Abstract
Aim: To assess the perspectives of stakeholders of primary care specialist-led Diabetes Risk-based Assessment Clinics (the intervention) in deprived inner-city areas of Coventry
Methods: A qualitative evaluation of a pilot trial (QUAN-ECLIPSE), a specialist team intervention was undertaken in seven GP practices. Data were collected using observations from weekly face-to-face or virtual consultations and monthly interventionists’ meetings; post-intervention, semi-structured interviews were carried out with 3 groups of stakeholders. Data analysed using thematic analysis.
Findings: Over the 12 months intervention period, 28 virtual clinics comprising 154 consultations and five interventionists’ team meetings were observed. The virtual clinics were feasible. The interventionists meetings facilitated joint decision-making on complex strategic issues.
Nineteen participants (eight people with diabetes at high risk of complications, eight primary care clinicians and three diabetes interventionists) were interviewed. Fifteen (94%) of the primary care clinicians and patients valued the Diabetes Consultants’ and Dietitian’s contributions, with all of the primary care clinicians stating that the Consultant-led sessions helped their understanding of complex cases; enhancing their knowledge and skills. Seven (88%) of the primary care clinicians stated they would prefer the Consultant-led Diabetes Virtual Clinics service to be implemented at practice-level compared to referring complex diabetes cases into the hospital settings. All eight patients reported enhanced self-management post-intervention, with seven (88%) stating they would like the intervention to become part of their practice routine diabetes care. All three interventionists felt upskilled the primary care clinicians and made a positive difference to the lives of patients with diabetes at high risk of complications.
A range of innovative approaches of managing high risk patients with diabetes were identified, including having monthly consultant-led diabetes sessions which were found to upskill primary care clinicians in managing complex cases.
Conclusions: A Consultant-led Diabetes Virtual Community Clinic supported, stimulated and upskilled primary care clinicians and empowered patients to self-manage. A randomised control trial and a cost-effectiveness analysis of the service are warranted.
Methods: A qualitative evaluation of a pilot trial (QUAN-ECLIPSE), a specialist team intervention was undertaken in seven GP practices. Data were collected using observations from weekly face-to-face or virtual consultations and monthly interventionists’ meetings; post-intervention, semi-structured interviews were carried out with 3 groups of stakeholders. Data analysed using thematic analysis.
Findings: Over the 12 months intervention period, 28 virtual clinics comprising 154 consultations and five interventionists’ team meetings were observed. The virtual clinics were feasible. The interventionists meetings facilitated joint decision-making on complex strategic issues.
Nineteen participants (eight people with diabetes at high risk of complications, eight primary care clinicians and three diabetes interventionists) were interviewed. Fifteen (94%) of the primary care clinicians and patients valued the Diabetes Consultants’ and Dietitian’s contributions, with all of the primary care clinicians stating that the Consultant-led sessions helped their understanding of complex cases; enhancing their knowledge and skills. Seven (88%) of the primary care clinicians stated they would prefer the Consultant-led Diabetes Virtual Clinics service to be implemented at practice-level compared to referring complex diabetes cases into the hospital settings. All eight patients reported enhanced self-management post-intervention, with seven (88%) stating they would like the intervention to become part of their practice routine diabetes care. All three interventionists felt upskilled the primary care clinicians and made a positive difference to the lives of patients with diabetes at high risk of complications.
A range of innovative approaches of managing high risk patients with diabetes were identified, including having monthly consultant-led diabetes sessions which were found to upskill primary care clinicians in managing complex cases.
Conclusions: A Consultant-led Diabetes Virtual Community Clinic supported, stimulated and upskilled primary care clinicians and empowered patients to self-manage. A randomised control trial and a cost-effectiveness analysis of the service are warranted.
| Original language | English |
|---|---|
| Pages | 1 |
| Number of pages | 1 |
| Publication status | Published - 15 Nov 2021 |
| Event | World Diabetes Day Workshop: Access to diabetes care - University of Greenwich (Online), London, United Kingdom Duration: 15 Nov 2021 → 15 Nov 2021 |
Workshop
| Workshop | World Diabetes Day Workshop: Access to diabetes care |
|---|---|
| Country/Territory | United Kingdom |
| City | London |
| Period | 15/11/21 → 15/11/21 |
