65 - Put Your Best Foot Forward: An Interprofessional Approach to Implementing Innovative Diabetes Care Tools Through Adaptation of a Validated Foot Assessment

Understanding how and why upskilling programmes for unregulated care providers can support health equity in underserved communities: a realist review protocol

“…Although most amputations can be prevented by regular foot screening, studies show that only 50% of these high-risk groups receive recommended foot assessments annually compared with other groups. [12][13][14][15] Consequently, intractable patterns are commonly seen in these systematically disadvantaged groups' rates of foot ulcers and lower limb amputations. 16 Health disparities in diabetic foot care can be related to numerous reasons.…”

“…These groups are also at higher risk of developing diabetic foot complications. Although most amputations can be prevented by regular foot screening, studies show that only 50% of these high-risk groups receive recommended foot assessments annually compared with other groups 12–15. Consequently, intractable patterns are commonly seen in these systematically disadvantaged groups’ rates of foot ulcers and lower limb amputations 16…”

“…Persistent biases, stereotyping and discrimination continue to drive inequalities in access to health services and the quality of the care received, deeming some groups more vulnerable to diabetes and its complications 6 20. With an ever-growing diverse population, Canada is now facing a great challenge in DM management in the years to come 1 4 13. Although the impact of the socioeconomic factors demands culturally appropriate healthcare services tailored to specific population needs, the literature reveals a lack of consideration of the impact of colonisation, cultural oppression, socioeconomic disparities, discrimination and racism as essential determinants in DM management 17 21…”