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dc.contributor.authorMcLean, Annaen
dc.contributor.authorKirkham, Renaeen
dc.contributor.authorCampbell, Sandraen
dc.contributor.authorWhitbread, Cherieen
dc.contributor.authorBarrett, Jenniferen
dc.contributor.authorConnors, Christineen
dc.contributor.authorBoyle, Jacquelineen
dc.contributor.authorBrown, Alexen
dc.contributor.authorMein, Jacqueline Ken
dc.contributor.authorWenitong, Marken
dc.contributor.authorMcIntyre, H Daviden
dc.contributor.authorBarzi, Federicaen
dc.contributor.authorOats, Jeremyen
dc.contributor.authorSinha, Ashimen
dc.contributor.authorMaple-Brown, Louiseen
dc.date.accessioned2023-06-28T02:41:36Z-
dc.date.available2023-06-28T02:41:36Z-
dc.date.issued2019-
dc.identifier.citationMcLean A, Kirkham R, Campbell S, Whitbread C, Barrett J, Connors C, Boyle J, Brown A, Mein J, Wenitong M, McIntyre HD, Barzi F, Oats J, Sinha A, Maple-Brown L. Improving Models of Care for Diabetes in Pregnancy: Experience of Current Practice in Far North Queensland, Australia. Front Public Health. 2019 Jul 19;7:192. doi: 10.3389/fpubh.2019.00192. PMID: 31380333; PMCID: PMC6659099.en
dc.identifier.urihttps://dora.health.qld.gov.au/qldresearchjspui/handle/1/5319-
dc.descriptionCairns & Hinterland Hospital and Health Service (CHHHS) affiliated authors: Anna McLean, Ashim Sinhaen
dc.description.abstractAims: To map health practitioners' experiences and describe knowledge regarding screening and management of Diabetes in Pregnancy (DIP) in Far North Queensland, Australia. Methods: Mixed methods including a cross-sectional survey (101 respondents) and 8 focus groups with 61 health practitioners. All participants provided clinical care for women with DIP. Results: A wide range of healthcare professionals participated; 96% worked with Indigenous women, and 63% were from regional or remote work settings. Universal screening for gestational diabetes at 24-28 weeks gestation was reported as routine with 87% using a 75 g Oral Glucose Tolerance Test. Early screening for DIP was reported by 61% although there was large variation in screening methods and who should be screened <24 weeks. Health practitioners were confident providing lifestyle advice (88%), dietary, and blood glucose monitoring education (67%, 81%) but only 50% were confident giving insulin education. Electronic medical records were used by 80% but 55% also used paper records. Dissatisfaction with information from hospitals was reported by 40%. In the focus groups improving communication and information technology systems were identified as key areas. Other barriers described were difficulties in care coordination and access for remote women. Conclusions: Communication, information technology systems, coordination of care, and education for health professionals are key areas that will be addressed by a complex health systems intervention being undertaken by the DIP Partnership in North Queensland.en
dc.language.isoenen
dc.relation.ispartofFrontiers in public healthen
dc.subjectgestational diabetes-mellitusen
dc.subjectdiabetes in pregnancyen
dc.subjectmodel of careen
dc.subjectscreening practicesen
dc.subjectdiabetes managementen
dc.subjectcare coordinationen
dc.subjectaccess to health careen
dc.titleImproving Models of Care for Diabetes in Pregnancy: Experience of Current Practice in Far North Queensland, Australiaen
dc.typeArticleen
dc.identifier.doi10.3389/fpubh.2019.00192-
dc.identifier.pmid31380333-
item.fulltextWith Fulltext-
item.grantfulltextopen-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.languageiso639-1en-
item.openairetypeArticle-
Appears in Sites:Cairns & Hinterland HHS Publications
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