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Aim <p>Diabetic foot care is a core component of diabetology, yet the organisation of services in routine practice remains poorly characterised. We delivered a survey among the public diabetology centres (PDC) of Tuscany to get updated information on the DF-related activities of the PDC and their organization.</p> Methods <p>We administered an online structured questionnaire to the clinical leads of all 15 public diabetology centres in the region, exploring their organization around DF care.</p> Results <p>All the 15 PDC participated to the survey. Altogether they staffed 43 physicians, 37 nurses and 16 podiatrists; The frequency of diabetic-foot care provision varied across centres from once a week (2/15, 13.3%) to more than 1&#xa0; day per week (5/15, 33.3%) to daily (7/15, 46.7%) The number of staff dedicated to DF Care was 63% of the total (61/97). DFU care was delivered by all the centres, while revascularization was available in 9/15 (60%). No difference emerged between the three large areas in which the Region is divided. The most frequently reported critical issues were organizational ones.</p> Conclusions <p>DF care is an important part of the clinical activities delivered by the PDC and absorbs a significant number of resources, but is not adequately supported, nor in terms of resource allocation neither from an organizational and professional point of view.</p>

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The organization of diabetic foot care in a regional public health service: baseline data from the diabetic foot valley Tuscany project

  • 期刊论文

  • 发表日期：

    2026年2月4日

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  • Alberto Piaggesi,
  • Francesco Giangreco,
  • Simone Barbagallo,
  • Elisa Amato,
  • Graziano Di Cianni,
  • Abbruzzese Lorenza,
  • Achilli Valeria,
  • Amato Elisa,
  • Ambrosini Nobili Laura,
  • Amendola Carmelina,
  • Amendolia Michela,
  • Anichini Roberto,
  • Apicella Matteo,
  • Baccetti Fabio,
  • Baggiore Cristiana,
  • Banchellini Elisa,
  • Barbaro Valeria,
  • Barnini Genny,
  • Baronti Walter,
  • Bastarelli Eleonora,
  • Becherini Roberto,
  • Bernini Arianna,
  • Bertoli Stefania,
  • Bini Carlotta,
  • Butini Sofia,
  • Cacioli Elisabetta,
  • Calabrese Maria,
  • Cameron Smith Michela,
  • Casadidio Ilaria,
  • Chelli Cristina,
  • Colombi Claudia,
  • Costa Alessandro,
  • Cossu Cristina,
  • Crisci Isabella,
  • Cuccuru Ilaria,
  • De Gennaro Giovanni,
  • De Gregorio Simona,
  • De Luca Antonio,
  • Del Bianco Elisa,
  • Della Valentina Simone,
  • Desideri Arianna,
  • Di Carlo Alberto,
  • Faenzi Manuela,
  • Fanelli Stefania,
  • Fondelli Cecilia,
  • Giangreco Francesco,
  • Golini Romina,
  • Goretti Chiara,
  • Gori Roberta,
  • Iacopi Elisabetta,
  • Ieri Matteo,
  • Lacaria Emilia,
  • Landini Cristina,
  • Lazzeri Andrea,
  • Lencioni Cristina,
  • Leporati Elisa,
  • Leva Teresa,
  • Lorenzetti Monica,
  • Luppichini Linda,
  • Magi Silvia,
  • Maionchi Dino,
  • Manetti Francesco,
  • Mantuano Michele,
  • Marinelli Elisa,
  • Marsocci Angela,
  • Martinez Carmela,
  • Mattesimi Mary,
  • Monami Matteo,
  • Musco Marco,
  • Neri Barbara,
  • Nigro Rosa,
  • Nreu Besmir,
  • Occhipinti Margherita,
  • Orsini Paola,
  • Palladino Lavinia,
  • Parra Cecilia,
  • Piacentini Marzia,
  • Piaggesi Alberto,
  • Piccini Valentina,
  • Pieruzzi Letizia,
  • Polloni Catia,
  • Postiglione Gabriella,
  • Ragghianti Benedetta,
  • Ranchelli Anna,
  • Riitano Nicola,
  • Rizzo Loredana,
  • Rabuchia Anxhela,
  • Russo Chiara,
  • Sabatini Giovanna,
  • Elisabetta Salutini,
  • Sambuco Laura,
  • Sandroni Sara,
  • Sarzanini Maheva,
  • Scatena Alessia,
  • Serantoni Simone,
  • Silverii Giovanni Antonio,
  • Simi Barbara,
  • Telleschi Massimiliano,
  • Trapani Edoardo,
  • Valdambrini Cristiana,
  • Vannacci Serena,
  • Viti Secondina

摘要

Aim

Diabetic foot care is a core component of diabetology, yet the organisation of services in routine practice remains poorly characterised. We delivered a survey among the public diabetology centres (PDC) of Tuscany to get updated information on the DF-related activities of the PDC and their organization.

Methods

We administered an online structured questionnaire to the clinical leads of all 15 public diabetology centres in the region, exploring their organization around DF care.

Results

All the 15 PDC participated to the survey. Altogether they staffed 43 physicians, 37 nurses and 16 podiatrists; The frequency of diabetic-foot care provision varied across centres from once a week (2/15, 13.3%) to more than 1  day per week (5/15, 33.3%) to daily (7/15, 46.7%) The number of staff dedicated to DF Care was 63% of the total (61/97). DFU care was delivered by all the centres, while revascularization was available in 9/15 (60%). No difference emerged between the three large areas in which the Region is divided. The most frequently reported critical issues were organizational ones.

Conclusions

DF care is an important part of the clinical activities delivered by the PDC and absorbs a significant number of resources, but is not adequately supported, nor in terms of resource allocation neither from an organizational and professional point of view.