Evidence map›Paper›PMID 37884981›Full record

ArticleBMC health services research2023

Implementing an integrated diabetic foot care programme in Ireland: podiatrists' experience.

Jennifer A Pallin, Karen Buckley-O'Farrell, Fiona Riordan, Niamh McGrath, Kate O'Neill, Doireann MacLoughlin, Sean F Dinneen, Claire M Buckley, Sheena McHugh, Patricia M Kearney

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Jennifer A PallinSchool of Public Health, University College Cork, Cork, Ireland. jpallin@ucc.ie.
Karen Buckley-O'FarrellAlumna of School of Public Health, University College Cork, Cork, Ireland.
Fiona RiordanSchool of Public Health, University College Cork, Cork, Ireland.
Niamh McGrathHRB Evidence Centre, Health Research Board, Grattan House, 67-72 Lower Mount Street, Dublin 2, Ireland.
Kate O'NeillSchool of Public Health, University College Cork, Cork, Ireland.
Doireann MacLoughlinChronic Disease Management Hub Clare / Limerick, MWCH, Clare, Ireland.
Sean F DinneenSchool of Medicine, University of Galway, Galway, Ireland.
Claire M BuckleySchool of Public Health, University College Cork, Cork, Ireland.
Sheena McHughSchool of Public Health, University College Cork, Cork, Ireland.
Patricia M KearneySchool of Public Health, University College Cork, Cork, Ireland.
University College Cork · IEHealth Research Board · IEOllscoil na Gaillimhe – University of Galway · IE

Funding

Health Research Board CDA-2019-007Health Research Board RL/2013/7
6 · The paper itself

Abstract

backgroundInternational evidence suggests that an integrated multidisciplinary approach to diabetic foot management is necessary to prevent ulceration and progression to amputation. Many health systems have introduced policies or models of care supporting the introduction of this evidence into practice, but little is known about the experiences of those involved in implementation. This study addresses this gap by examining the experiences of podiatrists providing integrated diabetic foot care.

methodsBetween October 2017 and April 2018, an online survey comprising closed and open-ended questions on podiatrists' demographics, clinical activity, links with other services, continuous professional development activities and experiences of implementing the Model of Care was administered to podiatrists (n = 73) working for Ireland's Health Service Executive in the community and hospital setting. Data were analysed using descriptive statistics and qualitative content analysis.

resultsThe response rate was 68% (n = 50), with 46% (n = 23), 38% (n = 19) and 16% (n = 8) working across hospital, community and both settings, respectively. Most reported treating high-risk patients (66%), those with active foot disease (61%) and educating people about the risk of diabetes to the lower limb (80%). Reported challenges towards integrated diabetic foot care include a perceived lack of awareness of the role of podiatry amongst other healthcare professionals, poor integration between hospital and community podiatry services, especially where new services had been developed, and insufficient number of podiatrists to meet service demands.

conclusionPrevious evidence has shown that there is often a gap between what is set out by a policy and what it looks like when delivered to service users. Results from the current study support this, highlighting that while most podiatrists work in line with national recommendations, there are specific gaps and challenges that need to be addressed to ensure successful policy implementation.

Indexed as

Diabetes MellitusDiabetic FootFoot DiseasesPodiatryHumansIrelandSurveys and QuestionnairesDiabetic footIntegrated careModel of CareSurvey

Identifiers

PMID37884981
PMCPMC10601248
OpenAlexW4387965322

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.