,"journal":{"name":"Journal of Public Administration Research and Theory","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136002356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Deliberation is ubiquitous in street-level work. Scholars and practitioners increasingly promote it, as it has the potential to improve existing practices and procedures and provide customized, yet consistent, services. Little is known, however, about the situated performance of deliberation in street-level work. Drawing on Routine Dynamics Theory and based on an ethnographic study of street-level decision-making in child and family services in the Netherlands (including document analysis, ~300 hours of observations and interviews in two teams in one organization), we uncover the performance of deliberative routines and their development over time. Demonstrating how contextual factors and the prioritization of particular ends play a role in these routines, we contribute to a better understanding of the dynamic and reflective performance of street-level deliberation. In addition, providing a more nuanced view of routines and elaborating on some possibilities for enabling management thereof, we contribute to a better understanding of the complex and iterative organization of street-level work.
{"title":"The performance and development of deliberative routines: a practice-based ethnographic study","authors":"E. Lianne Visser, Merlijn van Hulst","doi":"10.1093/jopart/muad006","DOIUrl":"https://doi.org/10.1093/jopart/muad006","url":null,"abstract":"\u0000 Deliberation is ubiquitous in street-level work. Scholars and practitioners increasingly promote it, as it has the potential to improve existing practices and procedures and provide customized, yet consistent, services. Little is known, however, about the situated performance of deliberation in street-level work. Drawing on Routine Dynamics Theory and based on an ethnographic study of street-level decision-making in child and family services in the Netherlands (including document analysis, ~300 hours of observations and interviews in two teams in one organization), we uncover the performance of deliberative routines and their development over time. Demonstrating how contextual factors and the prioritization of particular ends play a role in these routines, we contribute to a better understanding of the dynamic and reflective performance of street-level deliberation. In addition, providing a more nuanced view of routines and elaborating on some possibilities for enabling management thereof, we contribute to a better understanding of the complex and iterative organization of street-level work.","PeriodicalId":48366,"journal":{"name":"Journal of Public Administration Research and Theory","volume":" ","pages":""},"PeriodicalIF":4.2,"publicationDate":"2023-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42739041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The purpose of this research paper is to investigate the impact of LMX on the turnover intention of employees. Research from both Western and Arabic contexts has shown that the quality of LMX relationships has a positive impact on turnover intentions i.e., the quality of LMX in an organization may encourage employees to stay longer with the current organization and reduce turnover intention. This research study used a quantitative methodology, distributing questionnaire surveys as the research tool to a sample of 297 participants. The participants were all employees at the Ministry of Hajj and Umrah in Saudi Arabia, or who worked for associated companies at the Hajj and Umrah information center. The quantitative survey data was then analyzed to find the relationship between levels of LMX and employee turnover intention in this context. The findings show that high quality LMX relationships were positively correlated with employee decisions to stay with the organization, and indicate that well-functioning LMX may play a part in reducing employee turnover intention at the Ministry of Hajj and Umrah and its connected organizations.
{"title":"The Impact of Leader Member Exchange (LMX) Theory on Employee Turnover Intention: An empirical study of employees at the Ministry of Hajj and Umrah in Saudi Arabia","authors":"Mohammad A. Algarni, Yahya Kasib","doi":"10.5539/par.v12n1p60","DOIUrl":"https://doi.org/10.5539/par.v12n1p60","url":null,"abstract":"The purpose of this research paper is to investigate the impact of LMX on the turnover intention of employees. Research from both Western and Arabic contexts has shown that the quality of LMX relationships has a positive impact on turnover intentions i.e., the quality of LMX in an organization may encourage employees to stay longer with the current organization and reduce turnover intention. This research study used a quantitative methodology, distributing questionnaire surveys as the research tool to a sample of 297 participants. The participants were all employees at the Ministry of Hajj and Umrah in Saudi Arabia, or who worked for associated companies at the Hajj and Umrah information center. The quantitative survey data was then analyzed to find the relationship between levels of LMX and employee turnover intention in this context. The findings show that high quality LMX relationships were positively correlated with employee decisions to stay with the organization, and indicate that well-functioning LMX may play a part in reducing employee turnover intention at the Ministry of Hajj and Umrah and its connected organizations.","PeriodicalId":48366,"journal":{"name":"Journal of Public Administration Research and Theory","volume":"90 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78410039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
During the 2022 Beijing Winter Olympic Games, the Olympic champion Gu Ailing Eileen became popular and gained a lot of attention in the Chinese and foreign media. With the rise of popularity and influenced by online public opinion, Gu Ailing Eileen's nationality and excellent academic performance have triggered scrambling media reports, which has become a typical case of the dilemma of public crisis communication and public discussion in China. Based on the agenda theory, the paper makes a comparative study on the relevant entries and news content based on Gu Ailing in Sina Weibo and Xinhua News Agency, and tries to explore the differences in the relationship between them from the perspective of the agenda.
