Contributions of digital technologies for resilience capacity in a type 1 diabetes transition clinic: A qualitative study.

Autor: Carrigan A; Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia. Electronic address: ann.carrigan@mq.edu.au., Holmes-Walker DJ; Westmead Hospital, Sydney, Australia; Sydney University Medical School, Sydney, Australia., Farrell K; Westmead Hospital, Sydney, Australia., Maguire AM; Sydney University Medical School, Sydney, Australia; The Children's Hospital at Westmead, Sydney, Australia., Lyng HB; SHARE - Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Norway., Wiig S; Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia; SHARE - Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Norway., Guise V; SHARE - Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Norway., Long JC; Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia., Ellis LA; Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia; Partnership Centre for Health System Sustainability, Australian Institute of Health Innovation, Macquarie University, Australia., Wijekulasuriya S; Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia; Partnership Centre for Health System Sustainability, Australian Institute of Health Innovation, Macquarie University, Australia., Dharmayani PNA; Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia., Singh N; Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia., Simone Z; Westmead Hospital, Sydney, Australia., Davis E; Children's Diabetes Centre, Telethon Kids Institute, The University of Western Australia, Australia; Department of Endocrinology and Diabetes, Perth Children's Hospital, Perth, Western Australia, Australia; Division of Paediatrics, School of Medicine, The University of Western Australia, Perth, Western Australia, Australia., Jones TW; Children's Diabetes Centre, Telethon Kids Institute, The University of Western Australia, Australia; Department of Endocrinology and Diabetes, Perth Children's Hospital, Perth, Western Australia, Australia; Division of Paediatrics, School of Medicine, The University of Western Australia, Perth, Western Australia, Australia., Braithwaite J; Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia; Partnership Centre for Health System Sustainability, Australian Institute of Health Innovation, Macquarie University, Australia., Zurynski Y; Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia; Partnership Centre for Health System Sustainability, Australian Institute of Health Innovation, Macquarie University, Australia.
Jazyk: angličtina
Zdroj: Applied ergonomics [Appl Ergon] 2025 Jan; Vol. 122, pp. 104392. Date of Electronic Publication: 2024 Sep 26.
DOI: 10.1016/j.apergo.2024.104392
Abstrakt: A type 1 diabetes (T1D) transition clinic in Sydney, Australia, provides age specific care for young adults (aged 16-25 years) and for adults (aged 21 years and above), and has reported improved clinical outcomes post transition to adult care over a 21-year period. This study investigated the contribution of digital technology to long-term resilient capacity of the clinic. Clinic observations and interviews with eight providers and 17 young adults were conducted. Using a framework to analyze resilient capacity in healthcare, seven strong themes emerged from the data: Leadership, Involvement, Communication, Coordination, Risk Awareness, Competence and Alignment with three themes, Structure, Learning and Facilitators also supported. Patient service adaptations included offering out of hours appointment times and telehealth to accommodate young adults' availability. This study provides evidence for the important role that digital technologies contribute to a system of care with capacity for resilience. Our findings contribute to the understanding of the factors needed to support young adults with T1D and may be valuable to inform models of care for young adults living with other chronic health conditions.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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