Barriers and facilitators to the implementation of evidence-based guidelines for the Diabetic Foot in rural and remote Western Australia using the World Health Organization Framework

Research output: ThesisDoctoral Thesis

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Abstract

Diabetes is a leading cause of lower extremity amputation in Australia. Identifying patients 'at-risk' and preventing first diabetic foot ulcer are paramount. This mixed methods study delivered a multifaceted intervention in rural Western Australia to implement national guidelines for the diabetic foot. Interventions were based on the WHO Innovative Care for Chronic Conditions framework and included education and training for rural practitioners, decision support and telehealth support. Identified barriers and facilitators show that high level commitment is needed to resource systematic efforts to align and coordinate the necessary components to prevent and manage diabetic foot disease across the health system.
Original languageEnglish
QualificationDoctor of Philosophy
Awarding Institution
  • The University of Western Australia
Thesis sponsors
Award date13 Oct 2019
DOIs
Publication statusUnpublished - 2019

Fingerprint

Western Australia
Diabetic Foot
Guidelines
Foot Diseases
Telemedicine
Amputation
Lower Extremity
Education
Health

Cite this

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title = "Barriers and facilitators to the implementation of evidence-based guidelines for the Diabetic Foot in rural and remote Western Australia using the World Health Organization Framework",
abstract = "Diabetes is a leading cause of lower extremity amputation in Australia. Identifying patients 'at-risk' and preventing first diabetic foot ulcer are paramount. This mixed methods study delivered a multifaceted intervention in rural Western Australia to implement national guidelines for the diabetic foot. Interventions were based on the WHO Innovative Care for Chronic Conditions framework and included education and training for rural practitioners, decision support and telehealth support. Identified barriers and facilitators show that high level commitment is needed to resource systematic efforts to align and coordinate the necessary components to prevent and manage diabetic foot disease across the health system.",
keywords = "diabetic foot, evidence-ased guidelines, rural and remote, Aboriginal, barriers and facilitators, foot ulcer, Indigenous, podiatry",
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school = "The University of Western Australia",

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AB - Diabetes is a leading cause of lower extremity amputation in Australia. Identifying patients 'at-risk' and preventing first diabetic foot ulcer are paramount. This mixed methods study delivered a multifaceted intervention in rural Western Australia to implement national guidelines for the diabetic foot. Interventions were based on the WHO Innovative Care for Chronic Conditions framework and included education and training for rural practitioners, decision support and telehealth support. Identified barriers and facilitators show that high level commitment is needed to resource systematic efforts to align and coordinate the necessary components to prevent and manage diabetic foot disease across the health system.

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