{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T00:05:46Z","timestamp":1758931546898,"version":"3.44.0"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,9,6]],"date-time":"2025-09-06T00:00:00Z","timestamp":1757116800000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Foot and Ankle Research"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Acute Charcot neuroarthropathy (CN) is a rare but serious complication of diabetes that requires timely diagnosis and evidence\u2010based management to prevent long\u2010term disability. In regional or rural settings, delivering evidence\u2010based care is particularly challenging due to systemic and contextual barriers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To explore the perceptions of patients and health professionals about assessment, diagnosis and management of acute CN in a regional Victorian health service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This study used a qualitative research design, utilising thematic analysis of semi\u2010structured interviews with patients with previous acute CN and focus groups with health professionals (orthopaedic surgeons, podiatrists and prosthetists and orthotists) involved in the assessment and management of patients with acute CN. Two assessors used inductive thematic analysis to identify key themes related to acute CN care delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Four overarching themes were identified: (1) barriers to evidence\u2010based care, including delayed diagnosis, limited access to skilled clinicians and diagnostic tools and the burden of treatment; (2) enablers, such as timely access to knowledgeable clinicians and resources; (3) mitigating factors, including patient engagement, empathetic communication and multidisciplinary support and (4) strategies for improvement, such as public and professional education, upskilling of health professionals and integration of psychological and person\u2010centred support.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Improving outcomes for people with acute CN in regional or rural settings requires a multifaceted approach. Enhancing awareness, building workforce capacity and embedding patient\u2010centred care practices are essential to ensure timely diagnosis, equitable access to treatment and improved quality of life.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jfa2.70079","type":"journal-article","created":{"date-parts":[[2025,9,6]],"date-time":"2025-09-06T17:13:21Z","timestamp":1757178801000},"source":"Crossref","is-referenced-by-count":0,"title":["Patient and Health Professional Perceptions of the Assessment, Diagnosis and Management of Acute Charcot Neuro\u2010Osteoarthropathy at a Regional Australian Health Service"],"prefix":"10.1002","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-5477-5645","authenticated-orcid":false,"given":"Dimitri","family":"Diacogiorgis","sequence":"first","affiliation":[{"name":"Department of Allied Health Assistants Grampians Health  Ballarat Australia"},{"name":"La Trobe Rural Health School La Trobe University  Bendigo Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4616-3510","authenticated-orcid":false,"given":"Byron M.","family":"Perrin","sequence":"additional","affiliation":[{"name":"La Trobe Rural Health School La Trobe University  Bendigo Australia"},{"name":"Holsworth Research Initiative La Trobe Rural Health School La Trobe University  Bendigo Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"MacDonald","sequence":"additional","affiliation":[{"name":"La Trobe Rural Health School La Trobe University  Bendigo Australia"},{"name":"Allied Health Education and Research Unit Goulburn Valley Health  Shepparton Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1953-4067","authenticated-orcid":false,"given":"Michael I. C.","family":"Kingsley","sequence":"additional","affiliation":[{"name":"La Trobe Rural Health School La Trobe University  Bendigo Australia"},{"name":"Holsworth Research Initiative La Trobe Rural Health School La Trobe University  Bendigo Australia"},{"name":"Department of Exercise Sciences Faculty of Science University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,6]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc09\u20101497"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc11\u20100844"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2009.02.005"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/jfa2.70037"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1757\u20101146\u20106\u201030"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.12754"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1534734619861571"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpm.2016.07.003"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpm.2013.09.007"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13047\u2010021\u201000469\u20105"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.13168"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11845\u2010016\u20101508\u20105"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.13087"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/1071100713517097"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3657"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcte.2017.06.001"},{"key":"e_1_2_12_18_1","unstructured":"Grampians Health2024.Employment Opportunites in the Grampians Heath Network: Available From https:\/\/infectioncontrol.grampianshealth.org.au\/images\/document\u2010library\/doc_download\/map_of_grampians_health_services.pdf."},{"key":"e_1_2_12_19_1","unstructured":"Australian Government Department of Health and Aged Care Modified Monash Model 2023: [1st March 2024]. Available From https:\/\/www.health.gov.au\/topics\/rural\u2010health\u2010workforce\/classifications\/mmm."},{"volume-title":"Qualitative Inquiry and Research Design: Choosing Among Five Approaches","year":"2013","author":"Cresswell J. W.","key":"e_1_2_12_20_1"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3646"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125\u2010011\u20102354\u20107"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2016.09.036"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40842\u2010017\u20100041\u20104"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.4414\/smw.2013.13831"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.12548"},{"volume-title":"Australian Foot Health and Disease in Diabetes Strategy 2030: Improving the Foot Health of People Living with Diabetes","author":"Perrin B. M.","key":"e_1_2_12_27_1"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/1757\u20101146\u20104\u201017"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/1077800419843950"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.34293\/education.v8i4.3232"}],"container-title":["Journal of Foot and Ankle Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jfa2.70079","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T08:09:05Z","timestamp":1758874145000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jfa2.70079"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":29,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1002\/jfa2.70079"],"URL":"https:\/\/doi.org\/10.1002\/jfa2.70079","archive":["Portico"],"relation":{},"ISSN":["1757-1146","1757-1146"],"issn-type":[{"type":"print","value":"1757-1146"},{"type":"electronic","value":"1757-1146"}],"subject":[],"published":{"date-parts":[[2025,9]]},"article-number":"e70079"}}