Connecting the Dots of Care: A pilot study linking Aboriginal and/or Torres Strait Islander peoples with diabetes care in hospital, using hospital pharmacists
Background: Diabetes is common among Aboriginal and/or Torres Strait Islander peoples, yet often undetected in hospital. Objective: To identify how urban hospital pharmacists can detect if Aboriginal and/or Torres Strait Islander patients have diabetes or a higher chance of getting diabetes. Methods...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Exploratory Research in Clinical and Social Pharmacy |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667276623001324 |
| _version_ | 1797389369050398720 |
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| author | Susan Welch Rebekah Moles Alexander Viardot Pauline Deweerd Scott Daly Kylie Lee |
| author_facet | Susan Welch Rebekah Moles Alexander Viardot Pauline Deweerd Scott Daly Kylie Lee |
| author_sort | Susan Welch |
| collection | DOAJ |
| description | Background: Diabetes is common among Aboriginal and/or Torres Strait Islander peoples, yet often undetected in hospital. Objective: To identify how urban hospital pharmacists can detect if Aboriginal and/or Torres Strait Islander patients have diabetes or a higher chance of getting diabetes. Methods: A multi-methods study used data from patients, and researcher field notes. Aboriginal and/or Torres Strait Islander peoples admitted to hospital over 12-weeks (July–October 2021) were prospectively identified from admissions lists. A hospital pharmacist-researcher visited eligible patients. Consenting participants had their blood glucose and HbA1c checked. Participants with HbA1c > 6.5% (no known diabetes) or 7% (known diabetes) were referred for endocrinology review during their stay. Test results and resultant diabetes plan were shared with their general practitioner. Two days after discharge, participants were called to gauge views on their hospital-based diabetes care. Barcode technology recorded pharmacist time. Voice-recorded field notes were thematically analysed. Ethics approval was obtained. Results: Seventy-two patients were eligible for inclusion, 67/72 (93%) consented to take part. Sixty-one (91%) patients returned a HbA1c < 6.5, of which, 4/61 (6.5%) returned a HbA1c, 6–6.4. They were contacted to yarn about diabetes prevention. Six of the 67 (9%) qualified for endocrine review, 5 had known diabetes, one newly diagnosed. None were known to endocrinology. All participants telephoned were satisfied with their hospital-based diabetes care. Pharmacist time for initial introductory yarn, consenting process, organisation of HbA1c and results discussion was 20 min or 40 min if referred for endocrine review. Field notes guided understanding of service implementation. Conclusion: This novel pharmacist-led diabetes screening service for Aboriginal and/or Torres Strait Islander peoples appeared to provide a unique opportunity for screening and referral links in a holistic way. Future research is required to test this model by upscaling to include more pharmacists and other chronic disease screening and referral pathways. |
| first_indexed | 2024-03-08T22:55:58Z |
| format | Article |
| id | doaj.art-c9bda6cdabda4c52af1b5ae20a0e352b |
| institution | Directory Open Access Journal |
| issn | 2667-2766 |
| language | English |
| last_indexed | 2024-03-08T22:55:58Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Exploratory Research in Clinical and Social Pharmacy |
| spelling | doaj.art-c9bda6cdabda4c52af1b5ae20a0e352b2023-12-16T06:10:40ZengElsevierExploratory Research in Clinical and Social Pharmacy2667-27662023-12-0112100351Connecting the Dots of Care: A pilot study linking Aboriginal and/or Torres Strait Islander peoples with diabetes care in hospital, using hospital pharmacistsSusan Welch0Rebekah Moles1Alexander Viardot2Pauline Deweerd3Scott Daly4Kylie Lee5St. Vincent's Hospital, 390 Victoria St., Darlinghurst 2010, Australia; University of Sydney, School of Pharmacy, Faculty of Medicine and Health, Camperdown, Sydney, N.S.W 2006, Australia; Corresponding author at: St. Vincent's Hospital, 390 Victoria St., Darlinghurst 2010, Australia.University of Sydney, School of Pharmacy, Faculty of Medicine and Health, Camperdown, Sydney, N.S.W 2006, AustraliaSt. Vincent's Hospital, 390 Victoria St., Darlinghurst 2010, Australia; Garvan Institute, University of New South Wales, Randwick, Sydney, N.S.W. 2010, AustraliaSt. Vincent's Hospital, 390 Victoria St., Darlinghurst 