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

Clinical Nutrition ESPEN
Clare ByrneMichelle Palmer

Abstract

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. 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. 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 afte...Continue Reading

Citations

Nov 10, 2020·Canadian Journal of Diabetes·Gloria M WheelerElizabeth T Rosolowsky

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