{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T15:55:42Z","timestamp":1775836542772,"version":"3.50.1"},"reference-count":48,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,2,9]],"date-time":"2024-02-09T00:00:00Z","timestamp":1707436800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,2,9]],"date-time":"2024-02-09T00:00:00Z","timestamp":1707436800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100008918","name":"Faculty of Health and Medicine, University of Newcastle Australia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008918","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Most podiatry\u2010led high\u2010risk foot services (HRFS) in Australia are located in metropolitan areas or large regional centres. In rural areas, where there are limited specialist services, individuals with diabetes\u2010related foot ulceration are more likely to undergo amputation. This study aimed to explore clinicians' perceptions of a recently implemented HRFS in rural New South Wales, Australia, and compare trends of amputation and hospitalisation prior to and post\u2010implementation of the service.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Rural HRFS in Tamworth, New South Wales, Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Podiatrists working within the HRFS were recruited to participate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This was a multiple\u2010methods study. For the qualitative arm, semi\u2010structured interviews were conducted, which were analysed using a reflexive thematic approach. The quantitative arm of the study utilised a retrospective analytic design which applied an interrupted time series to compare amputation and hospitalisation trends pre\u2010 and post\u2010implementation of the HRFS utilising diagnostic and procedural ICD codes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The qualitative arm of the study derived three themes: (1) navigating the divide, (2) rural community and rural challenges and (3) professional identity. Results of the interrupted time series indicate that there was a downward trend in major amputations following implementation of the HRFS; however, this was not statistically significant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Clinicians were aware of the inequity in DFD outcomes between rural and metropolitan areas and were committed to improving outcomes. Future research will explore service use and amputation rates in the longer term to further evaluate this specialised multidisciplinary care in a rural community.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajr.13087","type":"journal-article","created":{"date-parts":[[2024,2,9]],"date-time":"2024-02-09T23:43:51Z","timestamp":1707522231000},"page":"286-298","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Experiences and impact of a rural Australian high\u2010risk foot service: A multiple\u2010methods study"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0014-3023","authenticated-orcid":false,"given":"Peta Ellen","family":"Tehan","sequence":"first","affiliation":[{"name":"Subfaculty of Clinical and Molecular Sciences, Faculty of Medicine, Nursing and Allied Health Monash University  Clayton Victoria Australia"},{"name":"Podiatry and High Risk Foot Service Hunter New England Local Health District  Newcastle New South Wales Australia"},{"name":"School of Health Sciences, College of Health, Medicine and Wellbeing University of Newcastle  Callaghan New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hailey","family":"Donnelly","sequence":"additional","affiliation":[{"name":"School of Health Sciences, College of Health, Medicine and Wellbeing University of Newcastle  Callaghan New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Martin","sequence":"additional","affiliation":[{"name":"Podiatry and High Risk Foot Service Hunter New England Local Health District  Tamworth New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fiona","family":"Hawke","sequence":"additional","affiliation":[{"name":"School of Health Sciences, College of Health, Medicine and Wellbeing University of Newcastle  Callaghan New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,2,9]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1757-1146-5-24"},{"key":"e_1_2_11_3_1","unstructured":"Centres N.A.o.D.NADC.2023[cited 2023 Feb 12]. 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