socio-politics of dietetics
TRANSCRIPT
Medicine, Nursing and Health Sciences
Melanie Voevodin, PhD Candidate Paul Komesaroff, DirectorDepartment of Medicine Centre for Ethics in Medicine & SocietyCentral Clinical School Central Clinical School
e [email protected] www.sites.google.com/site/monashmdpt @MDPStudyf Measuring Dietetic Practice 16 November 2012
Measuring Dietetic Practice for Obesity (MDP-O):Socio-politics of Dietetic Practice
Declaration of interest
2
1998
16th November 2012Socio-politics of Dietetic Practice
2003 2005 2012
Dietetics Policy & Gov Health Eco PhDStudy
Austin RMH AlfredReal Jobs RMIT Deakin Nestle
WCMICSARBIAS / YPINH Food LawOther Jobs
Melanie Voevodin & Paul KomesaroffPhD Student 2010-2013 Supervisor
[email protected]@monash.edu
MMeasuring DDietetic PPractice for OObesity (MDP-O Study)
Can DietitiansDietitiansturn
thearound ObesityObesityepidemic??
GP Dietitian Patient
4
The Problem
16th November 2012Socio-politics of Dietetic Practice
Tertiary-trained profession + EBM
Weight management service in the community
Experts in changing food behaviour for good health
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The Problem
16th November 2012Socio-politics of Dietetic Practice
Tertiary-trained profession + EBM
Weight management service in the community
Experts in changing food behaviour for good health
Australians are NOT healthy Dietitians not forefront of policy
GP Red Book outlines ‘nutrition intervention’
Limited efficiencies in practice
Limited capacity for innovation
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Finding Solutions
16th November 2012Socio-politics of Dietetic Practice
How to measure and report what dietitians do Generate evidence from practice to inform policy
Achieving cost-effectiveness
Maintaining client-centeredness
Career satisfaction (recruitment and retention)
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Finding Solutions
16th November 2012Socio-politics of Dietetic Practice
How to measure and report what dietitians do Generate evidence from practice to inform policy
Achieving cost-effectiveness
Maintaining client-centeredness
Career satisfaction (recruitment and retention)
Data capture, analysis & reporting
MDP-O
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Why?
1.
2.
916th November 2012Socio-politics of Dietetic Practice
Why?2.
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Efficiency & EffectivenessDietitians providing a weight loss service in the community
A. Weight loss(to BMI 25kg/m2)
B. Inputs-Wages-Overheads-Materials
C. Outputs-Time-Products-Service
D. Outcomes-Weight (kg)-HbA1c
Efficiency = B + CCost to have the dietetic service available and time spent with client and materials provided to client
Effectiveness = B + C + D against ACost of providing the service to get 1kg weight lossHealth benefit in $ for every kg lost
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How? MDP-O
16th November 2012Socio-politics of Dietetic Practice
Study 1 Study 2
Data Mining10 Years of a Dietetic Practice
n=1 DietitianProviding ~1000 new episodes of care
plus review appointments
Cross-sectional CohortNational Survey of Dietitians
n=141 DietitiansAnywhere across Australia
Any number of weight-loss clients
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Achieving the Health Benchmarks (ADG)
What we want people to do What we actually do
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Scientific Evidence(prescribed behaviour)
Real Life(actual behaviour)
Good Health Poor Health
Achieving the Health Benchmarks (ADG)
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How? MDP-O
16th November 2012Socio-politics of Dietetic Practice
Study 1 Study 2
Data Mining10 Years of a Dietetic Practice
n=1 DietitianProviding ~1000 new episodes of care
plus review appointments
Behaviour ChangeCapitalising on the small gains
Information(recording & reporting)
Accurate, timely, relevant
Cross-sectional CohortNational Survey of Dietitians
n=141 DietitiansAnywhere across Australia
Any number of weight-loss clients
Yes can record & reportHow? And Efficient?
Some capacity
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How? MDP-O
16th November 2012Socio-politics of Dietetic Practice
Study 1 Study 2
Data Mining10 Years of a Dietetic Practice
n=1 DietitianProviding ~1000 new episodes of care
plus review appointments
Behaviour ChangeCapitalising on the small gains
Information(recording & reporting)
Accurate, timely, relevant
Cross-sectional CohortNational Survey of Dietitians
n=141 DietitiansAnywhere across Australia
Any number of weight-loss clients
Yes can record & reportHow? And Efficient?
Some capacity
Need another n=150
Melanie Voevodin & Paul KomesaroffPhD Student 2010-2013 Supervisor
[email protected]@monash.edu
MMeasuring DDietetic PPractice for OObesity (MDP-O Study)
Can DietitiansDietitiansturn
thearound ObesityObesityepidemic??
GP Dietitian Patient
Melanie Voevodin & Paul KomesaroffPhD Student 2010-2013 Supervisor
[email protected]@monash.edu
MMeasuring DDietetic PPractice for OObesity (MDP-O Study)
Can DietitiansDietitiansturn
thearound ObesityObesityepidemic??
GP Dietitian Patient
Reporting
18
Blatant Plug
16th November 2012Socio-politics of Dietetic Practice
MDP-O Q1 National Survey of Dietitians
Improving Australian Dietetic Weight Management Services
Online, 20 minutes, anonymous
All 5 Sections need completing for data to be included
STARTS NOVEMBER 19
https://sites.google.com/site/monashmdp/OR
https://www.research.net/s/Q1MDPRound2
Plug 1: MDP-ORDG National Survey of Dietitians
Want to be a goodcritical analyst?
Online, 2 minutes
Supporting skill development in practice
OPEN NOW
https://sites.google.com/site/monashmdp/OR
https://www.research.net/s/RDGCritAnalysis
Plug 2: RDG