Precision health care strategies for older adults with diabetes in Indonesia: a Delphi consensus study

Satriya Pranata; Shu-Fang Vivienne Wu; Chun-Hua Chu; Khristophorus Heri Nugroho

doi:10.13181/mji.oa.215525

Authors

Satriya Pranata School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei City, Taiwan; Faculty of Nursing and Health Sciences, Universitas Muhammadiyah Semarang, Semarang, Indonesia
Shu-Fang Vivienne Wu School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei City, Taiwan
Chun-Hua Chu Research Center for Healthcare Industry Innovation, National Taipei University of Nursing and Health Sciences, Taipei City, Taiwan
Khristophorus Heri Nugroho Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

DOI:

https://doi.org/10.13181/mji.oa.215525

Keywords:

Delphi technique, diabetes, personal health service, precision health care, precision medicine

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Abstract

BACKGROUND Studies on precision health care for older adults with diabetes in Indonesia are still limited. This study was aimed to reach the experts consensus on the suitable precision health care strategies for older adults with diabetes.

METHODS A total of 10 experts (4 physicians, 4 nurses, and 2 dietitians) agreed to participate in the 3-round interview using Delphi technique. The experts should have at least 5 years of experience in teaching or working as health professionals in a hospital.

RESULTS Consensus was reached that precision health care consisted of eight elements: self-management, interdisciplinary collaborative practice, personalized genetic or lifestyle factors, glycemic target, patient preferences, glycemic control, patient priority-directed care, and biodata- or evidence-based practice. The strategies of precision health care for diabetes were divided into seven steps: conducting brief deducting teaching; assessing self-management level and risk of cardiovascular disease; organizing a brainstorming session among patients to exchange experiences on glycemic target and specific target behavior; making a list of patients’ needs and ranking the priorities; setting a goal and writing action; doing follow-up; and reporting the goal attempts.

CONCLUSIONS The eight elements of precision health care provided the basis of precision health care strategies for diabetic older adults, which are the real and measurable strategies for precision health care implementation in clinical settings.

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