Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia.
Westmead Hospital, Sydney, Australia; Sydney University Medical School, Sydney, Australia.
Appl Ergon. 2025 Jan;122:104392. doi: 10.1016/j.apergo.2024.104392. Epub 2024 Sep 26.
A type 1 diabetes (T1D) transition clinic in Sydney, Australia, provides age specific care for young adults (aged 16-25 years) and for adults (aged 21 years and above), and has reported improved clinical outcomes post transition to adult care over a 21-year period. This study investigated the contribution of digital technology to long-term resilient capacity of the clinic. Clinic observations and interviews with eight providers and 17 young adults were conducted. Using a framework to analyze resilient capacity in healthcare, seven strong themes emerged from the data: Leadership, Involvement, Communication, Coordination, Risk Awareness, Competence and Alignment with three themes, Structure, Learning and Facilitators also supported. Patient service adaptations included offering out of hours appointment times and telehealth to accommodate young adults' availability. This study provides evidence for the important role that digital technologies contribute to a system of care with capacity for resilience. Our findings contribute to the understanding of the factors needed to support young adults with T1D and may be valuable to inform models of care for young adults living with other chronic health conditions.
澳大利亚悉尼的 1 型糖尿病（T1D）转科诊所为 16-25 岁的年轻成年人和 21 岁及以上的成年人提供特定年龄段的护理，并在过去 21 年的成人护理过渡期后报告了改善的临床结果。本研究调查了数字技术对诊所长期弹性能力的贡献。对 8 名提供者和 17 名年轻人进行了诊所观察和访谈。使用分析医疗保健弹性能力的框架，从数据中出现了七个强有力的主题：领导力、参与度、沟通、协调、风险意识、能力以及与三个主题（结构、学习和促进者）的一致性。患者服务的调整包括提供非工作时间的预约时间和远程医疗，以适应年轻人的可用性。本研究为数字技术对具有弹性能力的护理系统的重要作用提供了证据。我们的研究结果有助于了解支持 T1D 年轻成年人所需的因素，并且对于为患有其他慢性健康状况的年轻人提供护理模式可能具有价值。
