Type 2 diabetes, cardiovascular disease and the utilisation of primary care in urban and regional settings

Unger, Carla Chan; Warren, Narelle; Canway, Rachel; Manderson, Lenore; Grigg, Kaine

doi:10.22605/rrh1795

Cited by 6 publications

(2 citation statements)

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“…Contributing to these poor outcomes is evidence suggesting rural patients receive fewer prescriptions for preventive medications such as beta blockers, angiotensin‐converting‐enzyme inhibitors, statins and oral anticoagulants compared with metropolitan Australians 10 . Some of these differences relate to a lower density of healthcare professionals and health infrastructure but less proactive health‐seeking behaviours also play a role 11 . [Correction added on 21 November 2023, after first online publication: In the prior paragraph, the text ‘…having aged‐standardized rates of 82.4%, 60.2% and 63.8% respectively, …’ has been amended to ‘…having aged‐standardized rates of 82.4, 60.2 and 63.8 per 100,000 persons respectively, …’.…”

Section: Introductionmentioning

confidence: 99%

“…10 Some of these differences relate to a lower density of healthcare professionals and health infrastructure but less proactive health-seeking behaviours also play a role. 11 [Correction added on 21 November 2023, after first online publication: In the prior paragraph, the text '…having aged-standardized rates of 82.4%, 60.2% and 63.8% respectively, …' has been amended to '…having aged-standardized rates of 82.4, 60.2 and 63.8 per 100,000 persons respectively, …'.] Thus, there is considerable interest in evaluating ways to engage rural and remote Australians and to deliver health care in novel ways.…”

Section: Introductionmentioning

confidence: 99%

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Pop‐up screening nested within routine community activities unmasks an addressed cardiovascular risk: A pilot study (Gippsland Healthy Heart Study)

Fujino,

Butters,

Boyes

et al. 2023

Australian J Rural Health

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ObjectiveTo evaluate the benefits of a pop‐up health screening for cardiovascular risk factors (CVRF) in the Gippsland region, and to assess the acceptability of the screening and to determine whether such a process results in attendance at a general practitioner (GP).ParticipantsOverall, 454 participants over the age of 18 who were residents of the Gippsland region were enrolled.MethodsThis is a community‐based, observational, prospective cohort study using pop‐up screening sites at six retail locations or workplaces, where participants' blood pressure, body weight and lipid profile were measured. The primary outcome was to assess the proportion of participants with at least one unaddressed CVRF (hypertension [blood pressure >140/90 mmHg], overweight and obesity [body mass index >25 kg/m2] or hypercholesterolaemia [low‐density lipoprotein cholesterol >2.5 mmol/L]). Email surveys were performed after 4 weeks of follow‐up.ResultsOverall, 85.8% (95% confidence interval [CI], 82.1%–88.8%) of participants had at least one unaddressed CVRF. Among the 54 participants who responded to the email survey, 50 participants (92.6% [95% CI, 81.3%–97.6%]) found the screening approach acceptable, and 31 (57.4% [95% CI, 43.3%–70.5%]) considered a discussion with the GP.ConclusionsThis study supported the feasibility and effectiveness of pop‐up screening to detect CVRF in rural communities.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pop‐up screening nested within routine community activities unmasks an addressed cardiovascular risk: A pilot study (Gippsland Healthy Heart Study)

Fujino,

Butters,

Boyes

et al. 2023

Australian J Rural Health

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Does the shortage of diabetes specialists in regional and rural Australia matter? Results from Diabetes MILES—Australia

Skinner

Allen

Peach

et al. 2013

Diabetes Research and Clinical Practice

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Do Australian general practitioners believe practice nurses can take a role in chlamydia testing? A qualitative study of attitudes and opinions

Lorch¹,

Hocking

Guy³

et al. 2015

BMC Infect Dis

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BackgroundChlamydia notifications continue to rise in young people in many countries and regular chlamydia testing is an important prevention strategy. Although there have been initiatives to increase testing in primary care, none have specifically investigated the role of practice nurses (PNs) in maximising testing rates. PNs have previously expressed a willingness to be involved, but noted lack of support from general practitioners (GPs) as a barrier. We sought GPs’ attitudes and opinions on PNs taking an expanded role in chlamydia testing and partner notification.MethodsIn the context of a cluster randomised trial in mostly rural towns in 4 Australian states, semi structured interviews were conducted with 44 GPs between March 2011 and July 2012. Data relating to PN involvement in chlamydia testing were thematically analysed using a conventional content analysis approach.ResultsThe majority of GPs interviewed felt that a role for PNs in chlamydia testing was appropriate. GPs felt that PNs had more time for patient education and advice, that patients would find PNs easier to talk to and less intimidating than GPs, and that GPs themselves could benefit through a reduction in their workload. Although GPs felt that PNs could be utilised more effectively for preventative health activities such as chlamydia testing, many raised concerns about how these activities would be renumerated whilst some felt that existing workload pressures for PNs could make it difficult for them to expand their role. Whilst some rural GPs recognised that PNs might be well placed to conduct partner notification, they also recognised that issues of patient privacy and confidentiality related to living in a “small town” was also a concern.ConclusionThis is the first qualitative study to explore GPs’ views around an increased role for PNs in chlamydia testing. Despite the concerns raised by PNs, these findings suggest that GPs support the concept and recognise that PNs are suited to the role. However issues raised, such as funding and remuneration may act as barriers that will need to be addressed before PNs are supported to make a contribution to increasing chlamydia testing rates in general practice.

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Type 2 diabetes, cardiovascular disease and the utilisation of primary care in urban and regional settings

Cited by 6 publications

References 0 publications

Pop‐up screening nested within routine community activities unmasks an addressed cardiovascular risk: A pilot study (Gippsland Healthy Heart Study)

Pop‐up screening nested within routine community activities unmasks an addressed cardiovascular risk: A pilot study (Gippsland Healthy Heart Study)

Does the shortage of diabetes specialists in regional and rural Australia matter? Results from Diabetes MILES—Australia

Do Australian general practitioners believe practice nurses can take a role in chlamydia testing? A qualitative study of attitudes and opinions

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