Complex diabetes screening guidelines for high-risk adolescent Aboriginal Australians: a barrier to implementation in primary health care

Autor:	Gavin Cleland, Julia V. Marley, David Atkinson, Lydia Scott, Paula Edgill, Andreana Manifold, Sally Singleton
Rok vydání:	2019
Předmět:	medicine.medical_specialty Native Hawaiian or Other Pacific Islander Adolescent Audit Population health Diabetes in Aboriginal Australians 03 medical and health sciences 0302 clinical medicine Risk Factors Health care Medicine Humans Mass Screening 030212 general & internal medicine Child Government Health economics Primary Health Care business.industry 030503 health policy & services Health Policy Public health Public Health Environmental and Occupational Health Diabetes Mellitus Type 2 Family medicine Community health 0305 other medical science business
Zdroj:	Australian journal of primary health. 25(5)
ISSN:	1836-7399
Popis:	The aim of this study is to ascertain whether a simplified screening algorithm incorporating glycated haemoglobin (HbA1c) tests increases type 2 diabetes (T2D) screening in 10- to 14-year-old Aboriginal Australians presenting to primary healthcare (PHC) services. The study involved a 6-month pilot of a locally developed evidence-based screening algorithm in a remote Western Australian Kimberley town. A retrospective audit of electronic health records for the pilot period (27 June–26 December 2016) and a 6-month period before the screening algorithm was introduced (1 October 2015–31 March 2016) was conducted. Interviews were held with 30 PHC staff at participating PHC services, an Aboriginal Community Controlled Health Service (ACCHS) and a hospital-based general practice service. During the pilot, significantly more patients received an initial T2D screening test at the ACCHS (28/130 (22%) v. 50/139 (36%), P = 0.011), but there was no change at the hospital (0.02% v. 0.02%, P = 0.615). Staff feedback suggested measures to improve screening; these include simple guidelines, targeted screening, patient and staff education, point-of-care HbA1c tests and a whole-of-clinic approach to implementation. Implementing a screening algorithm for young-onset diabetes in Aboriginal Australians is challenging, but practical measures can be taken to improve screening.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::9abedc40af722139eff6ad364054a180 https://pubmed.ncbi.nlm.nih.gov/31634436 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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