Children and adolescents with type 1 diabetes in Australasia: An online survey of model of care, workforce and outcomes

Martin de Bock, Timothy W. Jones, Jan Fairchild, Fran Mouat, Craig Jefferies

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Aim To survey the model of care and workforce that manages children and adolescents with type 1 diabetes (T1D) in Australasia along with glycaemic outcomes. Methods Tertiary and regional paediatric clinics in Australia and New Zealand (NZ) caring for children and adolescents with diabetes were invited to complete an online survey assessing health-care professional (HCP) workforce numbers and available clinical data for the 2016 calendar year. Results A total of 38 sites responded - 25 Australian (10 tertiary, 15 regional), 13 NZ (4 tertiary, 8 regional) - representing 9715 children with T1D. HCP resourcing varied across sites, with overall HCP/100 patient ratios of: doctors: 0.36 (0.08-1.07), nurses: 0.72 (0-1.8), dieticians: 0.19 (0-0.49) and psychologist/social workers: 0.13 (0-0.36). Overall, 39% of patients used insulin pump therapy (CSII) (29.5% NZ, 40.8% Australia). Databases were being used locally by 26 sites. Thirty-two sites reported the mean clinic HbA1c, mean HbA1c 66 mmol/mol (8.2%) (NZ = 69 mmol/mol (8.5%), Australia = 66 mmol/mol (8.2%)), with 29% of patients attaining the recommended HbA1c target of

Original languageEnglish
Pages (from-to)82-86
Number of pages5
JournalJournal of Paediatrics and Child Health
Volume55
Issue number1
DOIs
Publication statusPublished - Jan 2019

Cite this

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title = "Children and adolescents with type 1 diabetes in Australasia: An online survey of model of care, workforce and outcomes",
abstract = "Aim To survey the model of care and workforce that manages children and adolescents with type 1 diabetes (T1D) in Australasia along with glycaemic outcomes. Methods Tertiary and regional paediatric clinics in Australia and New Zealand (NZ) caring for children and adolescents with diabetes were invited to complete an online survey assessing health-care professional (HCP) workforce numbers and available clinical data for the 2016 calendar year. Results A total of 38 sites responded - 25 Australian (10 tertiary, 15 regional), 13 NZ (4 tertiary, 8 regional) - representing 9715 children with T1D. HCP resourcing varied across sites, with overall HCP/100 patient ratios of: doctors: 0.36 (0.08-1.07), nurses: 0.72 (0-1.8), dieticians: 0.19 (0-0.49) and psychologist/social workers: 0.13 (0-0.36). Overall, 39{\%} of patients used insulin pump therapy (CSII) (29.5{\%} NZ, 40.8{\%} Australia). Databases were being used locally by 26 sites. Thirty-two sites reported the mean clinic HbA1c, mean HbA1c 66 mmol/mol (8.2{\%}) (NZ = 69 mmol/mol (8.5{\%}), Australia = 66 mmol/mol (8.2{\%})), with 29{\%} of patients attaining the recommended HbA1c target of",
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Children and adolescents with type 1 diabetes in Australasia : An online survey of model of care, workforce and outcomes. / de Bock, Martin; Jones, Timothy W.; Fairchild, Jan; Mouat, Fran; Jefferies, Craig.

In: Journal of Paediatrics and Child Health, Vol. 55, No. 1, 01.2019, p. 82-86.

Research output: Contribution to journalArticle

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AU - Jefferies, Craig

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AB - Aim To survey the model of care and workforce that manages children and adolescents with type 1 diabetes (T1D) in Australasia along with glycaemic outcomes. Methods Tertiary and regional paediatric clinics in Australia and New Zealand (NZ) caring for children and adolescents with diabetes were invited to complete an online survey assessing health-care professional (HCP) workforce numbers and available clinical data for the 2016 calendar year. Results A total of 38 sites responded - 25 Australian (10 tertiary, 15 regional), 13 NZ (4 tertiary, 8 regional) - representing 9715 children with T1D. HCP resourcing varied across sites, with overall HCP/100 patient ratios of: doctors: 0.36 (0.08-1.07), nurses: 0.72 (0-1.8), dieticians: 0.19 (0-0.49) and psychologist/social workers: 0.13 (0-0.36). Overall, 39% of patients used insulin pump therapy (CSII) (29.5% NZ, 40.8% Australia). Databases were being used locally by 26 sites. Thirty-two sites reported the mean clinic HbA1c, mean HbA1c 66 mmol/mol (8.2%) (NZ = 69 mmol/mol (8.5%), Australia = 66 mmol/mol (8.2%)), with 29% of patients attaining the recommended HbA1c target of

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