ArticleDiabetes care2013
Regional primary care team to deliver best-practice diabetes care: a needs-driven health workforce model reflecting a biopsychosocial construct of health.
Article in Diabetes care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Methods for health workforce projection model: systematic review and recommended good practice reporting guideline.Human resources for health · 2024Guideline
- Embedding psychological care in diabetes services: Why it's time to innovate and integrate.Diabetic medicine : a journal of the British Diabetic Association · 2026Review
- Health workforce planning methods in rural and remote primary care: a scoping review.Human resources for health · 2026Article
- Evaluating a Global Clinical Nutrition Program for Pediatric Oncology in Resource-Limited Settings.Annals of global health · 2026Article
- Effects of Continuous Glucose Monitoring on Glycemic Control, Mental Health and Self-Management in Adults with Type 1 Diabetes: A Randomized Controlled Trial.Healthcare (Basel, Switzerland) · 2025Article
- Multidisciplinary, multicomponent interventions to reduce frailty among older persons in residents of residential care facilities: a scoping review.Systematic reviews · 2024Article
- Hostile personality as a risk factor for hyperglycemia and obesity in adult populations: a systematic review.Journal of diabetes and metabolic disorders · 2020Review
- The dietetic workforce distribution geographic atlas provides insight into the inequitable access for dietetic services for people with type 2 diabetes in Australia.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2020Article
- A dynamic, multi-professional, needs-based simulation model to inform human resources for health planning.Human resources for health · 2019Article
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- [Primary Health Care in Austria - Tu Felix Austria nube - Concept for networking in the primary care of Upper Austria].Wiener medizinische Wochenschrift (1946) · 2017Article
- A synthesis of recent analyses of human resources for health requirements and labour market dynamics in high-income OECD countries.Human resources for health · 2016Article
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- Preventing mental illness: closing the evidence-practice gap through workforce and services planning.BMC health services research · 2015Article
- Factors associated with diabetes-related distress: implications for diabetes self-management.Social work in health care · 2014Article
- Biopsychosocial model of illnesses in primary care: A hermeneutic literature review.Journal of family medicine and primary careReview
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveBest-practice diabetes care can reduce the burden of diabetes and associated health care costs. But this requires access to a multidisciplinary team with the right skill mix. We applied a needs-driven evidence-based health workforce model to describe the primary care team required to support best-practice diabetes care, paying particular attention to diverse clinic populations. RESEARCH DESIGN AND
methodsCare protocols, by number and duration of consultations, were derived for twenty distinct competencies based on clinical practice guidelines and structured input from a multidisciplinary clinical panel. This was combined with a previously estimated population profile of persons across 26 patient attributes (i.e., type of diabetes, complications, and threats to self-care) to estimate clinician contact hours by competency required to deliver best-practice care in the study region.
resultsA primary care team of 22.1 full-time-equivalent (FTE) positions was needed to deliver best-practice primary care to a catchment of 1,000 persons with diabetes with the attributes of the Australian population. Competencies requiring greatest contact time were psychosocial issues and dietary advice at 3.5 and 3.3 FTE, respectively (1 FTE/~300 persons); home (district) nursing at 3.2 FTE; and diabetes education at 2.8 FTE. The annual cost of delivering care was estimated at just over 2,000 Australian dollars (~2,090 USD) (2012) per person with diabetes.
conclusionsA needs-driven approach to primary care service planning identified a wider range of competencies in the diabetes primary and community care team than typically described. Access to psychosocial competences as well as medical management is required if clinical targets are to be met, especially in disadvantaged groups.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.