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Implementation strategies to overcome barriers to diabetes-related footcare delivery in primary care : A qualitative study
Mullan, Leanne Wynter, Karen Driscoll, Andrea Rasmussen, Bodil
Mullan, Leanne
Wynter, Karen
Driscoll, Andrea
Rasmussen, Bodil
Abstract
The aim of this study is to identify, from the perspectives of key health policy decision-makers, strategies that address barriers to diabetes-related footcare delivery in primary care, and outline key elements required to support implementation into clinical practice. The study utilised a qualitative design with inductive analysis approach. Seven key health policy decisions-makers within Australia were interviewed. Practical strategies identified to support provision and delivery of foot care in primary care were: (a) building on current incentivisation structures through quality improvement projects; (b) enhancing education and community awareness; (c) greater utilisation and provision of resources and support systems; and (d) development of collaborative models of care and referral pathways. Key elements reported to support effective implementation of footcare strategies included developing and implementing strategies based on co-design, consultation, collaboration, consolidation and co-commissioning. To the authors’ knowledge, this is the first Australian study to obtain information from key health policy decision-makers, identifying strategies to support footcare delivery in primary care. Implementation of preventative diabetes-related footcare strategies into ‘routine’ primary care clinical practice requires multiparty co-design, consultation, consolidation, collaboration and co-commissioning. The basis of strategy development will influence implementation success and thus improve outcomes for people living with diabetes.
Keywords
primary health care, diabetic foot, diabetes, prevention, Australia, foot disease, policy
Date
2021
Type
Journal article
Journal
Australian Journal of Primary Health
Book
Volume
27
Issue
4
Page Range
328-337
Article Number
ACU Department
School of Nursing, Midwifery and Paramedicine
Faculty of Health Sciences
Faculty of Health Sciences
Relation URI
DOI
Source URL
Event URL
Open Access Status
License
All rights reserved
File Access
Controlled