The Challenges Faced by Clinicians in Providing a Telehealth Service for Aboriginal Patients with Diabetic Foot Complications



The Challenges Faced by Clinicians in Providing a Telehealth Service for Aboriginal Patients with Diabetic Foot Complications in Rural and Remote Western Australia

Summary: Authors Johanna Lee van Rooyen and Donna Evelyn Larsen present two case reports of Aboriginal patients from remote Western Australia with severe diabetic foot infections. The cases illustrate key challenges: late presentation, limited local resources, workforce transience, poor image quality in telehealth, and the need for culturally safe care. Multidisciplinary collaboration and strong regional relationships are essential for better outcomes.

Key Highlights:

  • Late presentation and delayed specialist access in remote communities
  • Difficulties with telehealth (image quality, supply chain, staff training)
  • Importance of cultural safety, Aboriginal Liaison Officers, and family involvement
  • Need for sustained multidisciplinary support beyond metropolitan centres

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Keywords: telehealth DFU, Aboriginal diabetic foot, rural wound care