Study Protocol: Rethinking Integrated Models of Care for Type 2 Diabetes (Re-IMCD): Can Digital Health Better Integrate Care for People with Diabetes, Hospitals and Primary Care?

David Chua, Carina Vasconcelos Silva, Tracy A. Comans, Hannah L. Mayr, Monika Janda, Len C. Gray, Anthony William Russell, Anish Menon

Research output: Other contributionOther

Abstract

Background: Type 2 diabetes (T2D) significantly burdens both people who develop it and the health system. For people with T2D (PwD), fragmented care leads to suboptimal health care outcomes. Mobile health systems can help deliver better integrated care, more personalised support and assist with self-management. Such systems can be tailored for individual needs and address health care access gaps; particularly for populations that are multiculturally diverse or experiencing socioeconomic marginalisation.We describe our study methods that aim to understand the technology needs of stakeholders who deliver or receive care in primary and secondary care settings.

Methods: Study setting: a secondary care diabetes clinic co-located with a general practice clinic in Inala, Brisbane. Inala is both multiculturally diverse and has a high level of socioeconomic disadvantage.

Needs assessment (Stage 1): A survey will be performed to ascertain smartphone utilisation rates and confidence among PwD attending the clinic. Then, semi-structured interviews with PwD and staff who form the care team, including community general practitioners. Interviews will elicit information on barriers and facilitators they experience when trying to achieve optimal integrated care and T2D management in the local context and what relevant technologies they have access to or need. Finally, we will observe staff workflows to help us identify further needs and contextualise our findings. We will analyse interview data using a thematic framework method.

Co-design (Stage 2): Co-design workshops will be conducted. These aim to adapt an integrated care model for PwD using digital health addressing the needs identified earlier. Participants will be PwD, their carers or relatives, health care staff, including community general practitioners and health service managers and digital health developers.

Conclusion: Our findings will inform a future adaptation and implementation of a digital health platform that optimises integrated care for PwD.
Original languageEnglish
Typepreprint
PublisherSocial Science Research Network (SSRN)
Number of pages17
Place of PublicationUnited States
DOIs
Publication statusPublished - 9 Feb 2023

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