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Access to inpatient diabetes resources: hospital characteristics from the inaugural Queensland Inpatient Diabetes Survey.
Eccles-Smith, Jade; Puri, Gaurav; Hinton, Nicola; Cutmore, Clare; Porter, Kerry; Dermedgoglou, Alexis; Donovan, Peter.
Afiliação
  • Eccles-Smith J; Department of Endocrinology and Diabetes, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
  • Puri G; Faculty of Medicine and Biological Sciences, The University of Queensland, Brisbane, Queensland, Australia.
  • Hinton N; Logan Endocrine and Diabetes Services (LEADS), Metro South Health and HIU Clinical Excellence Queensland, Queensland, Australia.
  • Cutmore C; Department of Endocrinology, Cairns and Hinterland Hospital and Health Service, Cairns, Queensland, Australia.
  • Porter K; Nutrition and Dietetics, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
  • Dermedgoglou A; Diabetes and Endocrinology Nurse Practitioner, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
  • Donovan P; Department of Endocrinology, Cairns and Hinterland Hospital and Health Service, Cairns, Queensland, Australia.
Intern Med J ; 52(11): 1950-1956, 2022 11.
Article em En | MEDLINE | ID: mdl-34145712
BACKGROUND: Diabetes is common in hospitalised patients and despite this inpatient diabetes care in Queensland has not had large scale benchmarking or audit. AIMS: To establish the prevalence of diabetes in Queensland hospitals and assess the availability of specialised diabetes staff, educational resources and policies for inpatient diabetes management, including assessing equity of access to these resources. METHODS: The hospital capacity, prevalence of diabetes, diabetes-related resources and the availability of diabetes-related guidelines were assessed in 25 hospitals medical, surgical, mental health, high-dependency and intensive care wards across Queensland. Dedicated diabetes staffing measured in full-time equivalents (FTE), care delivery resources, access to educational resources, standard policies and procedures for care were assessed. RESULTS: Twenty-five hospitals included 4265 occupied beds. The median prevalence of diabetes was 22.9% (interquartile range (IQR) 17.3-28.5%) with an average 2.9 FTE per 100 patients with diabetes (IQR 0-6.3). There was difficulty in accessing a diabetes educator in 48% (n = 12), diabetes specialist in 44% (n = 11), orthopaedic surgeon in 48% (n = 12), podiatrist in 58% (n = 14) and vascular surgeon in 64% (n = 16) of hospitals. Small hospitals had more difficulty accessing all members of the diabetes team compared with large hospitals including credentialled diabetes educators 33% (n = 4) versus 62% (n = 8) (P < 0.01), diabetes specialists 17% (n = 2) versus 69% (n = 9) (P < 0.01) and vascular surgeons 33% (n = 4) versus 92% (n = 12) (P < 0.01). Diabetes-related staff education and regular nurse training was available in 40% (n = 10) of hospitals. A multi-disciplinary foot care team was available in 28% (n = 7) of hospitals. CONCLUSIONS: Queensland has a high prevalence of diabetes in hospitalised patients and they have limited and inequitable access to inpatient diabetes-related care.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Diabetes Mellitus / Pacientes Internados Tipo de estudo: Risk_factors_studies Limite: Humans País/Região como assunto: Oceania Idioma: En Revista: Intern Med J Assunto da revista: MEDICINA INTERNA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Austrália

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Diabetes Mellitus / Pacientes Internados Tipo de estudo: Risk_factors_studies Limite: Humans País/Região como assunto: Oceania Idioma: En Revista: Intern Med J Assunto da revista: MEDICINA INTERNA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Austrália