Barriers and enablers to providing preventative and early intervention diabetes-related foot care: A qualitative study of primary care healthcare professionals' perceptions

Mullan, Leanne, Driscoll, Andrea, Wynter, Karen and Rasmussen, Bodil 2021, Barriers and enablers to providing preventative and early intervention diabetes-related foot care: A qualitative study of primary care healthcare professionals' perceptions, Australian Journal of Primary Health, vol. 27, no. 4, pp. 319-327, doi: 10.1071/PY20235.

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Title Barriers and enablers to providing preventative and early intervention diabetes-related foot care: A qualitative study of primary care healthcare professionals' perceptions
Author(s) Mullan, LeanneORCID iD for Mullan, Leanne orcid.org/0000-0003-0182-2148
Driscoll, AndreaORCID iD for Driscoll, Andrea orcid.org/0000-0002-6837-0249
Wynter, KarenORCID iD for Wynter, Karen orcid.org/0000-0003-4620-7691
Rasmussen, BodilORCID iD for Rasmussen, Bodil orcid.org/0000-0002-6789-8260
Journal name Australian Journal of Primary Health
Volume number 27
Issue number 4
Start page 319
End page 327
Total pages 9
Publisher CSIRO Publishing
Place of publication Melbourne, Vic
Publication date 2021-08-01
ISSN 1448-7527
1836-7399
Keyword(s) Australia
diabetes
diabetic foot
foot disease
General & Internal Medicine
general practitioner
Health Care Sciences & Services
Health Policy & Services
Life Sciences & Biomedicine
nurse
prevention
primary health care
Public, Environmental & Occupational Health
Science & Technology
Summary This study explored the perceived healthcare system and process barriers and enablers experienced by GPs and Credentialled Diabetes Educators (CDEs) in Australian primary care, in the delivery of preventative and early intervention foot care to people with diabetes. A qualitative design with inductive analysis approach was utilised and reported according to the Consolidated Criteria for Reporting Qualitative Studies (COREQ). Semi-structured interviews were conducted with two GPs and 14 CDEs from rural, urban and metropolitan areas of Australia. Participants were from New South Wales, South Australia, Victoria, Western Australia, the Northern Territory and Queensland. Barriers to providing foot care constituted five broad themes: (1) lack of access to footcare specialists and services; (2) education and training insufficiencies; (3) human and physical resource limitations related to funding inadequacies; (4) poor care integration such as inadequate communication and feedback across services and disciplines, and ineffectual multidisciplinary care; and (5) deficient footcare processes and guidelines including ambiguous referral pathways. Enablers to foot care were found at opposing ends of the same spectra as the identified barriers or were related to engaging in mentorship programs and utilising standardised assessment tools. This is the first Australian study to obtain information from GPs and CDEs about the perceived barriers and enablers influencing preventative and early intervention diabetes-related foot care. Findings offer an opportunity for the development and translation of effective intervention strategies across health systems, policy, funding, curriculum and clinical practice, in order to improve outcomes for people with diabetes.
Language eng
DOI 10.1071/PY20235
Field of Research 11 Medical and Health Sciences
16 Studies in Human Society
17 Psychology and Cognitive Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Persistent URL http://hdl.handle.net/10536/DRO/DU:30150133

Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
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