Implementation of a diabetes in pregnancy clinical register in a complex setting: Findings from a process evaluation.

ABSTRACT:

Background

Rates of diabetes in pregnancy are disproportionately higher among Aboriginal than non-Aboriginal women in Australia. Additional challenges are posed by the context of Aboriginal health including remoteness and disadvantage. A clinical register was established in 2011 to improve care coordination, and as an epidemiological and quality assurance tool. This paper presents results from a process evaluation identifying what worked well, persisting challenges and opportunities for improvement.

Methods

Clinical register data were compared to the Northern Territory Midwives Data Collection. A cross-sectional survey of 113 health professionals across the region was also conducted in 2016 to assess use and value of the register; and five focus groups (49 healthcare profess

SUBMITTER: Kirkham R 

PROVIDER: S-EPMC5544201 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature