Gestational diabetes mellitus care re‐imagined: women's experiences of a major model of care change at a large metropolitan hospital

IF 0.5 Q4 ENDOCRINOLOGY & METABOLISM Practical Diabetes Pub Date : 2024-05-01 DOI:10.1002/pdi.2502

Kaley Butten, Josephine G Laurie, M. Varnfield, Shelley A Wilkinson

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Abstract

Background: A gestational diabetes mellitus (GDM) pregnancy has significant psychological, time and resource impacts. In 2020–21, a digitally‐supported radical GDM service redesign was undertaken at a Brisbane tertiary centre, producing substantial cost savings without compromising clinical outcomes.Aims: To describe women's experiences within this new model of care (MOC), specifically the app user experience (MOC) (post), compared with a traditional MOC (pre).Methods: The new MOC was evaluated using a pre–post study design. This MOC included a smartphone app‐to‐clinician blood glucose communication platform. A convenience sample of women were surveyed about care experiences and app use pre‐ and post‐implementation. An additional survey queried user app experience at four weeks’ postpartum.Results: Within the service, 34% (n=24) and 22% (n=48) of women were surveyed pre and post MOC introduction, respectively. Pre‐implementation, 50% (n=12) of women missed work to attend appointments and 75% spent 30–120 minutes at the hospital. Questions regarding understanding GDM, initial dietary changes and glucometer use received similar or slightly lower ratings, pre‐ to post‐implementation. Nearly a quarter of women in the app‐experiences survey (24.2%; n=177) showed high levels of satisfaction with care received (91.5%) and with the app for managing GDM (87.1%). Two experience themes that emerged were Enhanced GDM management and Usability issues.Conclusions: The new MOC reduced time impositions associated with attending appointments. Despite the removal of face‐to‐face visits in the new MOC, women still established a connection with their treating team and maintained their understanding of their GDM management. Copyright © 2024 John Wiley & Sons.

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妊娠糖尿病护理的再构想：一家大型都市医院对护理模式进行重大改革的妇女体验

背景：妊娠期糖尿病（GDM）对孕妇的心理、时间和资源都有重大影响。2020-21 年，布里斯班的一家三级医疗中心在数字化支持下对 GDM 服务进行了彻底的重新设计，在不影响临床效果的前提下节省了大量成本。目的：描述妇女在这种新护理模式（MOC）中的体验，特别是应用程序用户体验（MOC）（后）与传统 MOC（前）的比较：方法：采用前后研究设计对新的 MOC 进行了评估。该 MOC 包括一个智能手机应用程序与临床医生之间的血糖交流平台。对方便抽样的妇女进行了关于实施前后护理经验和应用程序使用情况的调查。另外还对产后四周的用户应用体验进行了调查：在服务范围内，分别有 34% （样本数=24）和 22% （样本数=48）的产妇在 MOC 推出前后接受了调查。实施前，50% 的产妇（12 人）因赴约而缺勤，75% 的产妇在医院花费了 30-120 分钟。关于了解 GDM、初步饮食改变和血糖仪使用的问题，实施前和实施后的评分相似或略低。在应用程序体验调查中，近四分之一的妇女（24.2%；n=177）对所接受的护理（91.5%）和应用程序管理 GDM 的满意度很高（87.1%）。出现的两个体验主题是加强 GDM 管理和可用性问题：新的MOC减少了与预约相关的时间要求。尽管新的 MOC 取消了面对面的访问，但妇女们仍与治疗团队建立了联系，并保持了对 GDM 管理的了解。版权所有 © 2024 约翰威利父子公司。

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来源期刊

Practical Diabetes ENDOCRINOLOGY & METABOLISM-

CiteScore

1.10

自引率

16.70%

发文量

期刊介绍： Practical Diabetes concerns itself with all aspects of the worldwide clinical science and practice of diabetes medicine. The journal recognises the importance of each member of the healthcare team in the delivery of diabetes care, and reflects this diversity of professional interest in its editorial contents. The Editors welcome original papers, case reports, practice points, audit articles and letters on any aspect of clinical diabetes care from any part of the world. The journal also publishes commissioned leaders, review articles and educational and training series, for which an honorarium normally is paid. All articles submitted to Practical Diabetes are independently peer reviewed. They must not have been published or be under submission currently elsewhere. Enquiries from prospective authors are welcomed and the Editors will be pleased, if asked, to advise on preparation and submission of articles. All articles and enquiries should be directed to the Editors at the publishing address below. The journal is published nine times a year, and currently the average waiting time for acceptance of articles is eight weeks, and for subsequent publication sixteen weeks. Practical Diabetes is independent of any commercial or vested interest.