Please use this identifier to cite or link to this item: https://dora.health.qld.gov.au/qldresearchjspui/handle/1/6519
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dc.contributor.authorMacKay, Dianaen
dc.contributor.authorMaple-Brown, Louiseen
dc.contributor.authorFreeman, Natashaen
dc.contributor.authorBoyle, Jacqueline Aen
dc.contributor.authorCampbell, Sandraen
dc.contributor.authorMcLean, Annaen
dc.contributor.authorCorpus, Sumariaen
dc.contributor.authorWhitbread, Cherieen
dc.contributor.authorDokkum, Paula Vanen
dc.contributor.authorConnors, Christineen
dc.contributor.authorMoore, Elizabethen
dc.contributor.authorSinha, Ashimen
dc.contributor.authorCadet-James, Yvonneen
dc.contributor.authorBoffa, Johnen
dc.contributor.authorGraham, Sianen
dc.contributor.authorOats, Jeremyen
dc.contributor.authorBrown, Alexen
dc.contributor.authorMcIntyre, H Daviden
dc.contributor.authorKirkham, Renaeen
dc.date.accessioned2024-10-29T00:15:09Z-
dc.date.available2024-10-29T00:15:09Z-
dc.date.issued2024-
dc.identifier.citationMacKay D, Maple-Brown L, Freeman N, Boyle JA, Campbell S, McLean A, Corpus S, Whitbread C, Dokkum PV, Connors C, Moore E, Sinha A, Cadet-James Y, Boffa J, Graham S, Oats J, Brown A, McIntyre HD, Kirkham R. "It Empowers You to Empower Them": Health Professional Perspectives of Care for Hyperglycaemia in Pregnancy Following a Multi-Component Health Systems Intervention. Int J Environ Res Public Health. 2024 Aug 28;21(9):1139. doi: 10.3390/ijerph21091139. PMID: 39338022; PMCID: PMC11431348.en
dc.identifier.urihttps://dora.health.qld.gov.au/qldresearchjspui/handle/1/6519-
dc.descriptionCairns & Hinterland Hospital and Health Service (CHHHS) affiliated authors: Anna McLean, Ashim Sinhaen
dc.description.abstractThe Northern Territory (NT) and Far North Queensland (FNQ) have a high proportion of Aboriginal and Torres Strait Islander women birthing who experience hyperglycaemia in pregnancy. A multi-component health systems intervention to improve antenatal and postpartum care in these regions for women with hyperglycaemia in pregnancy was implemented between 2016 and 2019. We explored health professional perspectives on the impact of the intervention on healthcare. The RE-AIM framework (Reach, Effectiveness, Adoption, Implementation, Maintenance) underpinned this mixed-methods evaluation. Clinicians were surveyed before (n = 183) and following (n = 137) implementation. The constructs explored included usual practice and satisfaction with care pathways and communication between services. Clinicians, policymakers and the implementation team were interviewed (n = 36), exploring the impact of the health systems intervention on practice and systems of care. Survey and interview participants reported improvements in clinical practice and systems of care. Self-reported glucose screening practices improved, including the use of recommended tests (72.0% using recommended first-trimester screening test at baseline, 94.8% post-intervention, p < 0.001) and the timing of postpartum diabetes screening (28.3% screening at appropriate interval after gestational diabetes at baseline, 66.7% post-intervention, p < 0.001). Health professionals reported multiple improvements to care for women with hyperglycaemia in pregnancy following the health systems intervention.en
dc.language.isoenen
dc.relation.ispartofInternational Journal of Environmental Research and Public Healthen
dc.subjectdiabetes in pregnancyen
dc.subjectgestational diabetesen
dc.subjecthealth systemsen
dc.subjectquality improvementen
dc.subjectAboriginal healthen
dc.subjectFirst Nationsen
dc.subjectmixed methodsen
dc.title"It Empowers You to Empower Them": Health Professional Perspectives of Care for Hyperglycaemia in Pregnancy Following a Multi-Component Health Systems Interventionen
dc.typeArticleen
dc.identifier.doi10.3390/ijerph21091139-
dc.identifier.pmid39338022-
dc.identifier.journaltitleInternational journal of environmental research and public health-
item.cerifentitytypePublications-
item.languageiso639-1en-
item.grantfulltextopen-
item.openairetypeArticle-
item.fulltextWith Fulltext-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
Appears in Sites:Cairns & Hinterland HHS Publications
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