Improving Diabetes Care in the British Columbia Southern Interior: Developing Community‒University Initiatives to Address Service Gaps
| Autor: | Mary E. Jung, Gabriel U. Dix, Kathleen A. Martin Ginis, Braden Te Hiwi, Nelly D. Oelke, Kathy L. Rush, Sean R Locke, Stephen Berg, Miranda Dinwoodie |
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| Rok vydání: | 2019 |
| Předmět: |
Rural Population
Universities Urban Population Service delivery framework Endocrinology Diabetes and Metabolism 030209 endocrinology & metabolism Health Promotion Indigenous 03 medical and health sciences 0302 clinical medicine Endocrinology Nursing Population Groups Diabetes management Diabetes mellitus Internal Medicine medicine Diabetes Mellitus Humans 030212 general & internal medicine Prediabetes Service (business) Type 1 diabetes business.industry Community Participation General Medicine Health Services medicine.disease Prognosis Community-Institutional Relations Gestational diabetes business Delivery of Health Care |
| Zdroj: | Canadian journal of diabetes. 45(1) |
| ISSN: | 2352-3840 |
| Popis: | Objectives Diabetes rates in the British Columbia (BC) interior are rising more rapidly compared with the rest of Canada, whereas diabetes service provision is limited within this region. The purposes of this article were: 1) to identify characteristics of diabetes service delivery; and 2) to co-develop community‒university diabetes research projects to address service barriers and gaps in the BC southern interior across urban, rural and Indigenous populations. Methods A 3-step approach was used. In step 1, a web search was conducted to identify diabetes-related services. In step 2, 10 community members working or volunteering in diabetes organizations participated in semistructured telephone interviews pertaining to diabetes service access, priorities, barriers, benefits and gaps. In step 3, a meeting of researchers and community members (n=25) was held to foster collaboration and co-develop research projects. Results Seventy-eight urban, rural and Indigenous diabetes-related services were identified in the BC southern interior. Provision of care to those with new type 1 diabetes and gestational diabetes diagnoses was identified in the interviews as a key priority; the needs of these groups contribute to a deficiency of resources to deliver prediabetes programs. The meeting produced plans for 2 collaborative projects: (1) the development of a diabetes patient journey map, and (2) development of a diabetes service hub with navigators for patients. Conclusions Together, community members and researchers have identified service gaps and formulated research projects to improve diabetes management for urban, rural and Indigenous peoples living in the BC southern interior. |
| Databáze: | OpenAIRE |
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