دورية أكاديمية
Working Together to Improve Type 2 Diabetes Care: A Participatory Design Project to Address Identified Needs of People With Diabetes and Their Health-care Professionals.
| العنوان: | Working Together to Improve Type 2 Diabetes Care: A Participatory Design Project to Address Identified Needs of People With Diabetes and Their Health-care Professionals. |
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| المؤلفون: | Catapan SC; Centre for Health Services Research, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia; Centre for Online Health, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia. Electronic address: s.decamargocatapan@uq.edu.au., Vasconcelos Silva C; Centre for Health Services Research, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia; Department of Diabetes and Endocrinology, Princess Alexandra Hospital, Metro South Health and Hospital Services, Brisbane, Queensland, Australia., Bird D; Centre for Health Services Research, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia., Janda M; Centre for Health Services Research, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia., Gray L; Centre for Health Services Research, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia., Maunder L; Study participant living with type 2 diabetes, Brisbane, Queensland, Australia., Clemensen J; H.C. Andersen Children's Hospital and Centre for Innovative Medical Technology, Odense University Hospital, Odense, Denmark; Centre for Compassion in Healthcare, University of Southern Denmark, Odense, Denmark., Menon A; Centre for Health Services Research, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia; Department of Diabetes and Endocrinology, Princess Alexandra Hospital, Metro South Health and Hospital Services, Brisbane, Queensland, Australia., Russell A; Centre for Health Services Research, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia; Department of Diabetes and Endocrinology, The Alfred Hospital, Melbourne, Victoria, Australia; School of Public and Preventive Health, Monash University, Melbourne, Victoria, Australia. |
| المصدر: | Canadian journal of diabetes [Can J Diabetes] 2024 Jun; Vol. 48 (4), pp. 250-258.e2. Date of Electronic Publication: 2024 Feb 15. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Canadian Diabetes Association Country of Publication: Canada NLM ID: 101148810 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2352-3840 (Electronic) Linking ISSN: 14992671 NLM ISO Abbreviation: Can J Diabetes Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Toronto : Canadian Diabetes Association, 2002- |
| مواضيع طبية MeSH: | Diabetes Mellitus, Type 2*/therapy , Health Personnel*, Humans ; Australia ; Stakeholder Participation ; Needs Assessment ; Community-Based Participatory Research |
| مستخلص: | Objectives: Diabetes care in Australia is often fragmented and provider-centred, resulting in suboptimal care. Innovative solutions are needed to bridge the evidence-practice gap, and technology can facilitate the redesign of type 2 diabetes care. We used participatory design to increase the chances of fulfilling stakeholders' needs. Using this method, we explored solutions aimed at redesigning diabetes care, focussing on the previously identified needs. Methods: The participatory design project was guided by stakeholders' contributions. Stakeholders of this project included people with type 2 diabetes, health-care professionals, technology developers, and researchers. Information uncovered at each step influenced the next: 1) identification of needs, 2) generation of solutions, and 3) testing of solutions. Here, we present steps 2 and 3. In step 2, we presented previously identified issues and elicited creative solutions. In step 3, we obtained stakeholders' feedback on the solutions from step 2, presented as care pathways. Results: Suggested solutions included a multidisciplinary wellness centre, a mobile app, increased access to education, improved care coordination, increased support for general practitioners, and a better funding model. The revised care pathways featured accessible community resources, a tailored self-management and educational app, a care coordinator, a digital dashboard, and specialized support for primary care to deal with complex cases. Conclusions: Using a participatory design, we successfully identified multiple innovative solutions with the potential to improve person-centred and integrated type 2 diabetes care in Australia. These solutions will inform the implementation and evaluation of a redesigned care model by our team. (Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: autoprise en charge; conception participative; continuity of patient care; continuité des soins aux patients; diabetes mellitus type 2; diabète sucré de type 2; participatory design; patient care management; prise en charge des soins au patient; self-management |
| تواريخ الأحداث: | Date Created: 20240216 Date Completed: 20240615 Latest Revision: 20240615 |
| رمز التحديث: | 20240615 |
| DOI: | 10.1016/j.jcjd.2024.02.001 |
| PMID: | 38365115 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 2352-3840 |
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| DOI: | 10.1016/j.jcjd.2024.02.001 |