دورية أكاديمية
Implementing an integrated diabetic foot care programme in Ireland: podiatrists' experience.
| العنوان: | Implementing an integrated diabetic foot care programme in Ireland: podiatrists' experience. |
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| المؤلفون: | Pallin JA; School of Public Health, University College Cork, Cork, Ireland. jpallin@ucc.ie., Buckley-O'Farrell K; Alumna of School of Public Health, University College Cork, Cork, Ireland., Riordan F; School of Public Health, University College Cork, Cork, Ireland., McGrath N; HRB Evidence Centre, Health Research Board, Grattan House, 67-72 Lower Mount Street, Dublin 2, Ireland., O'Neill K; School of Public Health, University College Cork, Cork, Ireland., MacLoughlin D; Chronic Disease Management Hub Clare / Limerick, MWCH, Clare, Ireland., Dinneen SF; School of Medicine, University of Galway, Galway, Ireland.; Centre for Diabetes, Endocrinology and Metabolism, Galway University Hospitals, Galway, Ireland., Buckley CM; School of Public Health, University College Cork, Cork, Ireland., McHugh S; School of Public Health, University College Cork, Cork, Ireland., Kearney PM; School of Public Health, University College Cork, Cork, Ireland. |
| المصدر: | BMC health services research [BMC Health Serv Res] 2023 Oct 26; Vol. 23 (1), pp. 1157. Date of Electronic Publication: 2023 Oct 26. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central, [2001- |
| مواضيع طبية MeSH: | Diabetic Foot*/epidemiology , Diabetic Foot*/prevention & control , Foot Diseases*/therapy , Podiatry* , Diabetes Mellitus*, Humans ; Ireland/epidemiology ; Surveys and Questionnaires |
| مستخلص: | Background: International evidence suggests that an integrated multidisciplinary approach to diabetic foot management is necessary to prevent ulceration and progression to amputation. Many health systems have introduced policies or models of care supporting the introduction of this evidence into practice, but little is known about the experiences of those involved in implementation. This study addresses this gap by examining the experiences of podiatrists providing integrated diabetic foot care. Methods: Between October 2017 and April 2018, an online survey comprising closed and open-ended questions on podiatrists' demographics, clinical activity, links with other services, continuous professional development activities and experiences of implementing the Model of Care was administered to podiatrists (n = 73) working for Ireland's Health Service Executive in the community and hospital setting. Data were analysed using descriptive statistics and qualitative content analysis. Results: The response rate was 68% (n = 50), with 46% (n = 23), 38% (n = 19) and 16% (n = 8) working across hospital, community and both settings, respectively. Most reported treating high-risk patients (66%), those with active foot disease (61%) and educating people about the risk of diabetes to the lower limb (80%). Reported challenges towards integrated diabetic foot care include a perceived lack of awareness of the role of podiatry amongst other healthcare professionals, poor integration between hospital and community podiatry services, especially where new services had been developed, and insufficient number of podiatrists to meet service demands. Conclusion: Previous evidence has shown that there is often a gap between what is set out by a policy and what it looks like when delivered to service users. Results from the current study support this, highlighting that while most podiatrists work in line with national recommendations, there are specific gaps and challenges that need to be addressed to ensure successful policy implementation. (© 2023. The Author(s).) |
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| معلومات مُعتمدة: | CDA-2019-007 Ireland HRBI_ Health Research Board; RL/2013/7 Ireland HRBI_ Health Research Board; CDA-2019-007 Ireland HRBI_ Health Research Board |
| فهرسة مساهمة: | Keywords: Diabetic foot; Integrated care; Model of Care; Survey |
| تواريخ الأحداث: | Date Created: 20231026 Date Completed: 20231030 Latest Revision: 20231030 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC10601248 |
| DOI: | 10.1186/s12913-023-10144-z |
| PMID: | 37884981 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1472-6963 |
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| DOI: | 10.1186/s12913-023-10144-z |