Paths to improving care of Australian Aboriginal and Torres Strait Islander women following gestational diabetes – CORRIGENDUM

Campbell, Sandra; Roux, Nicolette; Preece, Cilla; Rafter, Eileen; Davis, Bronwyn; Mein, Jackie; Boyle, Jacqueline; Fredericks, Bronwyn; Chamberlain, Catherine

doi:10.1017/s1463423617000561

Cited by 2 publications

(2 citation statements)

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“…It was evident that many staff involved in pregnancy care were not involved in either pre-pregnancy or postnatal care beyond 6 weeks, or long-term follow-up screening, where an “inter-pregnancy” window to give opportunistic lifestyle and pre-conception counseling exists (22, 23). A need for more structured follow-up systems has been suggested by others (24). The potential for the DIP Clinical Register to generate follow-up lists to inform primary health centers across the region is currently being explored.…”

Section: Discussionmentioning

confidence: 99%

“…Barriers to healthcare access described by participants included remoteness and cultural factors. It has been reported that using culturally appropriate resources and improving Indigenous workforce involvement are key areas on which to focus (24). One of the main suggestions for improvement was continued education and up-skilling for local health practitioners, including Indigenous Health Workers.…”

Section: Discussionmentioning

confidence: 99%

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Improving Models of Care for Diabetes in Pregnancy: Experience of Current Practice in Far North Queensland, Australia

McLean

Kirkham

Campbell

et al. 2019

Front. Public Health

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%