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Diabetic ketoacidosis presentations in a low socio-economic area: are services suitable?
- Source :
- BMC Health Services Research, Vol 21, Iss 1, Pp 1-8 (2021), BMC Health Services Research
- Publication Year :
- 2021
- Publisher :
- BioMed Central, 2021.
-
Abstract
- Background Diabetic ketoacidosis causes a significant number of hospitalisations worldwide, with rates tending to increase with remoteness and socioeconomic disadvantage. Our study aimed to explore healthcare professionals’ perceptions of factors affecting presentation of people with type 1 diabetes in a low socioeconomic area of Queensland, Australia. Methods This was a qualitative study. Individual semi-structured face-to-face or telephone interviews were completed with patients with type 1 diabetes who had presented in diabetic ketoacidosis, and healthcare professionals who have experience in related care. Data were analysed using Gibbs’s framework of thematic analysis. Results Four patients with type 1 diabetes and 18 healthcare professionals were interviewed. Restricted access was identified as a factor contributing to diabetic ketoacidosis and delayed presentation, with ketone testing supplies, continuous glucose monitoring technology and transport considered barriers. Many of these factors were arguably preventable. Opportunities to improve the care available to patients with type 1 diabetes were detailed, with particularly strong support for dedicated out of hours telephone help lines for adults with type 1 diabetes. Conclusions Gaps in support for patient self-care to avoid diabetic ketoacidosis presentations and prevent late presentation of diabetic ketoacidosis revealed by this study require service reconfiguration to support care delivery. Until change is made, people with type 1 diabetes will continue to make both avoidable and delayed, acutely unwell, presentations to Emergency Departments.
- Subjects :
- Blood Glucose
Adult
medicine.medical_specialty
Diabetic ketoacidosis
030209 endocrinology & metabolism
Diabetes services
Socio-economic
Health administration
Diabetic Ketoacidosis
03 medical and health sciences
0302 clinical medicine
Diabetes mellitus
Healthcare professionals
medicine
Humans
030212 general & internal medicine
Socioeconomic status
Continuous glucose monitoring
Type 1 diabetes
business.industry
Research
Health Policy
Public health
Nursing research
Blood Glucose Self-Monitoring
Australia
Diabetes mellitus, type 1
0807 Library and Information Studies, 1110 Nursing, 1117 Public Health and Health Services
medicine.disease
Telephone
Diabetes Mellitus, Type 1
Socioeconomic Factors
Family medicine
Health Policy & Services
Queensland
Support
Thematic analysis
Public aspects of medicine
RA1-1270
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- BMC Health Services Research, Vol 21, Iss 1, Pp 1-8 (2021), BMC Health Services Research
- Accession number :
- edsair.doi.dedup.....2a815a5962619f1be3daf60730c45eca