Improving systems of care during and after a pregnancy complicated by hyperglycaemia: A protocol for a complex health sy
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(2020) 20:814
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Open Access
Improving systems of care during and after a pregnancy complicated by hyperglycaemia: A protocol for a complex health systems intervention D. MacKay1,2, R. Kirkham1, N. Freeman1, K. Murtha1, P. Van Dokkum3, J. Boyle1,4, S. Campbell5, F. Barzi1, C. Connors6, K. O’Dea7,8, J. Oats8, P. Zimmet9, M. Wenitong10, A. Sinha11, A. J. Hanley12, E. Moore13, D. Peiris14, A. McLean1,11, B. Davis11, C. Whitbread1,2, H. D. McIntyre15, J. Mein16, R. McDermott17, S. Corpus18, K. Canuto19, J. E. Shaw20, A. Brown19,21, L. Maple-Brown1,2* and on behalf of the Diabetes Across the Lifecourse: Northern Australia Partnership
Abstract Background: Many women with hyperglycaemia in pregnancy do not receive care during and after pregnancy according to standards recommended in international guidelines. The burden of hyperglycaemia in pregnancy falls disproportionately upon Indigenous peoples worldwide, including Aboriginal and Torres Strait Islander women in Australia. The remote and regional Australian context poses additional barriers to delivering healthcare, including high staff turnover and a socially disadvantaged population with a high prevalence of diabetes. (Continued on next page)
* Correspondence: [email protected] 1 Menzies School of Health Research, Charles Darwin University, Darwin, Australia 2 Royal Darwin Hospital, Darwin, Australia Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
MacKay et al. BMC Health Services Research
(2020) 20:814
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Methods: A complex health systems intervention to improve care for women during and after a pregnancy complicated by hyperglycaemia will be implemented in remote and regional Australia (the Northern Territory and Far North Queensland). The Theoretical Domains Framework was used during formative work with stakeholders to identify intervention components: (1) increasing workforce capacity, skills and kno
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