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Effectiveness of joint specialist case conferences for building general practice capacity to enhance diabetes care: A pilot study in Western Sydney, Australia

Gideon Meyerowitz-Katz (Integrated and Community Health, Western Sydney Local Health District, North Parramatta, Australia)
Sian Bramwell (Integrated and Community Health, Western Sydney Local Health District, North Parramatta, Australia)
Rajini Jayaballa (Integrated and Community Health, Western Sydney Local Health District, North Parramatta, Australia)
Ramy Bishay (Integrated and Community Health, Western Sydney Local Health District, North Parramatta, Australia)
Ian Corless (Western Sydney Primary Health Network (Wentwest), Western Sydney Local Health District, North Parramatta, Australia)
Sumathy Ravi (Integrated and Community Health, Western Sydney Local Health District, North Parramatta, Australia)
Linda Soars (Integrated and Community Health, Western Sydney Local Health District, North Parramatta, Australia)
Xiaoqi Feng (Faculty of Science Medicine and Health, University of Wollongong, Wollongong, Australia)
Thomas Astell-Burt (Faculty of Science Medicine and Health, University of Wollongong, Wollongong, Australia) (Integrated and Community Health, Western Sydney Local Health District, North Parramatta, Australia)
Manimegalai Manoharan (Integrated and Community Health, Western Sydney Local Health District, North Parramatta, Australia)
Mark McLean (Department of Endocrinology, Western Sydney Local Health District, North Parramatta, Australia)
Glen Maberly (Integrated and Community Health, Western Sydney Local Health District, North Parramatta, Australia) (University of Sydney, Sydney, Australia)

Journal of Integrated Care

ISSN: 1476-9018

Article publication date: 24 April 2018

Issue publication date: 2 July 2018

Abstract

Purpose

Type 2 diabetes mellitus has become a major concern of Australian healthcare providers. From rates of barely more than 1 percent in the mid-90s, diabetes is now the leading cause of morbidity in the country. To combat the growing diabetes epidemic, Western Sydney Local Health District created the Western Sydney Diabetes (WSD) initiative. One of the key components of the WSD initiative since 2014 has been joint specialist case conferencing (JSCC). The purpose of this paper is to evaluate the JSCC service including both individual- and practice-based changes.

Design/methodology/approach

The authors evaluated the JSCC program by conducting an analysis of patient-level data in addition to a discrete practice-level study. The study aim was to examine both the effect on individual patients and the practice, as well as acceptability of the program for both doctors and their patients. The evaluation included data collection and analysis of primary patient outcomes, as well as a survey of GPs and patients. Patient data on primary outcomes were obtained by accessing and downloading them through GP practice management software by GP practice staff.

Findings

The authors found significant improvements at both the patient levels, with reductions in BMI, HbA1c and blood pressure sustained at three years, and at the practice level with improvements in markers of patient management. The authors also found high acceptability of the program from both patients and GPs.

Originality/value

This paper provides good evidence for the use of a JSCC program to improve diabetes management in primary care through capacity building with GPs.

Keywords

Citation

Meyerowitz-Katz, G., Bramwell, S., Jayaballa, R., Bishay, R., Corless, I., Ravi, S., Soars, L., Feng, X., Astell-Burt, T., Manoharan, M., McLean, M. and Maberly, G. (2018), "Effectiveness of joint specialist case conferences for building general practice capacity to enhance diabetes care: A pilot study in Western Sydney, Australia", Journal of Integrated Care, Vol. 26 No. 3, pp. 199-210. https://doi.org/10.1108/JICA-09-2017-0029

Publisher

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Emerald Publishing Limited

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