Qualitative and Quantitative Evaluation of an Innovative Primary and Secondary Diabetes Clinic in Western Sydney
Introduction: Western Sydney Diabetes (WSD) established an innovative diabetes service in May 2020, using virtual and in-person care, linking primary care with the diabetes specialist team. This study evaluated the service’s feasibility using qualitative and quantitative methods. Method: Evaluation...
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| Format: | Article |
| Language: | English |
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Ubiquity Press
2024-02-01
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| Series: | International Journal of Integrated Care |
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| Online Access: | https://account.ijic.org/index.php/up-j-ijic/article/view/7548 |
| _version_ | 1797261678064173056 |
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| author | Sumathy Ravi Gideon Meyerowitz-Katz Anandhi Murugesan Julie Ayre Rajini Jayaballa Duncan Rintoul Marina Sarkis Kirsten McCaffery Glen Maberly Carissa Bonner |
| author_facet | Sumathy Ravi Gideon Meyerowitz-Katz Anandhi Murugesan Julie Ayre Rajini Jayaballa Duncan Rintoul Marina Sarkis Kirsten McCaffery Glen Maberly Carissa Bonner |
| author_sort | Sumathy Ravi |
| collection | DOAJ |
| description | Introduction: Western Sydney Diabetes (WSD) established an innovative diabetes service in May 2020, using virtual and in-person care, linking primary care with the diabetes specialist team. This study evaluated the service’s feasibility using qualitative and quantitative methods. Method: Evaluation included: 1) thematic analysis of interviews and workshops with patients and health professionals (n = 28); 2) quantitative analysis of records of patients admitted July 2020–June 2021 (n = 110). Results: Key themes related to 1) benefits: convenient location, access to integrated care, advantages of virtual care; 2) challenges: hard for patients to ask questions, technology issues; 3) confidence: shared care decision making, multidisciplinary team; and 4) future directions: additional multidisciplinary services, expanded insulin stabilisation service, promotion. Improvements between baseline and 3 months included 1.3% reduction in HbA1c (p < 0.05). Sulfonylurea dropped by 25% between initial appointment and follow-up, and GLP1RA/SGLT2i use increasing by 30% (p < 0.05). The clinic covered costs using Medicare billings and Nationally Weighted Activity Units. Discussion: The findings suggest this integrated care model was feasible and perceived as beneficial by both patients and providers. The clinic offers a promising model of practice that could be developed further to roll out in other regions for rural delivery of care. |
| first_indexed | 2024-04-24T23:45:02Z |
| format | Article |
| id | doaj.art-f28f468b317f4bcdab09d7b2cb84aa56 |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-04-24T23:45:02Z |
| publishDate | 2024-02-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-f28f468b317f4bcdab09d7b2cb84aa562024-03-15T08:09:48ZengUbiquity PressInternational Journal of Integrated Care1568-41562024-02-0124131310.5334/ijic.75482126Qualitative and Quantitative Evaluation of an Innovative Primary and Secondary Diabetes Clinic in Western SydneySumathy Ravi0https://orcid.org/0000-0002-1097-0671Gideon Meyerowitz-Katz1https://orcid.org/0000-0002-1156-9345Anandhi Murugesan2Julie Ayre3https://orcid.org/0000-0002-5279-5189Rajini Jayaballa4https://orcid.org/0000-0002-9078-6806Duncan Rintoul5Marina Sarkis6Kirsten McCaffery7https://orcid.org/0000-0003-2696-5006Glen Maberly8https://orcid.org/0000-0002-1725-7094Carissa Bonner9https://orcid.org/0000-0002-4797-6460Western Sydney Diabetes, Integrated and Community Health, Western Sydney Local Health District, Blacktown, NSW; Sydney Health Literacy Lab, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSWWestern Sydney Diabetes, Integrated and Community Health, Western Sydney Local Health District, Blacktown, NSW; School of Health and Society, University of Wollongong, Wollongong, NSWWestern Sydney Diabetes, Integrated and Community Health, Western Sydney Local Health District, Blacktown, NSWSydney Health Literacy Lab, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSWWestern Sydney Diabetes, Integrated and Community Health, Western Sydney Local Health District, Blacktown, NSWRooftop Social, Bulli, NSWAgency for Clinical Innovation, St Leonards, NSWSydney Health Literacy Lab, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSWWestern Sydney Diabetes, Integrated and Community Health, Western Sydney Local Health District, Blacktown, NSW; Sydney Health Literacy Lab, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSWSydney Health Literacy Lab, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSWIntroduction: Western Sydney Diabetes (WSD) established an innovative diabetes service in May 2020, using virtual and in-person care, linking primary care with the diabetes specialist team. This study evaluated the service’s feasibility using qualitative and quantitative methods. Method: Evaluation included: 1) thematic analysis of interviews and workshops with patients and health professionals (n = 28); 2) quantitative analysis of records of patients admitted July 2020–June 2021 (n = 110). Results: Key themes related to 1) benefits: convenient location, access to integrated care, advantages of virtual care; 2) challenges: hard for patients to ask questions, technology issues; 3) confidence: shared care decision making, multidisciplinary team; and 4) future directions: additional multidisciplinary services, expanded insulin stabilisation service, promotion. Improvements between baseline and 3 months included 1.3% reduction in HbA1c (p < 0.05). Sulfonylurea dropped by 25% between initial appointment and follow-up, and GLP1RA/SGLT2i use increasing by 30% (p < 0.05). The clinic covered costs using Medicare billings and Nationally Weighted Activity Units. Discussion: The findings suggest this integrated care model was feasible and perceived as beneficial by both patients and providers. The clinic offers a promising model of practice that could be developed further to roll out in other regions for rural delivery of care.https://account.ijic.org/index.php/up-j-ijic/article/view/7548type 2 diabetesvirtual caretelehealthcommunity clinicevaluationintegrated care |
| spellingShingle | Sumathy Ravi Gideon Meyerowitz-Katz Anandhi Murugesan Julie Ayre Rajini Jayaballa Duncan Rintoul Marina Sarkis Kirsten McCaffery Glen Maberly Carissa Bonner Qualitative and Quantitative Evaluation of an Innovative Primary and Secondary Diabetes Clinic in Western Sydney International Journal of Integrated Care type 2 diabetes virtual care telehealth community clinic evaluation integrated care |
| title | Qualitative and Quantitative Evaluation of an Innovative Primary and Secondary Diabetes Clinic in Western Sydney |
| title_full | Qualitative and Quantitative Evaluation of an Innovative Primary and Secondary Diabetes Clinic in Western Sydney |
| title_fullStr | Qualitative and Quantitative Evaluation of an Innovative Primary and Secondary Diabetes Clinic in Western Sydney |
| title_full_unstemmed | Qualitative and Quantitative Evaluation of an Innovative Primary and Secondary Diabetes Clinic in Western Sydney |
| title_short | Qualitative and Quantitative Evaluation of an Innovative Primary and Secondary Diabetes Clinic in Western Sydney |
| title_sort | qualitative and quantitative evaluation of an innovative primary and secondary diabetes clinic in western sydney |
| topic | type 2 diabetes virtual care telehealth community clinic evaluation integrated care |
| url | https://account.ijic.org/index.php/up-j-ijic/article/view/7548 |
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