Expert help
Access to expert help may not always be available as a workforce survey conducted by the Diabetes Care Workforce Service Review Team (Health Workforce New Zealand 2011) identified a considerable variation in the provision of diabetes specialist physician, nursing, dietitian and podiatry services between DHBs. In addition, the survey found that no DHB had a diabetes specialist physician service at the level recommended by the UK’s Federation of the Royal College of Physicians (0.8 full-time equivalent [FTE] per 100,000); the national mean in New Zealand is 0.35 FTE. Recommendations arising from the review were that in order to meet the complex needs of those with diabetes services should consider:
more mobile health care services
care provided remotely via electronic communications, where appropriate
primary health services to identify and manage high-risk individuals
specialist interdisciplinary teams to focus on patients with more complex needs.
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