Enhancing care for complex diabetes: what patients, providers and managers think of a new integrated model of primary-secondary care

Burridge, Letitia, Foster, Michele, Zhang, Jenny, Donald, Maria, Russell, Anthony W. and Jackson, Clarie L. (2013). Enhancing care for complex diabetes: what patients, providers and managers think of a new integrated model of primary-secondary care. In: 8th Health Services and Policy Research Conference: Abstracts. 8th Health Services and Policy Research Conference, Wellington, New Zealand, (48-49). 2-4 December 2013.

Author Burridge, Letitia
Foster, Michele
Zhang, Jenny
Donald, Maria
Russell, Anthony W.
Jackson, Clarie L.
Title of paper Enhancing care for complex diabetes: what patients, providers and managers think of a new integrated model of primary-secondary care
Conference name 8th Health Services and Policy Research Conference
Conference location Wellington, New Zealand
Conference dates 2-4 December 2013
Proceedings title 8th Health Services and Policy Research Conference: Abstracts
Place of Publication Broadway, NSW, Australia
Publisher Health Services Research Association of Australia and New Zealand (HSRAANZ)
Publication Year 2013
Sub-type Published abstract
Open Access Status
Start page 48
End page 49
Total pages 2
Formatted Abstract/Summary
OBJECTIVES: To gain insights into the acceptability and feasibility of an integrated model of diabetes care to enhance the health system’s capacity to deliver better quality diabetes care and to enhance patients’ quality of life. 

METHODS: Qualitative interviews and focus groups were used to explore the expectations and experiences of patients, clinicians and managers regarding a new community-based model of integrated primary and secondary care provided by a multidisciplinary team incorporating a GP with special interests, an endocrinologist and diabetes nurse educator within a community-based complex diabetes service, as an alternative to the hospital outpatient clinic model. Patients were purposively sampled from the intervention arm of a randomised controlled trial to include older and younger, men and women and those with high and low HbA1c. The interviews and focus groups were audio-recorded to produce transcripts for thematic analysis, and will be repeated at 12 months. 

LESSONS LEARNED: Baseline interviews have been conducted with 30 patients. Two managers have been interviewed and clinician focus groups have been conducted at both sites. Most patients were positive about their initial care but few had grasped the concept of the integrated model as a potentially superior alternative to hospital outpatient clinics. The clinicians reported that the integrated model enhanced quality of care, and valued their roles within the multidisciplinary team. The managers provided practical insights into implementation issues and contextual factors impacting delivery and sustainability of the new model. 

IMPLICATIONS:  Findings to date are promising, and have identified important issues to be addressed.
Q-Index Code EX
Q-Index Status Provisional Code
Institutional Status UQ
Additional Notes Session: 3D Chronic Care, Paper 3D.5.

 
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Created: Tue, 03 Feb 2015, 11:57:27 EST by Dr Letitia Burridge on behalf of Discipline of General Practice