Factors for Supporting Primary Care Physician Engagement With Patient Apps for Type 2 Diabetes Self-Management That Link to Primary Care: Interview Study (Preprint)

Ayre, Julie; Bonner, Carissa; Bramwell, Sian; McClelland, Sharon; Jayaballa, Rajini; Maberly, Glen; McCaffery, Kirsten

doi:10.2196/preprints.11885

Cited by 1 publication

(1 citation statement)

References 22 publications

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“…Most diabetes care is delivered by primary care providers in the community [5][6][7]. This fragmentation of care between specialist and primary care services has exacerbated the burden of diabetes and compromised the quality of the care these patients receive [8,9].…”

Section: Introductionmentioning

confidence: 99%

Qualitative and Quantitative Evaluation of an Innovative Primary and Secondary Diabetes Clinic in Western Sydney

Ravi,

Meyerowitz-Katz,

Murugesan

et al. 2024

Int J Integr Care

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Introduction: Western Sydney Diabetes (WSD) established an innovative diabetes service in May 2020, using virtual and in-person care, linking primary care with the diabetes specialist team. This study evaluated the service’s feasibility using qualitative and quantitative methods. Method: Evaluation included: 1) thematic analysis of interviews and workshops with patients and health professionals (n = 28); 2) quantitative analysis of records of patients admitted July 2020–June 2021 (n = 110). Results: Key themes related to 1) benefits: convenient location, access to integrated care, advantages of virtual care; 2) challenges: hard for patients to ask questions, technology issues; 3) confidence: shared care decision making, multidisciplinary team; and 4) future directions: additional multidisciplinary services, expanded insulin stabilisation service, promotion. Improvements between baseline and 3 months included 1.3% reduction in HbA1c (p < 0.05). Sulfonylurea dropped by 25% between initial appointment and follow-up, and GLP1RA/SGLT2i use increasing by 30% (p < 0.05). The clinic covered costs using Medicare billings and Nationally Weighted Activity Units. Discussion: The findings suggest this integrated care model was feasible and perceived as beneficial by both patients and providers. The clinic offers a promising model of practice that could be developed further to roll out in other regions for rural delivery of care.

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