ArticleThe Australian journal of rural health2026
Healing Steps on Country-Exploring Care Pathways for Aboriginal People in the Kimberley With Diabetes-Related Foot Disease.
Article in The Australian journal of rural health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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8 authors.
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Abstract
objectiveThis project aimed to document the experiences of Aboriginal people living in the Kimberley region who have experienced diabetes-related foot disease (DFD) so that service delivery can be optimised.
settingThe Kimberley region, Western Australia.
participantsAboriginal People in the Kimberley with DFD.
designA mixed methods study design was used, incorporating quantitative analysis of primary and outpatient care presentations and hospitalisation data collected from in-depth medical record reviews (n = 35) and semi-structured interviews with participants (n = 28).
resultsThis study highlighted that DFD in the Kimberley has a significant impact on individuals and communities. While primary and outpatient services play a key role in DFD care, there is an opportunity to strengthen preventive foot care services. Participants valued flexibility and autonomy in managing their care, especially with the support of Aboriginal Community Controlled Health Services (ACCHS). Recommendations to improve DFD care are provided, incorporating the perspectives of patients and of the health professionals who participated in the data interpretation workshop. These include facilitating patient self-care, expanding high-quality foot care within ACCHS, strengthening support for hospitalised patients, and advocating for upstream service improvements.
conclusionAddressing geographical and systemic barriers through improved patient education, better access to primary care resources, and increased patient choice may enhance autonomy and long-term DFD outcomes.
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