Abstract
Around 10% of the population suffers from diabetes, and this percentage is expected to rise. Healthcare guidelines propose a multidisciplinary, collaborative approach for treatment. However, there is little data to understand whether healthcare professionals are actually collaborating and how this collaboration takes place. We analyzed 4 years of data from 3 healthcare centers in Chile, corresponding to 2,838 patients. Patients were classified according to the composition of the healthcare team into four categories: highly multidisciplinary teams, specialized teams, physician-nurse centered teams, and non-collaborative treatment. Our results show that team prevalence is related to patient and healthcare center characteristics.
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References
International Diabetes Federation: IDF Diabetes Atlas, 7th edn. (2015). doi:10.1289/image.ehp.v119.i03
Ministerio de Salud de Chile: Encuesta Nacional de Salud. Chile 2009–2010 (2013). http://web.minsal.cl/portal/url/item/bcb03d7bc28b64dfe040010165012d23.pdf. Accessed June 2017
Subsecretaria de Redes Asistenciales, Guía clínica: Diabetes mellitus tipo 2, Ministerio de Salud de Chile (2010)
Maneze, D., Dennis, S., Chen, H.Y., Taggart, J., Vagholkar, S., Bunker, J., Liaw, S.T.: Multidisciplinary care: experience of patients with complex needs. Aust. J. Prim. Health. 20, 20–26 (2014). doi:10.1071/PY12072
Wigert, H., Wikström, E.: Organizing person-centred care in paediatric diabetes: multidisciplinary teams, long-term relationships and adequate documentation. BMC Res. Notes 7, 72 (2014). doi:10.1186/1756-0500-7-72
Campmans-Kuijpers, M.J., Baan, C.A., Lemmens, L.C., Rutten, G.E.: Change in quality management in diabetes care groups and outpatient clinics after feedback and tailored support. Diabetes Care 38, 285–292 (2015). doi:10.2337/dc14-1860
Chwastiak, L.A., Jackson, S.L., Russo, J., DeKeyser, P., Kiefer, M., Belyeu, B., Mertens, K., Chew, L., Lin, E.: A collaborative care team to integrate behavioral health care and treatment of poorly-controlled type 2 diabetes in an urban safety net primary care clinic. Gen. Hosp. Psychiatry 44, 10–15 (2017). doi:10.1016/j.genhosppsych.2016.10.005
Saint-Pierre, C., Herskovic, V., Sepúlveda, M.: Multidisciplinary Collaboration in Primary Care: a Systematic Review, Under Review (2017)
Ackroyd, S.A., Wexler, D.J.: Effectiveness of diabetes interventions in the patient-centered medical home. Curr. Diab. Rep. 14, 1–16 (2014). doi:10.1007/s11892-013-0471-z
Lynch, C.S., Wajnberg, A., Jervis, R., Basso-Lipani, M., Bernstein, S., Colgan, C., Soriano, T., Federman, A.D., Kripalani, S.: Implementation science workshop: a novel multidisciplinary primary care program to improve care and outcomes for super-utilizers. J. Gen. Intern. Med. 31, 797–802 (2016). doi:10.1007/s11606-016-3598-1
Virani, T.: Interprofessional Collaborative Teams. Canadian Health Services Research Foundation (2012)
Cohen, L.B., Taveira, T.H., Khatana, S.A.M., Dooley, A.G., Pirraglia, P.A., Wu, W.-C.: Pharmacist-led shared medical appointments for multiple cardiovascular risk reduction in patients with type 2 diabetes. Diabetes Educ. 37, 801–812 (2011). doi:10.1177/0145721711423980
Andreatta, P.B.: A typology for health care teams. Health Care Manage. Rev. 35, 345–354 (2010). doi:10.1097/HMR.0b013e3181e9fceb
Schepman, S., Hansen, J., de Putter, I.D., Batenburg, R.S., de Bakker, D.H.: The common characteristics and outcomes of multidisciplinary collaboration in primary health care: a systematic literature review. Int. J. Integr. Care. 15(2) (2015). doi:10.5334/ijic.1359
Glasheen, W.P., Renda, A., Dong, Y.: Diabetes Complications Severity Index (DCSI)—update and ICD-10 translation. J. Diabetes Complications (2017). doi:10.1016/j.jdiacomp.2017.02.018
Sundararajan, V., Henderson, T., Perry, C., Muggivan, A., Quan, H., Ghali, W.A.: New ICD-10 version of the Charlson comorbidity index predicted in-hospital mortality. J. Clin. Epidemiol. 57, 1288–1294 (2004). doi:10.1016/j.jclinepi.2004.03.012
Sevin, C., Moore, G., Shepherd, J., Jacobs, T., Hupke, C.: Transforming care teams to provide the best possible patient-centered, collaborative care. J. Ambul. Care Manage. 32, 24–31 (2009). doi:10.1097/01.JAC.0000343121.07844.e0
Sandína, M., Espeltb, A., Escolar-Pujolarc, A., Arriolad, L., Larrañaga, I.: Desigualdades de género y diabetes mellitus tipo 2: la importancia de la diferencia. Avanc. En Diab. 30, 1 (2011)
Instituto Nacional de Estadísticas, Enfoque Estadístico, Género y Empleo (2016).http://historico.ine.cl/genero/files/estadisticas/pdf/documentos/enfoque-estadistico-genero-y-empleo.pdf. Accessed June 2017
Acknowledgements
This paper was partially funded by CONICYT-PCHA/Doctorado Nacional/2016-21161705 and CONICYT-FONDECYT/1150365 (Chile). We would like to thank Áncora UC Primary healthcare centers for their help with this research.
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Saint-Pierre, C., Herskovic, V., Sepúlveda, M. (2017). Analysis of Multidisciplinary Collaboration in Primary Healthcare: The Chilean Case. In: Gutwin, C., Ochoa, S., Vassileva, J., Inoue, T. (eds) Collaboration and Technology. CRIWG 2017. Lecture Notes in Computer Science(), vol 10391. Springer, Cham. https://doi.org/10.1007/978-3-319-63874-4_18
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DOI: https://doi.org/10.1007/978-3-319-63874-4_18
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