Deborah A Askew
The growing prevalence and impact of type 2 diabetes mellitus is of
This article describes an innovative model of complex diabetes care,
delivered by advanced skill general practitioners supported by an
endocrinologist and diabetes educator within a general practice setting.
Initial evaluation suggests a trend to better glycaemic control
compared with the alternative available hospital outpatient care at
a reduced delivery cost. A futuristic, integrated community/specialist
model, delivered within a general practice setting, can deliver
significant gains for Australians who have complex type 2 diabetes
The personal, health system and economic costs of the increasing prevalence of type 2 diabetes mellitus is of national and international concern.1,2 Despite significant efforts from health authorities, government, clinician groups and communities over the past decade, its prevalence and consequent impact on the healthcare system continues to grow.3
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