This study provides important evidence to inform Australian policy decisions on the efficient use of health resources and supports the implementation of evidence-based optimal care in Australia. The information is of great importance for comparable developed countries that could reap similar benefits from investing in these well-known evidence-based strategies.
The Diabetic Foot Working Group of the Statewide Diabetes Clinical Network has achieved significant improvements in the management of diabetic foot disease patients through the implementation of multiple outpatient strategies. Attention has now turned to the inpatient setting where there is room to improve the outcomes for these patients and achieve significant cost savings to Queensland Health. It is proposed that improvements can be made in the management of diabetic foot disease patients in Queensland hospitals by developing a model of care that is organised to provide monitoring, education and referral to specialist services. The implementation of a new model of inpatient care will include multidisciplinary foot care teams, an inpatient foot coordinator and a care pathway.