2010, AustraliaSt. Vincent's Hospital, 390 Victoria St., Darlinghurst 2010, AustraliaUniversity of Sydney, Addiction Medicine, Faculty of Medicine and Health, Camperdown, Sydney 2006, Australia; The Edith Collins Centre, Camperdown, Sydney, 2006, Australia; Centre for Alcohol Policy Research, La Trobe University, Bundoora, Vic 3083, Australia; Burnet Institute, Melbourne, Vic 3004, Australia; National Drug Research Institute, Curtin University, Perth, WA, 6045, AustraliaBackground: Diabetes is common among Aboriginal and/or Torres Strait Islander peoples, yet often undetected in hospital. Objective: To identify how urban hospital pharmacists can detect if Aboriginal and/or Torres Strait Islander patients have diabetes or a higher chance of getting diabetes. Methods: A multi-methods study used data from patients, and researcher field notes. Aboriginal and/or Torres Strait Islander peoples admitted to hospital over 12-weeks (July–October 2021) were prospectively identified from admissions lists. A hospital pharmacist-researcher visited eligible patients. Consenting participants had their blood glucose and HbA1c checked. Participants with HbA1c > 6.5% (no known diabetes) or 7% (known diabetes) were referred for endocrinology review during their stay. Test results and resultant diabetes plan were shared with their general practitioner. Two days after discharge, participants were called to gauge views on their hospital-based diabetes care. Barcode technology recorded pharmacist time. Voice-recorded field notes were thematically analysed. Ethics approval was obtained. Results: Seventy-two patients were eligible for inclusion, 67/72 (93%) consented to take part. Sixty-one (91%) patients returned a HbA1c < 6.5, of which, 4/61 (6.5%) returned a HbA1c, 6–6.4. They were contacted to yarn about diabetes prevention. Six of the 67 (9%) qualified for endocrine review, 5 had known diabetes, one newly diagnosed. None were known to endocrinology. All participants telephoned were satisfied with their hospital-based diabetes care. Pharmacist time for initial introductory yarn, consenting process, organisation of HbA1c and results discussion was 20 min or 40 min if referred for endocrine review. Field notes guided understanding of service implementation. Conclusion: This novel pharmacist-led diabetes screening service for Aboriginal and/or Torres Strait Islander peoples appeared to provide a unique opportunity for screening and referral links in a holistic way. Future research is required to test this model by upscaling to include more pharmacists and other chronic disease screening and referral pathways.http://www.sciencedirect.com/science/article/pii/S2667276623001324Hospital pharmacistIndigenous AustralianDiabetesScreeningAboriginal and Torres Strait islander peoples |
| spellingShingle | Susan Welch Rebekah Moles Alexander Viardot Pauline Deweerd Scott Daly Kylie Lee Connecting the Dots of Care: A pilot study linking Aboriginal and/or Torres Strait Islander peoples with diabetes care in hospital, using hospital pharmacists Exploratory Research in Clinical and Social Pharmacy Hospital pharmacist Indigenous Australian Diabetes Screening Aboriginal and Torres Strait islander peoples |
| title | Connecting the Dots of Care: A pilot study linking Aboriginal and/or Torres Strait Islander peoples with diabetes care in hospital, using hospital pharmacists |
| title_full | Connecting the Dots of Care: A pilot study linking Aboriginal and/or Torres Strait Islander peoples with diabetes care in hospital, using hospital pharmacists |
| title_fullStr | Connecting the Dots of Care: A pilot study linking Aboriginal and/or Torres Strait Islander peoples with diabetes care in hospital, using hospital pharmacists |
| title_full_unstemmed | Connecting the Dots of Care: A pilot study linking Aboriginal and/or Torres Strait Islander peoples with diabetes care in hospital, using hospital pharmacists |
| title_short | Connecting the Dots of Care: A pilot study linking Aboriginal and/or Torres Strait Islander peoples with diabetes care in hospital, using hospital pharmacists |
| title_sort | connecting the dots of care a pilot study linking aboriginal and or torres strait islander peoples with diabetes care in hospital using hospital pharmacists |
| topic | Hospital pharmacist Indigenous Australian Diabetes Screening Aboriginal and Torres Strait islander peoples |
| url | http://www.sciencedirect.com/science/article/pii/S2667276623001324 |
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