ABSTRACT
We examined the referral processes and true diagnostic classifications for diabetes complicating pregnancy in a series of 62 pregnant women consecutively referred to a diabetes education and treatment centre in a large Indigenous community in Alberta, Canada. The referrals were made over a 5-year period (2010 to 2015). The main findings of this analysis were the high frequency (38.7%) of pre-existing type 2 diabetes and previously undiagnosed or unrecognized overt diabetes and the deficiencies in early testing and recognition.
Subject(s)
Diabetes, Gestational/epidemiology , Prediabetic State/epidemiology , Pregnancy Complications/epidemiology , Pregnancy in Diabetics/epidemiology , Adolescent , Adult , Biomarkers/analysis , Blood Glucose/analysis , Canada/epidemiology , Female , Follow-Up Studies , Humans , Population Groups , Pregnancy , Prevalence , Prognosis , Young AdultABSTRACT
The objective of this article is to describe the integration of local primary care services through the development of a primary care network in Alberta. WestView Primary Care Network (WPCN) has the vision of integrating primary care teams into the health system. As a result, WPCN has incorporated integrative primary care teams into its clinical programs. Through its strategy of "defragmentation," WPCN is accomplishing the beginnings of service integration in the local health care context.
