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Health Professional Perspectives of Care for Hyperglycaemia in Pregnancy Following a Multi-Component Health Systems Intervention

Bibliographic Data

ID15484116
AuthorsDiana Mackay (0000-0002-8209-886X, Charles Darwin University, corresponding author), Louise Maple-Brown (0000-0002-9067-2737, Charles Darwin University), Natasha Freeman (0000-0001-8149-7888, Charles Darwin University), Jacqueline Boyle (0000-0002-3616-1637, Eastern Health), Sandy Campbell (0000-0001-5335-0969, Central Queensland University), Sandra Campbell (0000-0001-5720-992X, Jawun Research Centre, Central Queensland University, Cairns 4870, Australia), Anna Mclean (0000-0001-5578-0188, Cairns Hospital), Sumaria Corpus (Northern Territory Health Services), Cherie Whitbread (Charles Darwin University), Paula Van Dokkum (Alice Springs Hospital), Christine Connors (Northern Territory Health Services), Elizabeth Moore (0000-0002-9976-6991, Aboriginal Medical Services Alliance Northern Territory, Darwin 0800, Australia), Ashim Sinha (Cairns Hospital), Yvonne Cadet‐James (0000-0002-4283-8499, Apunipima Cape York Health Council, Bungalow 4870, Australia), John Boffa (Central Land Council), Sian Graham (Charles Darwin University), Jeremy Oats (0000-0003-3808-9808, The University of Melbourne), Alex Brown (0000-0003-2112-3918, Australian National University), David McIntyre (0000-0001-8819-5794, The University of Queensland), Renae Kirkham (0000-0002-4993-6585, Charles Darwin University)
Year2024
Volume21
Issue9
Pages1139-1139
Publication date2024-08-28
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph21091139
PMID39338022
OpenAlexW4401955895
LanguageEN
References cited30

The Northern Territory (NT) and Far North Queensland (FNQ) have a high proportion of Aboriginal and Torres Strait Islander women birthing who experience hyperglycaemia in pregnancy. A multi-component health systems intervention to improve antenatal and postpartum care in these regions for women with hyperglycaemia in pregnancy was implemented between 2016 and 2019. We explored health professional perspectives on the impact of the intervention on healthcare. The RE-AIM framework (Reach, Effectiveness, Adoption, Implementation, Maintenance) underpinned this mixed-methods evaluation. Clinicians were surveyed before ( n = 183) and following ( n = 137) implementation. The constructs explored included usual practice and satisfaction with care pathways and communication between services. Clinicians, policymakers and the implementation team were interviewed ( n = 36), exploring the impact of the health systems intervention on practice and systems of care. Survey and interview participants reported improvements in clinical practice and systems of care. Self-reported glucose screening practices improved, including the use of recommended tests (72.0% using recommended first-trimester screening test at baseline, 94.8% post-intervention, p p < 0.001). Health professionals reported multiple improvements to care for women with hyperglycaemia in pregnancy following the health systems intervention

Biology · Component (thermodynamics · Health care · Intervention (counseling · Political science · Pregnancy · Gestational Diabetes Research and Management · Medicine · Nursing · Pregnancy and preeclampsia studies · Prenatal Substance Exposure Effects · Psychology