학술논문
Screening, diagnosing and management of Pacific peoples with prediabetes in New Zealand primary healthcare clinics with high concentrations of Pacific peoples: an online survey.
Document Type
Academic Journal
Author
Faletau J; Epidemiology and Biostatistics Section, School of Population Health, Faculty of Medical and Health Sciences, The University of Auckland, M&HS Building 507; 28 Park Avenue, Grafton, Auckland, 1023, New Zealand.; Dobson R; Pacific Health Section, School of Population Health, Faculty of Medical and Health Sciences, The University of Auckland, M&HS Building 507; 28 Park Avenue, Grafton, Auckland, 1023, New Zealand.; Nosa V; Pacific Health Section, School of Population Health, Faculty of Medical and Health Sciences, The University of Auckland, M&HS Building 507; 28 Park Avenue, Grafton, Auckland, 1023, New Zealand.; McCool J; Epidemiology and Biostatistics Section, School of Population Health, Faculty of Medical and Health Sciences, The University of Auckland, M&HS Building 507; 28 Park Avenue, Grafton, Auckland, 1023, New Zealand.
Source
Publisher: CSIRO Publishing Country of Publication: Australia NLM ID: 101524060 Publication Model: Print Cited Medium: Internet ISSN: 1172-6156 (Electronic) Linking ISSN: 11726156 NLM ISO Abbreviation: J Prim Health Care Subsets: MEDLINE
Subject
Language
English
Abstract
Introduction Prediabetes is a condition of elevated blood sugar levels which can increase the risk of type 2 diabetes (T2D) if not managed effectively. Prediabetes is likely to affect about 24.6% of New Zealand (NZ) adults, with estimates of 29% of the Pacific population currently living with the condition. A prediabetes diagnosis is an opportunity for intervention from trusted primary care providers. The study aim was to describe primary healthcare clinician's knowledge and practice regarding screening, diagnosing and management of prediabetes in Pacific patients. Methods An online survey was conducted with current practicing primary healthcare clinicians between February and April 2021. Eligible participants included clinicians employed in a primary healthcare clinic with over 50% of enrolled patients identified as Pacific. Results Primary healthcare clinicians (n = 30) reported that their prediabetes screening, diagnosis and management were aligned with the NZ Ministry of Health clinical guidelines. The most common factors that prompted screening was a family history of T2D (25/30, 83%), ethnicity (24/30, 80%) weight and BMI (24/30, 80%). The initial management practices involved providing recommendations for dietary changes and physical activity (28/30, 93%) and referring patients to a diabetes prevention lifestyle change programme (16/30, 53%). Discussion Primary healthcare clinicians are the foremost point of engagement with patients and their fāmili (family) in their health journey. Culturally appropriate tools could be useful to assist healthcare providers to communicate to a higher risk population and most clinicians rely on up to date guidelines for screening and management.