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Service use of young people with Type 1 diabetes after transition from paediatric to adult-based diabetes health care
Journal article   Peer reviewed

Service use of young people with Type 1 diabetes after transition from paediatric to adult-based diabetes health care

Lin Perry, Janet Dunbabin, Xiaoyue Xu, Julia Lowe, Shamasunder Acharya, Steven James and Katharine S Steinbeck
Australian Health Review, Vol.44(4), pp.601-608
2020
DOI: https://doi.org/10.1071/AH19117
PMID: 32600522
Appears in  UniSC Diversity and Inclusion Research Collection
url
https://doi.org/10.1071/AH19117View
Published Version

Abstract

access adolescents appointments young adults UniSC Diversity Area - Life Stages
Objective. The aim of this study was to determine, in the first 2 years after the last planned appointment with paediatric diabetes services for young people with Type 1 diabetes (T1D): (1) the number of planned and unplanned healthcare contacts and HbA1c measurements made; (2) factors linked to diabetes-related service use; and (3) factors predictive of the number of planned and unplanned service contacts, and of meeting the minimum number of planned service contacts. Methods. Healthcare records of a major public healthcare provider in Australia were audited for preventive and acute service use by young people with T1D transferring from paediatric to adult public healthcare services. Statistical analyses included use of t-tests and logistic regression modelling. Results. Of 172 young people with T1D, 21% had no planned specialist care and 49% accessed acute services for diabetes-related matters. Residents of metropolitan areas and users of continuous subcutaneous insulin infusion therapy were more likely to access specialist care and were less likely to use acute services for unplanned care. Those achieving a minimum of nine planned care contacts in 2 years had a shorter duration between the last paediatric and first adult healthcare contact. Conclusions. Lack of specialist care in early adult years and non-metropolitan relative disadvantage compromise the present and future health of young people with diabetes. What is known about the topic? Well-managed transition is thought to offer the best chance of achieving cost-effective continuing engagement with specialist services for planned preventive care, effective T1D self-management and deferral or early attention to diabetes-related vascular complications. However, transition is commonly reported as problematic.

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