A5103045860- Diabetes Management and Education
- Primary Care and Health Outcomes
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Diabetes Management and Research
- Clinical practice guidelines implementation
- Chronic Disease Management Strategies
- Diabetes Treatment and Management
- Pancreatic function and diabetes
- Glycogen Storage Diseases and Myoclonus
- Health Policy Implementation Science
- Erythropoietin and Anemia Treatment
- Dialysis and Renal Disease Management
- Diet, Metabolism, and Disease
- Metabolism, Diabetes, and Cancer
- Diet and metabolism studies
- Muscle metabolism and nutrition
- Chronic Kidney Disease and Diabetes
- Diabetes and associated disorders
Australian Diabetes Society
2020-2024
Monash University
2018-2022
The University of Melbourne
1995-2018
The Royal Melbourne Hospital
1995
This study explores the prevalence of, and factors associated with, likely depression diabetes distress in adults with type 2 a large, national sample. Australian National Diabetes Audit data were analysed from attending 50 centres. The Brief Case find for Depression Distress Score 17 administered to screen diabetes-related distress, respectively. A total of 2,552 participated: (mean ± SD) age was 63 13 years, duration 12 10 HbA1c 8 2%. Twenty-nine percent patients had depression, 7% high 5%...
Abstract Aim This cross‐sectional study compares the self‐care practices of younger and older people with Type 2 diabetes. Methods Data were analysed from Australian National Diabetes Audit ( ANDA ) including 2552 adults diabetes Centres. Pre‐specified demographic clinical variables obtained. Self‐care (physical activity, following dietary recommendations, medication adherence monitoring blood glucose levels) compared in ≤ 64 > years age. Results Mean age (± sd participants was 63 ± 13...
Introduction Type 1 diabetes presents significant challenges for optimal management. Despite intensive glycaemic control being the standard of care several decades, targets are infrequently achieved and burden complications remains high. Therefore, advancement management technologies has a major role in reducing clinical economic impact disease on people living with type health systems. However, national framework is needed to ensure equitable sustainable implementation these as part...
Benchmarking clinical performance by comparing diabetes health outcomes across healthcare providers drives quality improvement. Non-care related patient risk factors are likely to confound performance, but few studies have tested this. This cross-sectional study is the first Australian investigation analyse effect of risk-adjustment for non-care on benchmarking. Data from 4,670 patients with type 2 (n = 3,496) or 1 1,174) were analysed 49 centres. Diabetes (HbA1c levels, LDL-cholesterol...
Increasing global diabetes incidence has profound implications for health systems and people living with diabetes. Guidelines have established clinical targets but there may be variation in outcomes including HbA1c, based on location practice size. Investigating this help identify factors amenable to systemic improvement interventions. The aims of study were centre-specific patient-specific associated HbA1c levels determine how these associations contribute performance across centres.
Diabetes has high burden on the health system and individual, many people living with diabetes struggle to optimally manage their condition. In Australia, attend a mixture of primary, secondary tertiary care centres. Many these Centres participate in Australian National Audit (ANDA), quality improvement (QI) activity that collects clinical information (audit) feeds back collated participating sites (feedback). Despite receiving this feedback, process outcomes for continue show room...
The purpose of this article is to illustrate that setting standards care the cornerstone for excellence in diabetes management. This underpinned by 3 activities: a and accreditation process, an audit benchmarking program linked quality improvement plan. While there are many examples local auditing programs, very few at national level. National Association Diabetes Centres (NADC) was formed Australian Society Educators set Australia. A rigorous process put place recognize primary, secondary,...
Abstract Background People living with diabetes must manage a range of factors for optimal control glycaemia and to minimise the risk diabetes-related complications. Diabetes practitioners are expected follow guidelines key process care clinical outcomes, help people achieve targets. In Australia, performance centres against is evaluated by Australian National Audit, an annual audit feedback activity. Previous work has identified areas improvement in provided participating suggested...
Abstract Background Management of glycaemia remains the mainstay optimal diabetes care. As reported by Australian National Diabetes Audit (ANDA) average is suboptimal for many people living with diabetes. Whether centre-specific factors influence HbA1c variation among patients attending primary, secondary or tertiary centres, not known. Methods Data 5,872 Type 1 2 (DM1/DM2) was collected ANDA over a 4-6 week period. A linear mixed-effects model built to examine relative contribution (type...