Multidisciplinary team approach to diabetes. An outlook on providers' and patients' perspectives
Tan, Hon Qin Marcus ; Chin, Yip Han ; Ng, Cheng Han ; Liow, Yiyang ; Devi, M Kamala ; Khoo, Chin Meng ; GOH LAY HOON
Tan, Hon Qin Marcus
Chin, Yip Han
Ng, Cheng Han
Liow, Yiyang
Devi, M Kamala
Khoo, Chin Meng
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Alternative Title
Abstract
Objective/Background: This study sought to uncover the perspectives of various stakeholders towards multidisciplinary team (MDT) care, discover new understandings and help inform current practice on MDT care for diabetic patients. Methods: 5 electronic databases were searched for articles that evaluated patients’ and providers’ perspectives on type 2 Diabetes Mellitus (T2DM) MDT management. Articles retrieved were sieved, coded and findings were analytically themed together in accordance to Thomas and Harden methodology. Results: 15 articles were identified with three common themes: interactions between healthcare providers, benefits to patients and constraints and facilitators of the healthcare system. Trust and synergistic teamwork are important factors in promoting effective care. Patients commended MDT's improved accessibility and convenience and felt more welcomed. Often plagued by poor support, lack of manpower and resources, MDTs are less efficient and incapable of realizing their full potential. Conclusion: This review illustrates that the MDT model does improve diabetes treatment outcome, help prevent or reduce complications. Nevertheless, the MDT model can be a double-edged sword as poor interactions between HCPs can hamper quality patient care. The current MDT model is also based on available resources of the health system. More effort is needed to modify the MDT model to meet the changing needs of patients.
Keywords
Science & Technology, Life Sciences & Biomedicine, Endocrinology & Metabolism, Primary Health Care, General & Internal Medicine, Type 2 diabetes, Primary healthcare, Disease management, Perceptions, HEALTH-CARE, TYPE-2, MANAGEMENT, VIEWS, MODEL, COMMUNITY, EDUCATION, NURSES, PEOPLE
Source Title
PRIMARY CARE DIABETES
Publisher
ELSEVIER SCI LTD
Series/Report No.
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Date
2020-10-01
DOI
10.1016/j.pcd.2020.05.012
Type
Review