Implementation strategies to overcome barriers to diabetes-related footcare delivery in primary care: A qualitative study

Mullan, L, Wynter, Karen, Driscoll, Andrea and Rasmussen, Bodil 2021, Implementation strategies to overcome barriers to diabetes-related footcare delivery in primary care: A qualitative study, Australian Journal of Primary Health, vol. 27, no. 4, pp. 328-337, doi: 10.1071/PY20241.

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Title Implementation strategies to overcome barriers to diabetes-related footcare delivery in primary care: A qualitative study
Author(s) Mullan, L
Wynter, KarenORCID iD for Wynter, Karen
Driscoll, AndreaORCID iD for Driscoll, Andrea
Rasmussen, BodilORCID iD for Rasmussen, Bodil
Journal name Australian Journal of Primary Health
Volume number 27
Issue number 4
Start page 328
End page 337
Total pages 16
Publisher CSIRO Publishing
Place of publication Melbourne, Vic.
Publication date 2021
ISSN 1448-7527
Keyword(s) Australia
diabetic foot
foot disease
General & Internal Medicine
Health Care Sciences & Services
Health Policy & Services
Life Sciences & Biomedicine
primary health care
Public, Environmental & Occupational Health
Science & Technology
Summary The aim of this study is to identify, from the perspectives of key health policy decision-makers, strategies that address barriers to diabetes-related footcare delivery in primary care, and outline key elements required to support implementation into clinical practice. The study utilised a qualitative design with inductive analysis approach. Seven key health policy decisions-makers within Australia were interviewed. Practical strategies identified to support provision and delivery of foot care in primary care were: (a) building on current incentivisation structures through quality improvement projects; (b) enhancing education and community awareness; (c) greater utilisation and provision of resources and support systems; and (d) development of collaborative models of care and referral pathways. Key elements reported to support effective implementation of footcare strategies included developing and implementing strategies based on co-design, consultation, collaboration, consolidation and co-commissioning. To the authors’ knowledge, this is the first Australian study to obtain information from key health policy decision-makers, identifying strategies to support footcare delivery in primary care. Implementation of preventative diabetes-related footcare strategies into ‘routine’ primary care clinical practice requires multiparty co-design, consultation, consolidation, collaboration and co-commissioning. The basis of strategy development will influence implementation success and thus improve outcomes for people living with diabetes.
Language eng
DOI 10.1071/PY20241
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
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Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
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