{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T19:01:53Z","timestamp":1777748513900,"version":"3.51.4"},"reference-count":23,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T00:00:00Z","timestamp":1715731200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p>To survey the national workforce that manages children and adolescents with type 1 diabetes (T1D) in Aotearoa New Zealand and compare with glycaemic outcomes for 2021.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A representative from each tertiary and regional diabetes service in Aotearoa New Zealand was asked to participate in an online survey assessing health\u2010care professional (HCP) workforce numbers operating for the 2021 calendar year. Regional full\u2010time\u2010equivalent (FTE), glycaemic outcomes and population demographics were compared to a previously reported workforce surveys (2015 and 2019).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventeen sites responded \u2013 including all four large tertiary centres \u2013 serving &gt;99% of children and adolescents with T1D in Aotearoa New Zealand. HCP resourcing varied across sites, with median (range) HCP\/100 patient ratios of: doctors: 0.40 (0.16\u20131.11), nurses: 1.19 (0.29\u20135.56), dietitians: 0.25 (0\u20131.11) and psychologist\/social workers: 0 (0\u20130.26). No site met all of the International Society of Paediatric and Adolescent Diabetes (ISPAD) recommendations of HCP\/100 patient ratios. Measures of socio\u2010economic deprivation predicted HbA1c, rather than the diabetes clinic attended. Overall, only 15.1% (240\/1585) of patients had an HbA1c less than the recommended 53\u2009mmol\/mol.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The Aotearoa New Zealand workforce for children and adolescents with T1D is under\u2010resourced and no site meets the ISPAD recommendations. There has been no significant increase in HCP\/100 patient ratios compared to previous workforce surveys over the last decade. Few children and adolescents with T1D meet the recommended HbA1c. Resourcing according to recommended clinical need is required if equity in outcomes for young people with T1D is to be addressed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.16566","type":"journal-article","created":{"date-parts":[[2024,5,16]],"date-time":"2024-05-16T04:19:48Z","timestamp":1715833188000},"page":"222-228","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Children and adolescents with type 1 diabetes in <scp>Aotearoa New Zealand<\/scp>: An online survey of workforce and outcomes 2021"],"prefix":"10.1111","volume":"60","author":[{"given":"Calum","family":"Fisher","sequence":"first","affiliation":[{"name":"Department of Paediatrics University of Otago  Dunedin New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5080-4435","authenticated-orcid":false,"given":"Jonathan","family":"Williman","sequence":"additional","affiliation":[{"name":"Biostatistics and Computation Biology Unit University of Otago  Dunedin New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mercedes","family":"Burnside","sequence":"additional","affiliation":[{"name":"Paediatric Department Te Whatu Ora \u2013 Health New Zealand, Waitaha Canterbury  Christchurch New Zealand"},{"name":"Endocrinology Department Te Whatu Ora \u2013 Health New Zealand, Waitaha Canterbury  Christchurch New Zealand"},{"name":"Paediatric Endocrinology Department Te Whatu Ora \u2013 Health New Zealand, Waitaha Canterbury  Christchurch New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah","family":"Davies","sequence":"additional","affiliation":[{"name":"Department of Paediatrics University of Otago  Dunedin New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig","family":"Jefferies","sequence":"additional","affiliation":[{"name":"Starship Child Health, Te Whatu Ora \u2013 Health New Zealand, Te Toka Tumai Auckland  Auckland New Zealand"},{"name":"Liggins Institute and Department of Paediatrics University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan","family":"Paul","sequence":"additional","affiliation":[{"name":"Waikato Regional Diabetes Service, Te Whatu Ora \u2013 Health New Zealand  Waikato New Zealand"},{"name":"Waikato Medical Research Centre University of Waikato  Hamilton New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3348-5238","authenticated-orcid":false,"given":"Benjamin J","family":"Wheeler","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health Dunedin School of Medicine  Dunedin New Zealand"},{"name":"Paediatric Department Te Whatu Ora \u2013 Southern  Dunedin New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"de Bock","sequence":"additional","affiliation":[{"name":"Paediatric Department Te Whatu Ora \u2013 Health New Zealand, Waitaha Canterbury  Christchurch New Zealand"},{"name":"Endocrinology Department Te Whatu Ora \u2013 Health New Zealand, Waitaha Canterbury  Christchurch New Zealand"},{"name":"Paediatric Endocrinology Department Te Whatu Ora \u2013 Health New Zealand, Waitaha Canterbury  Christchurch New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,5,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/pedi.13455"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.12145"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.14122"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/pedi.12801"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc13-2112"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc14-1203"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(94)70190-3"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199309303291401"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc20-1978"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/pedi.13417"},{"key":"e_1_2_8_12_1","first-page":"20","article-title":"Care for children and adolescents with diabetes in New Zealand District Health boards: Is the clinical resourcing ready for the challenge?","volume":"128","author":"Jefferies C","year":"2015","journal-title":"NZMJ"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanwpc.2022.100644"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.15426"},{"key":"e_1_2_8_15_1","first-page":"70","article-title":"A survey of the New Zealand rheumatology workforce","volume":"132","author":"Harrison A","year":"2019","journal-title":"NZMJ"},{"key":"e_1_2_8_16_1","volume-title":"NZDep2018 Index of Deprivation, Interim Research Report","author":"Atkinson J","year":"2019"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.26635\/6965.5495"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v067.i01"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.16342"},{"key":"e_1_2_8_20_1","volume-title":"Quality standards for diabetes care [Internet]","author":"Te Whatu Ora \u2013 Health New Zealand","year":"2020"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/pedi.13289"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.13631"},{"key":"e_1_2_8_23_1","first-page":"80","article-title":"The clinical workforce caring for emerging adults with diabetes in New Zealand is under resourced","volume":"134","author":"Paul R","year":"2021","journal-title":"NZMJ"},{"key":"e_1_2_8_24_1","first-page":"78","article-title":"District health board of residence, ethnicity and socioeconomic status all impact publicly funded insulin pump uptake in New Zealand patients with type 1 diabetes","volume":"132","author":"Wheeler BJ","year":"2019","journal-title":"NZMJ"}],"container-title":["Journal of Paediatrics and Child Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.16566","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,6]],"date-time":"2024-07-06T05:15:58Z","timestamp":1720242958000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jpc.16566"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,15]]},"references-count":23,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1111\/jpc.16566"],"URL":"https:\/\/doi.org\/10.1111\/jpc.16566","archive":["Portico"],"relation":{},"ISSN":["1034-4810","1440-1754"],"issn-type":[{"value":"1034-4810","type":"print"},{"value":"1440-1754","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,15]]},"assertion":[{"value":"2023-09-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-06","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-15","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}