Please use this identifier to cite or link to this item: https://dora.health.qld.gov.au/qldresearchjspui/handle/1/1768
Title: Access to inpatient diabetes resources: hospital characteristics from the inaugural Queensland Inpatient Diabetes Survey
Authors: Eccles-Smith, Jade
Puri, Gaurav 
Hinton, Nicola 
Cutmore, Clare
Porter, Kerry
Dermedgoglou, Alexis 
Donovan, Peter 
Issue Date: 18-Jan-2021
Publisher: Royal Australasian College of Physicians
Source: Eccles-Smith, J., G. Puri, N. Hinton, C. Cutmore, K. Porter, A. Dermedgoglou, and P. Donovan. "Access to Inpatient Diabetes Resources: Hospital Characteristics from the Inaugural Queensland Inpatient Diabetes Survey." [In eng]. Intern Med J (Jun 18 2021). https://doi.org/10.1111/imj.15433.
Journal: Internal medicine journal
Abstract: Diabetes is common in hospitalised patients and despite this inpatient diabetes care in Queensland has not had large scale benchmarking or audit. To establish the prevalence of diabetes in Queensland hospitals and assess the availability of specialised diabetes staff, educational resources and policies for inpatient diabetes management, including assessing equity of access to these resources. The hospital capacity, prevalence of diabetes, diabetes-related resources and the availability of diabetes-related guidelines were assessed in 25 hospitals medical, surgical, mental health, high-dependency and intensive care wards across Queensland. Dedicated diabetes staffing measured in full-time equivalents (FTE), care delivery resources, access to educational resources, standard policies and procedures for care were assessed. Twenty-five hospitals included 4265 occupied beds. The median prevalence of diabetes was 22.9% (interquartile range (IQR) 17.3-28.5%) with an average 2.9 FTE per 100 patients with diabetes (IQR 0-6.3). There was difficulty in accessing a diabetes educator in 48% (n = 12), diabetes specialist in 44% (n = 11), orthopaedic surgeon in 48% (n = 12), podiatrist in 58% (n = 14) and vascular surgeon in 64% (n = 16) of hospitals. Small hospitals had more difficulty accessing all members of the diabetes team compared with large hospitals including credentialled diabetes educators 33% (n = 4) versus 62% (n = 8) (P < 0.01), diabetes specialists 17% (n = 2) versus 69% (n = 9) (P < 0.01) and vascular surgeons 33% (n = 4) versus 92% (n = 12) (P < 0.01). Diabetes-related staff education and regular nurse training was available in 40% (n = 10) of hospitals. A multi-disciplinary foot care team was available in 28% (n = 7) of hospitals. Queensland has a high prevalence of diabetes in hospitalised patients and they have limited and inequitable access to inpatient diabetes-related care.
Description: Cairns & Hinterland Hospital and Health Service (CHHHS) affiliated authors: Nicola Hinton, Alexis Dermedgoglou
DOI: 10.1111/imj.15433
Keywords: diabetes mellitus;hospitalisation;inpatient;policy;reference standard;workforce
Type: Article
Appears in Sites:Cairns & Hinterland HHS Publications

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