Towards optimal health-care in patients with co-morbid diabetes and chronic kidney disease

Comorbid diabetes and chronic kidney disease is a common problem associated with an increased risk of death and significant health-care costs. Health-care is often suboptimal. This thesis focuses on health-care improvement for this patient population by using multiple research methodologies to address gaps in medical management and identifies key barriers and enablers to optimal health-care. It also includes the largest multi-centre Australian assessment of the needs and possible improvements to health-care delivery for diabetes and kidney disease, through the lens of health-care providers and patients. The findings have informed the development of a new patient-centred model of care.