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Journal of Foot and Ankle Research

Open Access

Does the use of store-and-forward telehealth systems improve outcomes for clinicians managing diabetic foot ulcers? A pilot study

  • Peter A Lazzarini1, 2, 3,
  • Damien Clark3, 4Email author,
  • Rebecca D Mann4,
  • Vanessa L Perry5,
  • Courtney J Thomas6 and
  • Suzanne S Kuys1, 7
Journal of Foot and Ankle Research20114(Suppl 1):P31

Published: 20 May 2011


Public HealthPilot StudyPatient OutcomeDiabetes ComplicationClinical Skill


Diabetic foot ulcers are one of the most hospitalised diabetes complications and contribute too many leg amputations. Trained diabetic foot teams and specialists managing diabetic foot ulcers have demonstrated reductions in amputations and hospitalisation by up to 90%. Few such teams exist in Australia. Thus, access is limited for all geographical populations and may somewhat explain the high rates of hospitalisation. This pilot study aims to analyse if local clinicians managing diabetic foot complications report improved access to diabetic foot specialists and outcomes with the introduction of a telehealth store-and-forward system.


A store-and-forward telehealth system was implemented in six different Queensland locations between August 2009 and February 2010. Sites were offered ad hoc and/or fortnightly telehealth access to a diabetic foot speciality service. A survey was sent 6 months following commencement of the trial to the 14 eligible clinicians involved in the trial to gauge clinical perception of the telehealth system.


Eight participants returned the surveys. The majority of responding clinicians reported that the telehealth system was easy to use (100%), improved their access to diabetic foot speciality services (75%), improved upskilling of local diabetes service staff (100%), and improved patient outcomes (100%).


This pilot study suggests that clinician’s found the use of a telehealth store-and-forward system very useful in improving access to speciality services, clinical skills and patient outcomes. This study supports the recommendation that telehealth systems should be made available for diabetic foot ulcer management.

Authors’ Affiliations

Allied Health Research Collaborative, Metro North Health Service District, Queensland Health, Brisbane, Australia
Department of Podiatry, Metro North Health Service District, Queensland Health, Brisbane, Australia
School of Public Health, Queensland University of Technology, Brisbane, Australia
Department of Podiatry, Metro South Health Service District, Queensland Health, Brisbane, Australia
Clinical and Statewide Services Division, Queensland Health, Brisbane, Australia
Department of Allied Health, Mount Isa Health Service District, Queensland Health, Mount Isa, Australia
School of Physiotherapy and Exercise Science, Griffith University, Brisbane, Australia


© Lazzarini et al; licensee BioMed Central Ltd. 2011

This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.