Implementing a community specialist team to support the delivery of integrated diabetes care: experiences in Ireland during the COVID-19 pandemic.

While models of integrated care for people with chronic conditions have demonstrated promising results, there are still knowledge gaps about these models are implemented in different contexts and which strategies may best support implementation. We aimed to evaluate the implementation of a multidisciplinary diabetes Community Specialist Team (CST) to support delivery of integrated type 2 diabetes care during COVID-19 in two health networks. A mixed methods approach was used.

Delivering value-based healthcare for people with diabetes in a national publicly funded health service: Lessons from Ireland and Wales.

The term value-based healthcare (VBHC) describes an approach to the organization and delivery of care that emphasizes reducing the cost of care while improving outcomes. This involves increased investment earlier in the care pathway e.g.

Assessing the effectiveness of a goal-setting session as part of a structured group self-management education programme for people with type 2 diabetes.

Objectives: To measure the number of people who have identified a behaviour change goal and completed an action-plan to meet their goal on completion of a diabetes self-management education programme (DSME) and level of success in sustaining their action-plan. The DSME people attended was Diabetes Education and Self-Management for Ongoing and Newly Diagnosed (DESMOND).

Methods: Copies of action-plans were collected from participants.

Is diabetes self-management education still the Cinderella of diabetes care?

This paper reflects on the status of diabetes self-management education (DSME) as a branch of diabetology in Europe and discusses some opportunities for better supporting DSME delivery. DSME (also commonly known as Therapeutic Patient Education) has been evolving as a therapy for diabetes for decades. As a continent, Europe is fortunate to have nurtured many pioneers in DSME, and currently has many experts in the field progressing the knowledge base and striving to improve access to DSME for people with diabetes.

Barriers and facilitators associated with attendance at hospital diabetes clinics among young adults (15-30 years) with type 1 diabetes mellitus: a systematic review.

Regular clinic attendance is recommended to facilitate self-management of diabetes. Poor attendance is common among young adults with type 1 diabetes mellitus (DM). This systematic review aimed to produce a narrative synthesis of the evidence regarding factors which promote or impede regular attendance at adult diabetes clinics among young adults (15-30 years) with type 1 DM.

Differences in the structure of outpatient diabetes care between endocrinologist-led and general physician-led services.

Background: Despite a shift in diabetes care internationally from secondary to primary care, diabetes care in the Republic of Ireland remains very hospital-based. Significant variation in the facilities and resources available to hospitals providing outpatient diabetes care have been reported in the UK. The aim of this study was to ascertain the structure of outpatient diabetes care in public hospitals in the Republic of Ireland and whether differences existed in services provided across hospitals.

Preferences for involvement in treatment decision-making generally and in hormone replacement and urinary incontinence treatment decision-making specifically.

Objective: To explore whether preferences for involvement in treatment decision-making change depending on the context and factors associated with preferences.

Methods: A national telephone survey of 1000 randomly selected Norwegian women aged 18 years or over using the Control Preferences Scale (CPS) to assess preferences.

Results: More women preferred an active role when asked about hormone replacement therapy (HRT) and urinary incontinence (UI) treatment decision-making specifically than when asked a question about preferences for involvement when generally making treatment decisions.

Preferences for involvement in treatment decision-making among Norwegian women with urinary incontinence.

Background: Current health policies advocate patient participation in treatment decision-making. Objective. To explore whether role preferences among women with urinary incontinence (UI) change depending on the treatment decision-making context.

The role of general practitioners in the initial management of women with urinary incontinence in France, Germany, Spain and the UK.

Objective: To describe the role of general practitioners (GPs) in the initial management of women with urinary incontinence (UI) in four European countries with different healthcare systems.

Methods: Cross-sectional community postal survey of 2953 women with UI in France, Germany, Spain and the UK.

Results: Forty-eight per cent of community-dwelling women with UI had discussed their UI with a doctor.

General preferences for involvement in treatment decision making among European women with urinary incontinence.

Current health care policies advocate patient participation in treatment decision making. Little evidence on possible differences between European women's preferences for involvement in this process exists. In this study we explore preferences for involvement in treatment decision making in 15 European countries in a sample of 9434 women seeking treatment for urinary incontinence in an outpatient setting.

Consumer involvement in decisions about what health-related research is funded.

Objectives: To consider whether, why and how research funders involve consumers in decisions about what health-related research is funded.

Methods: Postal survey and semi-structured interviews with UK funders of health-related research.

Results: Organisations that fund research have diverse goals and remits, and perceive themselves to be accountable in different ways and to different groups.

Consumer involvement in research projects: the activities of research funders.

This paper reports findings from a postal questionnaire survey and in-depth interviews with UK funders of health-related research that explored whether, why and how they promote consumer involvement in research projects. Many UK funders of health-related research are adopting a policy of promoting consumer involvement in research projects. Telephone interviews revealed they have several reasons for doing so, and that they vary in the ways they encourage and support researchers to involve consumers.