Challenges to Introducing Integrated Diabetes Care to an Inner-Regional Area in South Western Sydney, Australia
Introduction: Diabetes care often requires collaboration between general practitioners, allied health professionals, nurses, and/or medical specialists. This study aimed to describe the establishment of an integrated diabetes prevention and care approach in an area with limited access to primary and...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Ubiquity Press
2020-05-01
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| Series: | International Journal of Integrated Care |
| Subjects: | |
| Online Access: | https://www.ijic.org/articles/4692 |
| _version_ | 1828497917214720000 |
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| author | Reetu Zarora Rati Jani Freya MacMillan Anna Pham Ally Dench David Simmons |
| author_facet | Reetu Zarora Rati Jani Freya MacMillan Anna Pham Ally Dench David Simmons |
| author_sort | Reetu Zarora |
| collection | DOAJ |
| description | Introduction: Diabetes care often requires collaboration between general practitioners, allied health professionals, nurses, and/or medical specialists. This study aimed to describe the establishment of an integrated diabetes prevention and care approach in an area with limited access to primary and secondary care, and the challenges faced in its initial development. Description: A qualitative research approach to identify challenges was taken. Data included meeting minutes, observational data and reports involving local clinical and non-clinical stakeholders from June 2016- December 2018 and were thematically analysed. Discussion: Key challenges were low patient attendance in general practice, healthcare professional time, low participation at health promotion activities/peer support groups and diabetes education reflecting a low priority among people with and at risk of diabetes. Coordination between services remained a challenge. Conclusion: This study highlights the need to integrate new diabetes services with existing health activities in the community and the importance of allowing flexibility and regular contact with local healthcare professional and community to encourage their involvement. Regular meetings with the funders, internal and external stakeholders are key for sustainability and to adapt programmes to the local situation. Further work is needed to identify and implement strategies to overcome these challenges. |
| first_indexed | 2024-12-11T12:57:25Z |
| format | Article |
| id | doaj.art-a9ad5865c55348f4a2160aea6fd89a6f |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-12-11T12:57:25Z |
| publishDate | 2020-05-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-a9ad5865c55348f4a2160aea6fd89a6f2022-12-22T01:06:33ZengUbiquity PressInternational Journal of Integrated Care1568-41562020-05-0120210.5334/ijic.46924823Challenges to Introducing Integrated Diabetes Care to an Inner-Regional Area in South Western Sydney, AustraliaReetu Zarora0Rati Jani1Freya MacMillan2Anna Pham3Ally Dench4David Simmons5Macarthur Clinical School, School of Medicine, Western Sydney University, Campbelltown, New South WalesNutrition and Dietetics, Faculty of Health, University of Canberra, Australian Capital TerritorySchool of Health Science, Western Sydney University, Locked Bag 1797, Penrith, New South WalesPicton Family Medical Centre, Wollondilly, New South WalesCommunity and Corporate, Wollondilly Shire Council, Wollondilly, New South WalesMacarthur Clinical School, School of Medicine, Western Sydney University, Campbelltown, New South WalesIntroduction: Diabetes care often requires collaboration between general practitioners, allied health professionals, nurses, and/or medical specialists. This study aimed to describe the establishment of an integrated diabetes prevention and care approach in an area with limited access to primary and secondary care, and the challenges faced in its initial development. Description: A qualitative research approach to identify challenges was taken. Data included meeting minutes, observational data and reports involving local clinical and non-clinical stakeholders from June 2016- December 2018 and were thematically analysed. Discussion: Key challenges were low patient attendance in general practice, healthcare professional time, low participation at health promotion activities/peer support groups and diabetes education reflecting a low priority among people with and at risk of diabetes. Coordination between services remained a challenge. Conclusion: This study highlights the need to integrate new diabetes services with existing health activities in the community and the importance of allowing flexibility and regular contact with local healthcare professional and community to encourage their involvement. Regular meetings with the funders, internal and external stakeholders are key for sustainability and to adapt programmes to the local situation. Further work is needed to identify and implement strategies to overcome these challenges.https://www.ijic.org/articles/4692integrated carediabetes mellitusrural healthpeer group |
| spellingShingle | Reetu Zarora Rati Jani Freya MacMillan Anna Pham Ally Dench David Simmons Challenges to Introducing Integrated Diabetes Care to an Inner-Regional Area in South Western Sydney, Australia International Journal of Integrated Care integrated care diabetes mellitus rural health peer group |
| title | Challenges to Introducing Integrated Diabetes Care to an Inner-Regional Area in South Western Sydney, Australia |
| title_full | Challenges to Introducing Integrated Diabetes Care to an Inner-Regional Area in South Western Sydney, Australia |
| title_fullStr | Challenges to Introducing Integrated Diabetes Care to an Inner-Regional Area in South Western Sydney, Australia |
| title_full_unstemmed | Challenges to Introducing Integrated Diabetes Care to an Inner-Regional Area in South Western Sydney, Australia |
| title_short | Challenges to Introducing Integrated Diabetes Care to an Inner-Regional Area in South Western Sydney, Australia |
| title_sort | challenges to introducing integrated diabetes care to an inner regional area in south western sydney australia |
| topic | integrated care diabetes mellitus rural health peer group |
| url | https://www.ijic.org/articles/4692 |
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