McLean, Anna Kirkham, Renae Campbell, Sandra Whitbread, Cherie Barrett, Jennifer Connors, Christine Boyle, Jacqueline Brown, Alex Mein, Jacqueline Wenitong, Mark McIntyre, H. David Barzi, Federica Oats, Jeremy Sinha, Ashim Maple-Brown, Louise Data_Sheet_1_Improving Models of Care for Diabetes in Pregnancy: Experience of Current Practice in Far North Queensland, Australia.docx <p>Aims: To map health practitioners' experiences and describe knowledge regarding screening and management of Diabetes in Pregnancy (DIP) in Far North Queensland, Australia.</p><p>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.</p><p>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.</p><p>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.</p> gestational diabetes–mellitus;diabetes in pregnancy;model of care;screening practices;diabetes management;care coordination;access to health care 2019-07-19
    https://frontiersin.figshare.com/articles/dataset/Data_Sheet_1_Improving_Models_of_Care_for_Diabetes_in_Pregnancy_Experience_of_Current_Practice_in_Far_North_Queensland_Australia_docx/8964176
10.3389/fpubh.2019.00192.s001