Do dietetic patients in a regional area attend a drop-in diabetes outpatient clinic? Proof-of-concept observational study.

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  • Additional Information
    • Source:
      Publisher: Elsevier Ltd Country of Publication: England NLM ID: 101654592 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2405-4577 (Electronic) Linking ISSN: 24054577 NLM ISO Abbreviation: Clin Nutr ESPEN
    • Publication Information:
      Original Publication: [Oxford] : Elsevier Ltd., [2015]-
    • Subject Terms:
      Ambulatory Care Facilities* ; Appointments and Schedules* ; Health Knowledge, Attitudes, Practice* ; Patient Acceptance of Health Care*; Diabetes Mellitus, Type 1/*therapy ; Diabetes Mellitus, Type 2/*therapy ; Patient-Centered Care/*methods; Adult ; Aged ; Diabetes Mellitus, Type 1/diagnosis ; Diabetes Mellitus, Type 1/psychology ; Diabetes Mellitus, Type 2/diagnosis ; Diabetes Mellitus, Type 2/psychology ; Female ; Health Status ; Humans ; Male ; Middle Aged ; Patient Preference ; Proof of Concept Study ; Prospective Studies ; Risk Factors ; Time Factors
    • Abstract:
      Background/aims: Drop-in clinics may be an alternative patient-centred approach to traditional appointment systems. However patient uptake in Allied Health settings is unknown. Given the limited literature, this observational prospective project tested whether patients with diabetes would present to a drop-in clinic, and whether the types and volume of patients would change due to introduction of a drop-in clinic.
      Methods: Alongside a referral-based booked individual appointment service (standard care (SC)), a drop-in clinic was introduced allowing patients to present without appointment. Patient data was collected from medical chart and outpatient appointment systems over 30 months. High category patient criteria included HbA1c>7.5%. Data was compared between drop-in and SC groups using chi-squared and ANOVA tests.
      Results: Of 150 eligible patients, more drop-in patients (n = 76) presented over 15 months than SC patients booked in the 15 months before (n = 41) or 15 months after (n = 33) the drop-in clinic commenced. Drop-ins were 12 years older and less likely to have Type 1 Diabetes Mellitus (T1DM) than SC patients (p < 0.001), however the proportion of high category patients was similar across groups (54%, p = 0.731). SC patients were similar before and after drop-in clinic commencement (51%F, baseline HbA1c 9.5% ± 2.2, 34% clinic non-attendance, P = 0.159-0.671).
      Conclusions: Patients attended a drop-in diabetes outpatient clinic. This included high category patients. The weekday drop-in service may appeal to older patients with Type 2 Diabetes Mellitus, but not to younger patients or patients with T1DM. The types, volume, and attendance rates of SC patients was similar before and after commencement of the drop-in clinic.
      (Crown Copyright © 2018. Published by Elsevier Ltd. All rights reserved.)
    • Contributed Indexing:
      Keywords: Advanced access clinic; Open access clinic; Walk-in clinic
    • Publication Date:
      Date Created: 20180522 Date Completed: 20190805 Latest Revision: 20190805
    • Publication Date:
      20240628
    • Accession Number:
      10.1016/j.clnesp.2018.02.009
    • Accession Number:
      29779811