ArticleActa diabetologica2026
The organization of diabetic foot care in a regional public health service: baseline data from the diabetic foot valley Tuscany project.
Article in Acta diabetologica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
aimDiabetic foot care is a core component of diabetology, yet the organisation of services in routine practice remains poorly characterised. We delivered a survey among the public diabetology centres (PDC) of Tuscany to get updated information on the DF-related activities of the PDC and their organization.
methodsWe administered an online structured questionnaire to the clinical leads of all 15 public diabetology centres in the region, exploring their organization around DF care.
resultsAll the 15 PDC participated to the survey. Altogether they staffed 43 physicians, 37 nurses and 16 podiatrists; The frequency of diabetic-foot care provision varied across centres from once a week (2/15, 13.3%) to more than 1 day per week (5/15, 33.3%) to daily (7/15, 46.7%) The number of staff dedicated to DF Care was 63% of the total (61/97). DFU care was delivered by all the centres, while revascularization was available in 9/15 (60%). No difference emerged between the three large areas in which the Region is divided. The most frequently reported critical issues were organizational ones.
conclusionsDF care is an important part of the clinical activities delivered by the PDC and absorbs a significant number of resources, but is not adequately supported, nor in terms of resource allocation neither from an organizational and professional point of view.
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