Journal article
Implementation of a diabetes in pregnancy clinical register in a complex setting: Findings from a process evaluation
R Kirkham, C Whitbread, C Connors, E Moore, JA Boyle, R Richa, F Barzi, S Li, M Dowden, J Oats, C Inglis, M Cotter, HD McIntyre, M Kirkwood, P Van Dokkum, S Svenson, P Zimmet, JE Shaw, K O’Dea, A Brown Show all
Plos One | PUBLIC LIBRARY SCIENCE | Published : 2017
Abstract
Background: Rates of diabetes in pregnancy are disproportionately higher among Aboriginal than non-Aboriginal women in Australia. Additional challenges are posed by the context of Aboriginal health including remoteness and disadvantage. A clinical register was established in 2011 to improve care coordination, and as an epidemiological and quality assurance tool. This paper presents results from a process evaluation identifying what worked well, persisting challenges and opportunities for improvement. Methods: Clinical register data were compared to the Northern Territory Midwives Data Collection. A cross-sectional survey of 113 health professionals across the region was also conducted in 201..
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Awarded by National Health and Medical Research Council
Funding Acknowledgements
This work was funded by NHMRC partnership grant (#1032116, 2012-2016) including in-kind contributions from partners. Initial pilot funding was from Menzies School of Health, University of South Australia and Baker IDI Heart and Diabetes Institute with in-kind contributions from NT Department of Health, AMSANT, and HLNT for 2011. Louise Maple-Brown is supported by NHMRC Practitioner Fellowship #1078477.