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Title: | Improving Models of Care for Diabetes in Pregnancy: Experience of Current Practice in Far North Queensland, Australia | Authors: | McLean, Anna Kirkham, Renae Campbell, Sandra Whitbread, Cherie Barrett, Jennifer Connors, Christine Boyle, Jacqueline Brown, Alex Mein, Jacqueline K Wenitong, Mark McIntyre, H David Barzi, Federica Oats, Jeremy Sinha, Ashim Maple-Brown, Louise |
Issue Date: | 2019 | Source: | McLean 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. | Journal: | Frontiers in public health | Abstract: | Aims: 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. | Description: | Cairns & Hinterland Hospital and Health Service (CHHHS) affiliated authors: Anna McLean, Ashim Sinha | DOI: | 10.3389/fpubh.2019.00192 | Keywords: | gestational diabetes-mellitus;diabetes in pregnancy;model of care;screening practices;diabetes management;care coordination;access to health care | Type: | Article |
Appears in Sites: | Cairns & Hinterland HHS Publications |
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Improving models of care for diabetes in pregnancy experience of current practice in far north Queensland.pdf | 555.48 kB | Adobe PDF | View/Open |
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