{"title":"Gu Ailing Eileen a Comparative Study on Media Reporting Agenda and Microblog Agenda – Take the Original Report of Xinhua News Agency and the Hot Search Terms on Weibo, for Example","authors":"Yunning Wang, Hanyue Sha","doi":"10.5539/par.v12n1p53","DOIUrl":"https://doi.org/10.5539/par.v12n1p53","url":null,"abstract":"During the 2022 Beijing Winter Olympic Games, the Olympic champion Gu Ailing Eileen became popular and gained a lot of attention in the Chinese and foreign media. With the rise of popularity and influenced by online public opinion, Gu Ailing Eileen's nationality and excellent academic performance have triggered scrambling media reports, which has become a typical case of the dilemma of public crisis communication and public discussion in China. Based on the agenda theory, the paper makes a comparative study on the relevant entries and news content based on Gu Ailing in Sina Weibo and Xinhua News Agency, and tries to explore the differences in the relationship between them from the perspective of the agenda.","PeriodicalId":48366,"journal":{"name":"Journal of Public Administration Research and Theory","volume":"22 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2023-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73869455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stakeholder theory has been advocating the inclusion of affected parties in organizational processes to increase the legitimacy and effectiveness of organizational governance. However, organizations can fail to achieve these objectives if there is no systematic link between stakeholders and their constituency. Based on democratic notions of representation, we argue that democratic stakeholder representativeness is an essential virtue of stakeholder governance processes. We conceptually derive authorization and accountability as normative elements of stakeholder representativeness and operationalize the construct by proposing empirical indicators of stakeholder representativeness as well as procedural guidance on their adoption in a practical governance context. By doing so, we contribute to the advancement of practical stakeholder governance as well as to the public management and organizational theory literature by specifying and operationalizing a construct that had previously been only vaguely defined.
{"title":"Democratic Stakeholder Representativeness","authors":"Sarah Margaretha Jastram, Zara Berberyan","doi":"10.1093/jopart/muad005","DOIUrl":"https://doi.org/10.1093/jopart/muad005","url":null,"abstract":"\u0000 Stakeholder theory has been advocating the inclusion of affected parties in organizational processes to increase the legitimacy and effectiveness of organizational governance. However, organizations can fail to achieve these objectives if there is no systematic link between stakeholders and their constituency. Based on democratic notions of representation, we argue that democratic stakeholder representativeness is an essential virtue of stakeholder governance processes. We conceptually derive authorization and accountability as normative elements of stakeholder representativeness and operationalize the construct by proposing empirical indicators of stakeholder representativeness as well as procedural guidance on their adoption in a practical governance context. By doing so, we contribute to the advancement of practical stakeholder governance as well as to the public management and organizational theory literature by specifying and operationalizing a construct that had previously been only vaguely defined.","PeriodicalId":48366,"journal":{"name":"Journal of Public Administration Research and Theory","volume":" ","pages":""},"PeriodicalIF":4.2,"publicationDate":"2023-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46706404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Diabetes and different non-communicable diseases, including cancer, respiratory and cardiovascular ailment, are the fundamental causes of morbidity and mortality worldwide. Diabetes affects persons, relatives, groups in health care, and the authorities’ agencies that provide care, and those consequences possibly disable groups and retard countrywide monetary increase. The extra cost in diabetes management is associated with a higher cost of treating past due diabetic complications, which lead to monetary loss due to lost person-days or misplaced financial possibility. The overall objective of this study was to determine the effects of diabetes management on the patients' incomes and their families seeking care at St. Mary’s Mission Hospital, Nairobi. This study drew on descriptive study design, involving quantitative and qualitative methods, particularly closed and open questions. The sample size was 269 respondents included in the study through purposive and convenient sampling. These sampling techniques were preferred in this research since data was gathered from the respondents during their visit to the hospital. The researcher collected data through interviewer-administered questionnaires containing both open and closed questions. Qualitative data was grouped, coded, and categorized, picking on cross-cutting issues, then compiled, analyzed, and interpreted data. Quantitative data was coded then entered into Statistical Package for Social Sciences (SPSS) version 22 for windows. SPSS was used to run frequency distributions and cross-tabulations for analysis and interpretation, and Microsoft Excel was used for graphical presentation. The study established that diabetes management is costly and not affordable to many patients. Hence, it affects the social well-being of the patients and their families. The study recommends free or affordable and available medication for diabetes patients, and continuous awareness programs for patients, family members and the community across all Counties to address the influence of diabetes management on the patients, families, and the Nation. This would contribute to the social well-being of the patients and their families and the Nation's economic development.
{"title":"Effects of Diabetes Management on the Patients' Income and Their Families Seeking Care","authors":"Njeri. S. Ngacha, J. McDonald","doi":"10.5539/par.v12n1p38","DOIUrl":"https://doi.org/10.5539/par.v12n1p38","url":null,"abstract":"Diabetes and different non-communicable diseases, including cancer, respiratory and cardiovascular ailment, are the fundamental causes of morbidity and mortality worldwide. Diabetes affects persons, relatives, groups in health care, and the authorities’ agencies that provide care, and those consequences possibly disable groups and retard countrywide monetary increase. The extra cost in diabetes management is associated with a higher cost of treating past due diabetic complications, which lead to monetary loss due to lost person-days or misplaced financial possibility. The overall objective of this study was to determine the effects of diabetes management on the patients' incomes and their families seeking care at St. Mary’s Mission Hospital, Nairobi. This study drew on descriptive study design, involving quantitative and qualitative methods, particularly closed and open questions. The sample size was 269 respondents included in the study through purposive and convenient sampling. These sampling techniques were preferred in this research since data was gathered from the respondents during their visit to the hospital. The researcher collected data through interviewer-administered questionnaires containing both open and closed questions. Qualitative data was grouped, coded, and categorized, picking on cross-cutting issues, then compiled, analyzed, and interpreted data. Quantitative data was coded then entered into Statistical Package for Social Sciences (SPSS) version 22 for windows. SPSS was used to run frequency distributions and cross-tabulations for analysis and interpretation, and Microsoft Excel was used for graphical presentation. The study established that diabetes management is costly and not affordable to many patients. Hence, it affects the social well-being of the patients and their families. The study recommends free or affordable and available medication for diabetes patients, and continuous awareness programs for patients, family members and the community across all Counties to address the influence of diabetes management on the patients, families, and the Nation. This would contribute to the social well-being of the patients and their families and the Nation's economic development.","PeriodicalId":48366,"journal":{"name":"Journal of Public Administration Research and Theory","volume":"15 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80679097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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