Staff View: Exploring workflow gaps in diabetic foot care: insights from primary care clinics in Kuantan

Exploring workflow gaps in diabetic foot care: insights from primary care clinics in Kuantan

The diabetic foot is a common complication of diabetes. According to the latest guideline on the management of diabetic foot (2018) from the Ministry of Health, it was suggested that primary care clinics develop foot protection teams to reduce hospital admissions, length of stay, and the amputation...

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Main Authors:	Azmi, Nurul Husna, Mohd. Sa’im, Nur Fiza Izrin, Abdul Hadi, Azwanis, Md Aris, Mohd Aznan, Che Ahmad, Aminudin, Muda, Siti Mariam
Format:	Article
Language:	English
Published:	UniKL Royal College of Medicine Perak 2024
Subjects:	R Medicine (General) RA Public aspects of medicine
Online Access:	http://irep.iium.edu.my/118141/7/118141_NurulHusnaAzmi%20_AJMHS_2024_Vol7_Issue2_Original%20Article_DiabeticFoot.pdf http://irep.iium.edu.my/118141/
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spelling	my.iium.irep.1181412025-01-04T13:42:02Z http://irep.iium.edu.my/118141/ Exploring workflow gaps in diabetic foot care: insights from primary care clinics in Kuantan Azmi, Nurul Husna Mohd. Sa’im, Nur Fiza Izrin Abdul Hadi, Azwanis Md Aris, Mohd Aznan Che Ahmad, Aminudin Muda, Siti Mariam R Medicine (General) RA Public aspects of medicine The diabetic foot is a common complication of diabetes. According to the latest guideline on the management of diabetic foot (2018) from the Ministry of Health, it was suggested that primary care clinics develop foot protection teams to reduce hospital admissions, length of stay, and the amputation rate. However, there are barriers to establishing these teams. This research aimed to explore the current workflow for managing diabetic foot in primary care clinics in Kuantan. A purposive sample of 12 healthcare professionals was selected for this qualitative research project from four Kuantan primary care clinics with the highest number of recorded patients in the National Diabetes Registry. Semi-structured, focus group interviews were conducted via an online platform. Interviews were recorded and transcribed verbatim. The data were analysed via thematic analysis. The study identified three main themes: workflow, healthcare provider roles, and guideline implementation. Clinics lacked standardized workflows regarding operating hours, dedicated teams, and improper screening practices, which often deviated from established guidelines. The screening tools were outdated and not aligned with current guidelines. Guideline implementations appear lacking among healthcare providers mostly due to ignorance of the availability of the latest Clinical Practice Guideline (CPG). Before a diabetic foot protection team can be successfully built, several obstacles must be addressed. One potential project is the development of a clear workflow algorithm that can be employed in clinic settings. UniKL Royal College of Medicine Perak 2024-11-01 Article PeerReviewed application/pdf en http://irep.iium.edu.my/118141/7/118141_NurulHusnaAzmi%20_AJMHS_2024_Vol7_Issue2_Original%20Article_DiabeticFoot.pdf Azmi, Nurul Husna and Mohd. Sa’im, Nur Fiza Izrin and Abdul Hadi, Azwanis and Md Aris, Mohd Aznan and Che Ahmad, Aminudin and Muda, Siti Mariam (2024) Exploring workflow gaps in diabetic foot care: insights from primary care clinics in Kuantan. Asian Journal of Medicine and Health Sciences, 7 (2). pp. 147-155. E-ISSN 2637 - 0603
institution	Universiti Islam Antarabangsa Malaysia
building	IIUM Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	International Islamic University Malaysia
content_source	IIUM Repository (IREP)
url_provider	http://irep.iium.edu.my/
language	English
topic	R Medicine (General) RA Public aspects of medicine
spellingShingle	R Medicine (General) RA Public aspects of medicine Azmi, Nurul Husna Mohd. Sa’im, Nur Fiza Izrin Abdul Hadi, Azwanis Md Aris, Mohd Aznan Che Ahmad, Aminudin Muda, Siti Mariam Exploring workflow gaps in diabetic foot care: insights from primary care clinics in Kuantan
description	The diabetic foot is a common complication of diabetes. According to the latest guideline on the management of diabetic foot (2018) from the Ministry of Health, it was suggested that primary care clinics develop foot protection teams to reduce hospital admissions, length of stay, and the amputation rate. However, there are barriers to establishing these teams. This research aimed to explore the current workflow for managing diabetic foot in primary care clinics in Kuantan. A purposive sample of 12 healthcare professionals was selected for this qualitative research project from four Kuantan primary care clinics with the highest number of recorded patients in the National Diabetes Registry. Semi-structured, focus group interviews were conducted via an online platform. Interviews were recorded and transcribed verbatim. The data were analysed via thematic analysis. The study identified three main themes: workflow, healthcare provider roles, and guideline implementation. Clinics lacked standardized workflows regarding operating hours, dedicated teams, and improper screening practices, which often deviated from established guidelines. The screening tools were outdated and not aligned with current guidelines. Guideline implementations appear lacking among healthcare providers mostly due to ignorance of the availability of the latest Clinical Practice Guideline (CPG). Before a diabetic foot protection team can be successfully built, several obstacles must be addressed. One potential project is the development of a clear workflow algorithm that can be employed in clinic settings.
format	Article
author	Azmi, Nurul Husna Mohd. Sa’im, Nur Fiza Izrin Abdul Hadi, Azwanis Md Aris, Mohd Aznan Che Ahmad, Aminudin Muda, Siti Mariam
author_facet	Azmi, Nurul Husna Mohd. Sa’im, Nur Fiza Izrin Abdul Hadi, Azwanis Md Aris, Mohd Aznan Che Ahmad, Aminudin Muda, Siti Mariam
author_sort	Azmi, Nurul Husna
title	Exploring workflow gaps in diabetic foot care: insights from primary care clinics in Kuantan
title_short	Exploring workflow gaps in diabetic foot care: insights from primary care clinics in Kuantan
title_full	Exploring workflow gaps in diabetic foot care: insights from primary care clinics in Kuantan
title_fullStr	Exploring workflow gaps in diabetic foot care: insights from primary care clinics in Kuantan
title_full_unstemmed	Exploring workflow gaps in diabetic foot care: insights from primary care clinics in Kuantan
title_sort	exploring workflow gaps in diabetic foot care: insights from primary care clinics in kuantan
publisher	UniKL Royal College of Medicine Perak
publishDate	2024
url	http://irep.iium.edu.my/118141/7/118141_NurulHusnaAzmi%20_AJMHS_2024_Vol7_Issue2_Original%20Article_DiabeticFoot.pdf http://irep.iium.edu.my/118141/
_version_	1821105178135232512
score	13.232389

Exploring workflow gaps in diabetic foot care: insights from primary care clinics in Kuantan

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