Analysis of the Australian National Diabetes Strategy - HSYP804

This report analyzes the Australian National Diabetes Strategy, a major legal framework aimed at improving diabetes care and patient services in Australia. The strategy, supported by the government, focuses on prevention, detection, and management of diabetes, utilizing various legal mechanisms such as the Primary Health Care Advisory Group, the Medicare Benefits Schedule Review Taskforce, and the National Strategic Framework. The report highlights the strategy's strengths, including the use of new devices and cost-effective care, but also identifies shortcomings such as the increasing complexity of patient care with age and workforce training deficiencies. The analysis emphasizes the importance of addressing these issues through workforce training, regular auditing, and culturally safe medical care, especially for the Aboriginal population. The report references key studies and provides a comprehensive overview of the strategy's impact and areas for improvement.

RUNNING HEAD: PUBLIC HEALTH
PUBLIC HEALTH
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1PUBLIC HEALTH
The Australian National Diabetes Strategy[1] is a major ongoing legal strategy that
strengthen the new approaches in the field of diabetes care and diabetes patient servicing in
Australia. This legal framework is integrated with stakeholders and different level
governments who evaluate deeply, the personal need of every diabetic individual, living in
their region. This legal framework addresses the national diabetes issue by enhancing the use
of limited amount health service resources.
The framework also developed various strategies and campaigns for prevention,
detection and management of diabetes in a broader aspect. This legal diabetes prevention
strategy in Australia has outshined the efforts of previous strategies undertaken to prevent the
same public health issue. Australian government has supported this diabetes prevention
health strategy with quality medicines, high quality devices along with expert services in
order to treat people suffering from diabetes by empowering acts of self-management with
patient centered treatment approaches [2]. This national legal health strategy framework
which has been employed to prevent diabetes from 2016-2020 incorporates the use of new
devices and medicine along with a cost effective care.
The legal mechanisms deployed by the aforementioned diabetes prevention strategy
are quite in number. Firstly, Primary Health Care Advisory Group uses a mechanism to
intervene the long ongoing complex chronic medical conditions such as diabetes with a
financially stable, economically affordable model of care that help improve the level of care
received by the diabetes patients in Australia[3]. Secondly, the institutional framework
named Medicare Benefits Schedule Review Taskforce is entrusted with the role of official
scientific reviewing of the medicines and interventions being provided to the diabetes patients
and they are critically associated with incorporation of evidence based practice into the
framework [4]. Lastly, the diabetes prevention strategy uses the third legal arm such as

2PUBLIC HEALTH
National Strategic Framework focusses on treatment of the chronic diseases like diabetes
which in partnership with the stakeholder’s and governmental jurisdictions.
The first shortcoming in the application of the diabetes prevention legal framework is
the increasing level of patient complexity with age and as it stands, it takes lesser amount of
care to treat a chronic diabetes patient at a younger age than an advanced age. While the
workforce and the deployed medical, nursing and nursing care specialists still struggles to
deliver the best practices, according to the evidence based practice guidelines – clinical
adherence and training shortcomings has been identified as two cardinal barriers. At both
legal and institutional level, the policy makers and the clinicians are jointly responsible for
incompetency being shown, in regards to delivering the care.
Firstly, proper training of the workforce is critical in making a difference to the
execution of the intervention plans, as mentioned in legal framework of National diabetes
prevention strategy. Secondly, auditing on a weekly and monthly basis is important to review
the level of care delivered in every region and population under the law’s jurisdiction. The
Aboriginal population needs to be intervened with a different level of care and hence,
incorporating a culturally safe medical care in the strategy’s legal framework is important.

3PUBLIC HEALTH
References
1. Crossland L, Askew D, Ware R, Cranstoun P, Mitchell P, Bryett A, Jackson C.
Diabetic retinopathy screening and monitoring of early stage disease in Australian
general practice: tackling preventable blindness within a chronic care model. Journal
of diabetes research. 2016;2016.
2. Speight J. Behavioural innovation is key to improving the health of one million
Australians living with type 2 diabetes. Medical journal of Australia. 2016 Aug
15;205(4):149-51.
3. Ashley C, Halcomb E, Brown A, Peters K. Experiences of registered nurses
transitioning from employment in acute care to primary health care—quantitative
findings from a mixed‐methods study. Journal of Clinical Nursing. 2018 Jan;27(1-
2):355-62.
4. Cass A, Boudville N, Gallagher M, Howard K, Jose MD, Kay T, Kerr P, Langham R,
Marcus A, McDonald S, Robertson A. Medicare Benefits Schedule Review
Taskforce: Report from the Renal Clinical Committee.