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dc.contributor.authorSiopis, George
dc.date.accessioned2021-05-19T02:12:18Z
dc.date.available2021-05-19T02:12:18Z
dc.date.issued2021en_AU
dc.identifier.urihttps://hdl.handle.net/2123/25078
dc.descriptionincludes published articles
dc.description.abstractNutrition therapy is central to the management of type 2 diabetes and Accredited Practising Dietitians have the expertise to best deliver this type of health care. Yet, some people with type 2 diabetes never consult with a dietitian. This research used a mixed-methods approach to assess the effectiveness of dietetic services and to elucidate the enablers and the barriers to access to these services for people with type 2 diabetes. Chapter 1 provides the context for this research by introducing the problem of type 2 diabetes mellitus and the strategies for its management with emphasis on diet. Chapter 2 summarises the methods. Chapters 3 and 4 respectively present the clinical- and cost-effectiveness evidence of dietetic interventions for type 2 diabetes. Nutrition interventions led by dietitians improve glycaemia more than when led by other healthcare professionals and are cost-effective, reducing hospitalisation costs and sick days at work and at home. Chapter 5 describes the inequitable access to dietetic services in Australia, with rural, remote and areas of lower socioeconomic status having higher prevalence of type 2 diabetes but less dietitians. The next chapters discuss the experiences and perspectives of people with type 2 diabetes (Chapter 7) and of dietitians (Chapter 6) and doctors (Chapter 8) that treat them, in regard to the access to and delivery of dietetic services for these people. Patients report that dietitians, social support and health literacy facilitate their dietary change. Although dietitians report a lack of referrals from doctors, doctors report preferring to refer their patients to a dietitian, but often not doing so due to lack of available services, inability to afford services or lack of motivation by patients. Chapter 9 reports on the utilisation of dietetic services in Australia. Chapter 10 collates the evidence from this research into recommendations for policy-makers. Finally, Chapter 11 highlights areas for future research.en_AU
dc.language.isoenen_AU
dc.subjectAccessen_AU
dc.subjectDiabetesen_AU
dc.subjectDieteticsen_AU
dc.subjectDietitianen_AU
dc.subjectEffectivenessen_AU
dc.subjectPolicyen_AU
dc.titleAccess To And Effectiveness Of Dietetic Services For People With Type 2 Diabetesen_AU
dc.typeThesis
dc.type.thesisDoctor of Philosophyen_AU
dc.rights.otherThe author retains copyright of this thesis. It may only be used for the purposes of research and study. It must not be used for any other purposes and may not be transmitted or shared with others without prior permission.en_AU
usyd.facultySeS faculties schools::Faculty of Science::School of Life and Environmental Sciencesen_AU
usyd.degreeDoctor of Philosophy Ph.D.en_AU
usyd.awardinginstThe University of Sydneyen_AU
usyd.advisorALLMAN-FARINELLI, MARGARET


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