Soraia de Camargo Catapan BPharm, MPhil, PhD , Carina Vasconcelos Silva MPH , Dominique Bird MD , Monika Janda MPhil, PhD , Len Gray MBBS, MMed, PhD , Lisbeth Maunder , Jane Clemensen RN, MSN, PhD , Anish Menon MBBS, PhD , Anthony Russell MBBS, PhD
{"title":"共同改善 2 型糖尿病护理:参与式设计项目,以满足糖尿病患者及其医疗保健专业人员的明确需求。","authors":"Soraia de Camargo Catapan BPharm, MPhil, PhD , Carina Vasconcelos Silva MPH , Dominique Bird MD , Monika Janda MPhil, PhD , Len Gray MBBS, MMed, PhD , Lisbeth Maunder , Jane Clemensen RN, MSN, PhD , Anish Menon MBBS, PhD , Anthony Russell MBBS, PhD","doi":"10.1016/j.jcjd.2024.02.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><p>Diabetes care in Australia is often fragmented and provider-centred, resulting in suboptimal care. Innovative solutions are needed to bridge the evidence–practice gap, and technology can facilitate the redesign of type 2 diabetes care. We used participatory design to increase the chances of fulfilling stakeholders’ needs. Using this method, we explored solutions aimed at redesigning diabetes care, focussing on the previously identified needs.</p></div><div><h3>Methods</h3><p>The participatory design project was guided by stakeholders’ contributions. Stakeholders of this project included people with type 2 diabetes, health-care professionals, technology developers, and researchers. Information uncovered at each step influenced the next: 1) identification of needs, 2) generation of solutions, and 3) testing of solutions. Here, we present steps 2 and 3. In step 2, we presented previously identified issues and elicited creative solutions. In step 3, we obtained stakeholders’ feedback on the solutions from step 2, presented as care pathways.</p></div><div><h3>Results</h3><p>Suggested solutions included a multidisciplinary wellness centre, a mobile app, increased access to education, improved care coordination, increased support for general practitioners, and a better funding model. The revised care pathways featured accessible community resources, a tailored self-management and educational app, a care coordinator, a digital dashboard, and specialized support for primary care to deal with complex cases.</p></div><div><h3>Conclusions</h3><p>Using a participatory design, we successfully identified multiple innovative solutions with the potential to improve person-centred and integrated type 2 diabetes care in Australia. These solutions will inform the implementation and evaluation of a redesigned care model by our team.</p></div>","PeriodicalId":9565,"journal":{"name":"Canadian Journal of Diabetes","volume":null,"pages":null},"PeriodicalIF":2.3000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1499267124000388/pdfft?md5=6d2b4857deb5662d55b74e640bf1262f&pid=1-s2.0-S1499267124000388-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Working Together to Improve Type 2 Diabetes Care: A Participatory Design Project to Address Identified Needs of People With Diabetes and Their Health-care Professionals\",\"authors\":\"Soraia de Camargo Catapan BPharm, MPhil, PhD , Carina Vasconcelos Silva MPH , Dominique Bird MD , Monika Janda MPhil, PhD , Len Gray MBBS, MMed, PhD , Lisbeth Maunder , Jane Clemensen RN, MSN, PhD , Anish Menon MBBS, PhD , Anthony Russell MBBS, PhD\",\"doi\":\"10.1016/j.jcjd.2024.02.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><p>Diabetes care in Australia is often fragmented and provider-centred, resulting in suboptimal care. 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In step 3, we obtained stakeholders’ feedback on the solutions from step 2, presented as care pathways.</p></div><div><h3>Results</h3><p>Suggested solutions included a multidisciplinary wellness centre, a mobile app, increased access to education, improved care coordination, increased support for general practitioners, and a better funding model. The revised care pathways featured accessible community resources, a tailored self-management and educational app, a care coordinator, a digital dashboard, and specialized support for primary care to deal with complex cases.</p></div><div><h3>Conclusions</h3><p>Using a participatory design, we successfully identified multiple innovative solutions with the potential to improve person-centred and integrated type 2 diabetes care in Australia. 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Working Together to Improve Type 2 Diabetes Care: A Participatory Design Project to Address Identified Needs of People With Diabetes and Their Health-care Professionals
Objectives
Diabetes care in Australia is often fragmented and provider-centred, resulting in suboptimal care. Innovative solutions are needed to bridge the evidence–practice gap, and technology can facilitate the redesign of type 2 diabetes care. We used participatory design to increase the chances of fulfilling stakeholders’ needs. Using this method, we explored solutions aimed at redesigning diabetes care, focussing on the previously identified needs.
Methods
The participatory design project was guided by stakeholders’ contributions. Stakeholders of this project included people with type 2 diabetes, health-care professionals, technology developers, and researchers. Information uncovered at each step influenced the next: 1) identification of needs, 2) generation of solutions, and 3) testing of solutions. Here, we present steps 2 and 3. In step 2, we presented previously identified issues and elicited creative solutions. In step 3, we obtained stakeholders’ feedback on the solutions from step 2, presented as care pathways.
Results
Suggested solutions included a multidisciplinary wellness centre, a mobile app, increased access to education, improved care coordination, increased support for general practitioners, and a better funding model. The revised care pathways featured accessible community resources, a tailored self-management and educational app, a care coordinator, a digital dashboard, and specialized support for primary care to deal with complex cases.
Conclusions
Using a participatory design, we successfully identified multiple innovative solutions with the potential to improve person-centred and integrated type 2 diabetes care in Australia. These solutions will inform the implementation and evaluation of a redesigned care model by our team.
期刊介绍:
The Canadian Journal of Diabetes is Canada''s only diabetes-oriented, peer-reviewed, interdisciplinary journal for diabetes health-care professionals.
Published bimonthly, the Canadian Journal of Diabetes contains original articles; reviews; case reports; shorter articles such as Perspectives in Practice, Practical Diabetes and Innovations in Diabetes Care; Diabetes Dilemmas and Letters to the Editor.