Close to 30,000 people in the region bounded between Port McDonnell in the south east, north to beyond Morgan and Renmark and west to Meningie and Callington are either at risk of, or presently living with, type 2 diabetes (diagnosed and undiagnosed).
If diabetes is not controlled, it can result in serious health complications that include heart disease, strokes, eye disease, vascular disease and depression (see footnote).
Following its comprehensive review of the status of population health in South Australia’s southern country areas, Country South SA Medicare Local (CSSAML) identified unacceptably high rates of diabetes. Further research was conducted into a diabetes model of care to redress this situation.
The final report and proposed model of care coincides with the closure of CSSAML and transition of services across to the newly formed SA Rural Health Network from 1 July 2015. CSSAML Chair, Ms Kathy Mott, explains that diabetes is one of the most common chronic conditions dealt with by general practices but that much of the impact of diabetes can be prevented:
“Once diagnosed with diabetes, people can access support from a wide range of providers and services from the health and community services sector. Yet our research found gaps in the care of people with diabetes including few people receiving comprehensive evidence-based care, limited access to and use of diabetes education and limited use of care planning to drive high quality care. Fewer services and health professionals tends to be a feature of rural and regional locations, resulting in poorer outcomes for these residents. Rural residents should not need to experience poorer outcomes. A coordinated regional approach to planning and delivering services is essential.”
The CSSAML Diabetes Model of Care is based on the following 8 principles.
1. Integration – services work together within a region to provide multidisciplinary care and improve patient experiences and outcomes.
2. Coordination – services are coordinated around the needs of patients and their families.
3. Comprehensive – the majority of services and programs required by individuals and communities to prevent and better manage diabetes are available as close as possible to where people live.
4. Proactive care – appropriate active management of diabetes at an early stage as well as preventing complications for people who have lived with diabetes for some time.
5. Equity – better health is a goal for the whole population but enhanced responses to groups with greater needs are provided.
6. Prevention – education and health promotion strategies aim to prevent diabetes.
7. Consumer focused – services focus on providing a positive experience of care and people with diabetes are supported to manage their condition.
8. Capacity building – systems and supports are in place to build the workforce and strengthen health care organisations
The Model itself is made up five interrelated components - Integration, Prevention, Early Detection, Optimal Management and Enhanced Services - and provides a clear set of steps (Key Response Areas) to be implemented across the primary healthcare space, over the next three years, to achieve better diabetes care in the southern area of country SA.
Country South SA Medicare Local Communications and Engagement Plan Addendum: Closure and Transition Communication Plan Ms Mott adds, “As several of the principles underlying CSSAML’s activity overlap with the priorities identified for SA Rural Health Network, we are hopeful that the new Network will continue to drive these important initiatives for better health of South Australians in country areas.”
About type 2 diabetes:
People with type 2 diabetes produce insulin but may not produce enough or cannot use it effectively.Type 2 diabetes may be managed with changes to diet and exercise, oral glucose-lowering drugs, insulin injections, or a combination of these. Type 2 diabetes is the most common form of diabetes, which occurs mostly in people aged 50 years or over and in Aboriginal people aged over 35 years. Although uncommon in childhood, it is becoming increasingly recognised in that group. Applying national figures to the percentage of the population in the country south region estimated to have diabetes, it is likely that, over the last decade, approximately:
• 200 people have had lower limb amputations.
• 1000 people have gone blind.
• 2500 people have developed kidney failure
• 8000 people have had heart attacks.
• 4000 people have had strokes.
The sentinel documents for Country South SA Medicare Local, Better Diabetes Care in Country South SA and Informing the future: our achievements; our legacy will be available from the CSSAML 'Research Profile' phcris.org.au/organisation/4853
Media enquiries to:
Ms Kathy Mott,
Country South SA Medicare Local
M: 0421 097 113
E [email protected]
i National Diabetes Strategy Advisory Group A strategic framework for action Consultation paper for the development of the Australian Diabetes strategy. April 2015