Stepping Up Telehealth: Using telehealth to support a new model of care for type 2 diabetes management in rural and regional primary care
Date
2016
Authors
Furler, John
Manski-Nankervis, Jo-Anne
Long, K
Walker, Christine
Ginnivan, L
Lagstrom, J
Gray, K
Briganti, E
Blackberry, I
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Australian Primary Health Care Research Institute (APHCRI), The Australian National University.
Abstract
Our proposal is to pilot the feasibility and acceptability of a telehealth intervention to enhance care in rural general practice for people with out-of-target Type 2 Diabetes (T2D). Our research program builds on the UK Medical Research Council framework in developing a model of care intervention that is well matched to the setting of General Practice and to the experiences and priorities of patients. We undertook an exploratory qualitative study, leading to the development of a practice-based intervention that we pilot tested for feasibility and acceptability before undertaking a larger pilot and a cluster RCT. We based our work on Normalisation Process Theory (NPT), a sociological theory of implementation, which describes how new practices become incorporated into routine clinical care as a result of individual and collective work. NPT suggested that our model of care intervention would need to be patient centred and include all members of the multidisciplinary diabetes team, including Endocrinologist, RN-CDE General Practitioners (GP), and generalist Practice Nurses (PNs). All of these groups are involved in the �work� of insulin initiation.
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Furler J, Manski-Nankervis J, Long K, Walker C, Ginnivan L, Lagstrom J, Gray K, Briganti E, Blackberry I (2015) Stepping Up Telehealth: Using telehealth to support a new model of care for type 2 diabetes management in rural and regional primary care. Final report to the Australian Primary Health Care Research Institute.
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Report (Research)
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Open Access
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