sorry, we can't preview this file
Data_Sheet_1_Improving Models of Care for Diabetes in Pregnancy: Experience of Current Practice in Far North Queensland, Australia.docx
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.
History
Usage metrics
Categories
- Health and Community Services
- Health Care Administration
- Health Counselling
- Health Information Systems (incl. Surveillance)
- Health Promotion
- Preventive Medicine
- Primary Health Care
- Public Health and Health Services not elsewhere classified
- Medicine, Nursing and Health Curriculum and Pedagogy
- Nanotoxicology, Health and Safety
- Mental Health Nursing
- Midwifery
- Nursing not elsewhere classified
- Aboriginal and Torres Strait Islander Health
- Aged Health Care
- Care for Disabled
- Community Child Health
- Environmental and Occupational Health and Safety
- Epidemiology
- Family Care