Optimum management of the challenges facing those with type one diabetes mellitus in the workplace: the medical model or the social constructionist perspective?

Abstract

This thesis examines the strengths and weaknesses of the medical model and the social constructionist perspective in managing the challenges facing those with type one diabetes in the paid workplace. The data will mainly consist of the published literature on the topic and information collected using qualitative methodology in face-to-face interviews with both employees who have type one diabetes and a work colleague or manager chosen by them. This research is timely considering that diabetes generally is a widespread health problem both in New Zealand and overseas with potential to even become more widespread due to population aging. My study is important because it will highlight not only what the considerable challenges facing those with type one diabetes in the workforce are but will also consider in depth the value of two influential conceptual frameworks in managing these. The workforce is a critical area for those with diabetes as it provides them with an opportunity to avoid the impact that low socio-economic status can have on their health. This research has significance for those with both types of diabetes but also their employers who have an interest in a healthy workforce. It also has significance for all health providers including social work which has not been conspicuous in diabetes care, but which has had a long tradition of making contributions to the health of people. It has done this by acknowledging the broad factors which affect health status, such as living conditions. In this way social work can make a large contribution to diabetes care.