Table 4 Case specific themes
Practice A | Practice B |
|---|---|
1. Perceptions of Pre-diabetes Pre-diabetes is an ambiguous condition with uncertain outcomes The diagnosis of pre-diabetes provides a Health coaching/Educational opportunity Pre-diabetes is a social issue | 1. Team based approach and model of care A team-based approach is critical to pre-diabetes care |
2. Change facilitators Good clinician – patient relationships are critical Change is gradual, a L longitudinal approach is required | 2. Diabetes prevention work Complex care, hard to prioritise Time consuming Limited by system level/societal issues |
3. Challenges Who to target and how intensively? How can pre-diabetes care be targeted to those most at risk and to ensure the best use of resources/time? Competing clinical priorities Patient readiness to change Weight loss vs other approaches Practice record systems | 3. Change facilitators Engagement, motivation, personal agency Acceptable intervention options |
| Â | 4. Challenges Concentration of high needs population Social determinants of health Health literacy Normalisation of diabetes Vulnerable missing groups |