{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T15:07:43Z","timestamp":1777993663235,"version":"3.51.4"},"reference-count":6,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,3,5]],"date-time":"2025-03-05T00:00:00Z","timestamp":1741132800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The \u2018Central Foot Hub\u2019 was operationalised in mid\u2010February 2024 to provide multidisciplinary team (MDT) support from the Royal Brisbane and Women's Hospital (RBWH) to three hospital and health services (HHS) across Central Queensland. This model aimed to enhance diabetes\u2010related foot disease (DFD) care by integrating virtual and local MDTs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study presents early implementation learnings from frontline clinicians involved in the co\u2010design, implementation and refinement of this innovative model\u2010of\u2010care (MOC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A preparatory phase involved stakeholder engagement, service mapping and funding allocation to RBWH for recruitment. Site preparedness varied, influencing referral rates. A mixed\u2010methods approach was used to evaluate challenges and successes, with input from local end\u2010users.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Key enablers included local champions, collective leadership and integration with existing providers. At Rockhampton Base Hospital, the MDT expanded subsequently improving care coordination. However, challenges such as funding constraints, hybrid health information systems, and technological barriers affected implementation. Discipline\u2010specific insights highlighted the need for structured communication, local workforce expansion and ongoing refinement of MOC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The Central Foot Hub enhanced access to specialist care and optimised local service delivery for people living with DFD in Central Queensland. Sustainable scale\u2010up will require additional funding, streamlined health information systems and continued collaboration between healthcare providers across HHS.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajr.70014","type":"journal-article","created":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T21:45:43Z","timestamp":1741729543000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Learnings From the Front Line: Early Implementation Experiences of the Central Queensland Foot Hub Virtual Multidisciplinary Team Model\u2010of\u2010Care"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5456-2699","authenticated-orcid":false,"given":"Shanal","family":"Kumar","sequence":"first","affiliation":[{"name":"Endocrinologist, Department of Diabetes &amp; Endocrinology The Royal Brisbane and Women's Hospital  Herston Queensland Australia"},{"name":"Senior Lecturer, University of Queensland  St Lucia Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Walker","sequence":"additional","affiliation":[{"name":"Senior Podiatrist, Central Foot Hub Royal Brisbane and Women's Hospital  Herston Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caitlin","family":"Leech","sequence":"additional","affiliation":[{"name":"Senior Podiatrist, Central Foot Hub Royal Brisbane and Women's Hospital  Herston Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Powell","sequence":"additional","affiliation":[{"name":"Vascular Surgeon, Department of Vascular Surgery The Royal Brisbane and Women's Hospital  Herston Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruth","family":"Varrall","sequence":"additional","affiliation":[{"name":"Director of Orthopaedics, Rockhampton Base Hospital  Rockhampton Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siobhan","family":"Ramsay","sequence":"additional","affiliation":[{"name":"Diabetes Educator and Wound Care Clinical Nurse Consultant Rockhampton Base Hospital  Rockhampton Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Searle","sequence":"additional","affiliation":[{"name":"Psychologist, the Royal Brisbane and Women's Hospital  Herston Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Jensen","sequence":"additional","affiliation":[{"name":"Director of Podiatry, Royal Brisbane and Women's Hospital  Herston Queensland Australia"},{"name":"Co\u2010Chair, Queensland Diabetes Clinical Network  Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,3,5]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2022.02.009"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.14740\/jocmr3352w"},{"key":"e_1_2_9_4_1","volume-title":"Applications of Nueroscience","author":"Holmes C.","year":"2019"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10488\u2010010\u20100327\u20107"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010015\u20100088\u20104"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.89.9.1322"}],"container-title":["Australian Journal of Rural Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajr.70014","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T11:15:47Z","timestamp":1746011747000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ajr.70014"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,5]]},"references-count":6,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1111\/ajr.70014"],"URL":"https:\/\/doi.org\/10.1111\/ajr.70014","archive":["Portico"],"relation":{},"ISSN":["1038-5282","1440-1584"],"issn-type":[{"value":"1038-5282","type":"print"},{"value":"1440-1584","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,5]]},"assertion":[{"value":"2024-11-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70014"}}