The impact of community teaching sessions on onward referral to specialist diabetic foot services

IF 2.6 4区医学 Q3 ENDOCRINOLOGY & METABOLISM Primary Care Diabetes Pub Date : 2024-02-01 DOI:10.1016/j.pcd.2023.11.008

Nina Al-Saadi , Nichola Beard , Khalid Al-Hashimi , Helen Suttenwood , Michael Wall , Steven Jones , Catherine Merriman

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Abstract

Introduction

Prompt referral of patients with diabetic foot ulceration (DFU) to specialist services can lead to more timely assessment of these patients and subsequent improved rates of limb salvage and patient outcomes. In this study we wanted to determine the impact of education in the primary care setting on onward referrals to our specialist Diabetic Foot multi-disciplinary team (MDT) clinic.

Methods

As part of a Diabetic Foot Roadshow, four teaching sessions were delivered in primary care settings across Shropshire by our specialist team from 17th March to the 25th May 2022. Attendees included podiatrists, tissue viability nurses, district nurses and wound care practitioners. Hospital records were used to identify all onward referrals to our Diabetic Foot MDT clinic in the weeks before and after delivery of the roadshow education sessions.

Results

184 referrals were made to the diabetic foot clinic from January to July 2022. There were 0.3 referrals per day in the months prior to the commencement of the education sessions, compared to 1.5 referrals per day following the commencement of the teaching sessions. This increase in referrals was statistically significant (p < 0.0001).

Conclusion

Teaching sessions delivered to community specialist healthcare professionals significantly increase onward referral of patients to specialist services, facilitating more timely assessment and management of patients with DFUs.

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社区教学课程对转诊至糖尿病足专科服务的影响。

导读:糖尿病足溃疡(DFU)患者及时转诊到专科服务可以更及时地评估这些患者，并随后提高肢体保留率和患者预后。在这项研究中，我们想要确定初级保健教育对转介到我们的糖尿病足专科多学科团队(MDT)诊所的影响。方法:作为糖尿病足路演的一部分，我们的专家团队于2022年3月17日至5月25日在什罗普郡的初级保健机构进行了四次教学。与会者包括足科医生，组织活力护士，地区护士和伤口护理从业人员。在路演教育课程之前和之后的几周内，医院记录被用来确定所有转诊到我们的糖尿病足MDT诊所的患者。结果:2022年1 - 7月，糖尿病足门诊共转诊184例。在教育课程开始前的几个月里，每天有0.3例转介，而在教学课程开始后，每天有1.5例转介。结论:向社区专科医疗保健专业人员提供的教学课程显着增加了患者向专科服务的转诊，促进了对dfu患者的更及时评估和管理。

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来源期刊

Primary Care Diabetes ENDOCRINOLOGY & METABOLISM-PRIMARY HEALTH CARE

CiteScore

5.00

自引率

3.40%

发文量

134

审稿时长

47 days

期刊介绍： The journal publishes original research articles and high quality reviews in the fields of clinical care, diabetes education, nutrition, health services, psychosocial research and epidemiology and other areas as far as is relevant for diabetology in a primary-care setting. The purpose of the journal is to encourage interdisciplinary research and discussion between all those who are involved in primary diabetes care on an international level. The Journal also publishes news and articles concerning the policies and activities of Primary Care Diabetes Europe and reflects the society''s aim of improving the care for people with diabetes mellitus within the primary-care setting.