1208-P: Perspectives of Barriers and Enablers from Stakeholders of the Current Model of Care for Diabetes Management in an Australian Regional Area

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As the prevalence of type 2 diabetes (T2D) escalates, improved models of care (MoC) are necessary to provide the most appropriate care across different geographical locations. Current issues that influence diabetes health include physical, social and psychological factors. This study explores the perspectives of Stakeholders (staff members of community health services) relating to barriers and enablers towards the MoC for individuals with T2D. Semi-structured interviews were conducted with 21 stakeholders working in a semi-rural, low socio-demographic region of Victoria, Australia. Questions were designed to elicit participants’ views on factors that can facilitate or impede access to care, and how best to enhance adoption of an appropriate MoC. Interview transcripts were analysed thematically and categorised using the individual, relationship, community, and societal levels of the socio-ecological model. Stakeholders identified barriers such as living alone and socio-economic constraints, as important to individuals. In terms of relationship factors, many complex influences outside the control of the individual were identified as resulting in diabetes management becoming a non-priority. Transportation issues and lack of culturally sensitive/safe spaces were also identified as significant barriers for clinic attendance, as were lack of GP understanding of other health professionals’ roles, particularly in a multidisciplinary care setting. Improved diabetes management was identified as an enabler. Stakeholders also perceived implementing an holistic approach to diabetes management as an important enabler for attendance at community centres. This study concludes that stakeholders valued a focus on improving the accessibility of a MoC, by adopting a more integrated approach in a more culturally and physically approachable environment. This may enhance patients’ engagement and the sustainability of care. Disclosure E.L. Kennedy: None. A. Ng: Consultant; Self; Roche Diabetes Care, Ypsomed AG. B.A. Gordon: None. G. Smith: None. A. Forsyth: None.