End to End (E2E) Implementation of the Model of Integrated Care for Type 2 diabetes
The aim of this research, funded by the Sláintecare Integration Fund, is to determine the impact of a new diabetes integrated care team on diabetes care, and understand the feasibility, acceptability, and practicality of implementing the Model of Integrated Care for Type 2 diabetes (MOC-T2D). Prof. Sean Dinneen is the Principal Investigator. Dr Sheena McHugh, Dr Fiona Riordan and Ms Lauren O’Mahony from the School of Public Health, UCC, are working on this study together with co-investigators from the Department of General Practice (UCC), NUIG, and the HSE.
Why are we doing this research?
Diabetes places a significant burden of care on the individual, health care professionals and the wider health system. Sláintecare aims to change the way health services, including those for people with diabetes, are delivered in Ireland to make sure that care is delivered in the right place, at the right time, by the right person. To help change the way diabetes care is delivered in Ireland. Implementation of the MOC-T2D represents a shift from the traditional hospital-based care with its focus on the management of complications, to community-based care with a focus on prevention of complications. With the support of Sláintecare, two community health networks have been resourced with a Diabetes Integrated Care Team each for 12 months from 7th September 2020 until 31st August 2021. Each diabetes integrated care team has a diabetes clinical nurse specialist, a podiatrist and a dietitian. This team will support the implementation of the Model of Care in a community health network (geographical area with a population of ~55,000) and liaise closely with the hospital specialist team and GPs to deliver integrated care.
What is involved?
As part of this study we will:
- Describe how diabetes care is currently delivered in general practices and within integrated care teams in each network through analysis of GP survey data and service activity data collected by the integrated care team.
- Interview GPs, Practice Nurses, CNS (Diabetes Integrated Care) Dietitians and Podiatrists to determine their views on the local team-based approach to supporting implementation of the MOC-T2D.
- Survey and interview patients to understand their experiences of the community diabetes integrated care service.