{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T20:50:59Z","timestamp":1763499059279},"reference-count":12,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2012,1,23]],"date-time":"2012-01-23T00:00:00Z","timestamp":1327276800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diabetes Metabolism Res"],"published-print":{"date-parts":[[2012,2]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>The foot of diabetic patients can be affected by ulceration, infection, and gangrene and is a source of major morbidity and mortality; yet, it has been neglected by health\u2010care services. In recent years, however, the level of interest and knowledge has grown considerably, with an improving evidence base for clinical practice and the development of international consensus and guidelines that define strategies for diagnosis and appropriate treatment. Nevertheless, there are numerous barriers to the implementation of universal good care, involving attitudes and beliefs of doctors, other health\u2010care professionals, and patients, and the structure of health\u2010care systems, which conspire to prevent diabetic patients from receiving the appropriate multidisciplinary care they desperately need.<\/jats:p><jats:p>Before diabetic foot care reaches the level desired by specialists in the field, these many barriers must be recognized and overcome. Sound and cost\u2010effective strategies need to be developed. Policymakers and health\u2010care professionals should work together to remove the obstacles and facilitate the provision of adequate diabetic foot care. The effect of diabetic foot disease and amputations will only be reduced if sufficient attention is paid to the necessary preventive measures. Copyright \u00a9 2012 John Wiley &amp; Sons, Ltd.<\/jats:p>","DOI":"10.1002\/dmrr.2238","type":"journal-article","created":{"date-parts":[[2012,1,23]],"date-time":"2012-01-23T13:37:56Z","timestamp":1327325876000},"page":"112-115","source":"Crossref","is-referenced-by-count":12,"title":["Barriers to implementing foot care"],"prefix":"10.1002","volume":"28","author":[{"given":"W. H.","family":"van Houtum","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Spaarne Ziekenhuis Hoofddorp  Spaarne Poort 1 Hoofddorp 2134 TM The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,1,23]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.848"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)67675-1"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-481X.2010.00764.x"},{"key":"e_1_2_6_5_1","volume-title":"Diabetes Atlas","author":"International Diabetes Federation (IDF)","year":"2009"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-199108000-00009"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.2337\/diaspect.14.1.13"},{"key":"e_1_2_6_8_1","first-page":"165","article-title":"Vascular assessment before lower extremity amputation","volume":"4","author":"Houtum WH","year":"2001","journal-title":"Diabetic Foot"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2008.02445.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/pdi.1311"},{"key":"e_1_2_6_11_1","volume-title":"The Secret","author":"Byrne R","year":"2006"},{"key":"e_1_2_6_12_1","unstructured":"BrewinEB KhosraviNK YoungMJ McCardleJ.Amputation a local versus global concern. Poster (A06) at the 6th International Symposium on the Diabetic Foot. Noordwijkerhout The Netherlands 2011."},{"key":"e_1_2_6_13_1","unstructured":"International Diabetes Federation.International Working Group on the Diabetic foot. Diabetes and Foot Care: Time to Act 2005 Brussels Belgium 2005."}],"container-title":["Diabetes\/Metabolism Research and Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fdmrr.2238","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/dmrr.2238","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T21:56:39Z","timestamp":1695506199000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/dmrr.2238"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,1,23]]},"references-count":12,"journal-issue":{"issue":"S1","published-print":{"date-parts":[[2012,2]]}},"alternative-id":["10.1002\/dmrr.2238"],"URL":"https:\/\/doi.org\/10.1002\/dmrr.2238","archive":["Portico"],"relation":{},"ISSN":["1520-7552","1520-7560"],"issn-type":[{"value":"1520-7552","type":"print"},{"value":"1520-7560","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,1,23]]}}}