Since 2007, Inner East Primary Care Partnership has worked with the Outer East Primary Care Partnership and service providers in the Eastern Metropolitan Region to improve care for people with diabetes through better coordination of care across services, integrated processes for prevention and management, and increased awareness of services available.
The EMR Diabetes Initiatives Steering Committee was established and identified needs in diabetes care across the region, such as a more coordinated evidence based approach to diabetes education programs. This partnership work has improved governance and leadership arrangements and collaboration between community-based primary health care, acute services and health networks.
Gestational Diabetes Project
The Inner East PCP has completed a literature review and consultation to increase understanding of Gestational Diabetes in the Eastern Health catchment.
- Identified the prevalence of Gestational Diabetes Mellitus (GDM) in at risk population groups in the EMR with a focus on the Eastern Health catchment (Knox, Manningham, Maroondah, Whitehorse and Yarra Ranges local government areas)
- Collected evidence of effective prevention and management initiatives to reduce the incidence and impact of GDM
- Consulted with specialists and practitioners as well as women with GDM to better understand the service system and gaps
Further collaborative work will be undertaken to address some of the recommendations from the report.
For more information contact Sharon Porteous on (03) 8843 2254 or email@example.com
Why is Diabetes a priority?
Across the Eastern Metropolitan region approximately 2 – 5% of people have either Type 1 or Type 2 diabetes. The local government areas of Manningham, Knox, Whitehorse and Monash are considered hotspots with over 4% diagnosed with diabetes (Diabetes Australia, 2011). Type 2 is the most common form of diabetes, affecting 85-90% of all people with diabetes. While it usually affects older adults, more and younger people, even children, are getting type 2 diabetes (Diabetes Australia, 2013).
Gestational diabetes is also increasing in incidence and is an Inner East PCP priority because;
- GDM has a flow on impact on the prevalence of Type 2 Diabetes
- Prevalence of GDM in the EMR is above the Victorian rate of 3.1% in Manningham (3.3%), Whitehorse (4.2%) and Maroondah (4.2%) (National Diabetes Services Scheme, 2016)
- There is concern that GDM may not be well understood and acted upon by GPs who should be the primary point of intervention
- There is a lack of community understanding about the potential harmful effects of GDM.
Community Consultation to Improve Access and Coordination of Diabetes Education in the EMR
In 2015 the Inner East PCP, in collaboration with Carrington Health, worked to better understand the barriers and enablers to accessing diabetes education services for people with newly diagnosed Type 2 Diabetes. In particular, the project consulted with higher risk populations including Mandarin, Cantonese and Vietnamese speaking communities and people from the Aboriginal and Torres Strait Islander community.
Some important findings were;
- Language and lack of familiarity with services is a key barrier.
- Chinese and Vietnamese speaking communities prefer to see health professionals that speak their language – use of interpreters is a barrier.
- Partnering with Aboriginal organisations and taking services to already established community groups addresses many access barriers.
Following this partnership work, Carrington Health continue to work on specific diabetes education programs and use a community development approach to tailor program information and delivery format to the needs of the Chinese community in the Inner East.
By: Inner East Primary Care Partnership
Final Report of literature review and consultations to increase understanding of gestational diabetes in Eastern Health catchment
By: Diabetes Initiative Steering Group
Final Report of community consultations regarding access to diabetes education in the EMR
By: Inner East Primary Care Partnership