Geography

Geography

Masters Thesis Abstract: Pam Howes

Geographies of Diabets in New Zealand: Interfacing consumers and health professional's perceptions of diabetes care and education.

The incidence of diabetes, worldwide, is increasing, and it is argued that a diabetes epidemic is underway. Diabetes is a serious health issue for New Zealand and other countries. It is estimated that there are approximately 150 million cases worldwide and 115 000 cases in New Zealand alone, with many more being undiagnosed. There are important geographical variations in the incidence of diabetes between developing and developed countries. For example, parts of India with very low incidence compared with Canada and the United States with higher incidences. There are also variations within countries, for example, between rural and urban places, and between different sub-groups of the population. Despite the many medical studies and research that have been undertaken the incidence of diabetes is still rising, making diabetes a health priority area for many societies, including New Zealand.

Education of people with diabetes, health professionals and the general public is crucial for ensuring that the diabetes epidemic is managed. It is necessary to investigate the effectiveness of diabetes care and education. The 41 Diabetes Societies throughout New Zealand have a pivotal role in raising the awareness of and educating people about their diabetes. Diabetes education is a necessary measure to address the rising incidence of diabetes.

The aim of this study is to examine the quality and effectiveness of diabetes education and care in New Zealand using qualitative and quantitative techniques. This research has two main objectives. First, at the macro level, an examination of the organisational structure of diabetes education in New Zealand; this will be achieved by identifying who the key stakeholders are and what their role is. It will also include an examination of the role of the diabetes societies in various areas throughout New Zealand. Second, at the micro level, an in depth analysis of diabetes educational provision in Christchurch; this will include an exploration of how effective these providers have been, particularly in providing education for high risk groups in Christchurch, for example elderly people and Maori.