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Improving follow-up care for women with a history of gestational diabetes: perspectives of GPs and patients

Pennington, Andrew VR, O'Reilly, Sharleen L, Young, Doris and Dunbar, James A 2017, Improving follow-up care for women with a history of gestational diabetes: perspectives of GPs and patients, Australian journal of primary health, vol. 23, no. 1, pp. 66-74, doi: 10.1071/PY15177.

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Title Improving follow-up care for women with a history of gestational diabetes: perspectives of GPs and patients
Author(s) Pennington, Andrew VR
O'Reilly, Sharleen LORCID iD for O'Reilly, Sharleen L
Young, Doris
Dunbar, James AORCID iD for Dunbar, James A
Journal name Australian journal of primary health
Volume number 23
Issue number 1
Start page 66
End page 74
Total pages 9
Publisher CSIRO Publishing
Place of publication Melbourne, Vic.
Publication date 2017
ISSN 1448-7527
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
Health Policy & Services
Primary Health Care
Public, Environmental & Occupational Health
General & Internal Medicine
Summary This paper investigates factors influencing women's engagement with diabetes preventative care after a pregnancy with gestational diabetes (GDM) from the perspectives of GPs and women and explores the role of the GP in that care. Qualitative research using semi-structured interviews with women who had experienced GDM (n=16) and GPs (n=18) were conducted and a thematic content analysis conducted. Women's interviews explored their experience of GDM, factors influencing, and engagement with, follow-up care for diabetes prevention and role of the GP in that care. GP interviews explored postnatal care provided to women with GDM, the role of the GP in that care and perceived factors influencing a mother's engagement in her self-care. Three themes were identified: (1) advice and testing; (2) role of the GP; and (3) barriers and enablers to care. Significant consensus about the role of the GP and barriers and enablers to care existed. Both groups believed post GDM follow-up is best done by GPs and suggested recall and reminders would improve care. GPs gave consistent exercise advice, but lacked consensus on follow-up testing, dietary and weight-loss advice. Women's health literacy influenced how they viewed their GPs role. Consensus guidelines on follow-up testing and diabetes prevention advice, tailored advice according to health literacy and addressing barriers to care would likely improve the capacity of GPs to prevent unnecessary conversion to type 2 diabetes in these at-risk women.
Language eng
DOI 10.1071/PY15177
Field of Research 111799 Public Health and Health Services not elsewhere classified
110306 Endocrinology
11 Medical And Health Sciences
16 Studies In Human Society
17 Psychology And Cognitive Sciences
Socio Economic Objective 920507 Women's Health
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, La Trobe University
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Document type: Journal Article
Collection: School of Exercise and Nutrition Sciences
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Created: Wed, 11 Jan 2017, 10:28:06 EST

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