1. Multidisciplinary team approach to diabetes. An outlook on providers’ and patients’ perspectives
- Author
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Hon Qin Marcus Tan, M Kamala Devi, Yip Han Chin, Lay Hoon Goh, Chin Meng Khoo, Cheng Han Ng, and Yiyang Liow
- Subjects
Health Knowledge, Attitudes, Practice ,Attitude of Health Personnel ,Endocrinology, Diabetes and Metabolism ,media_common.quotation_subject ,030209 endocrinology & metabolism ,Multidisciplinary team ,Diabetes treatment ,03 medical and health sciences ,0302 clinical medicine ,Nursing ,Internal Medicine ,Humans ,Medicine ,Quality (business) ,030212 general & internal medicine ,Cooperative Behavior ,Disease management (health) ,Quality Indicators, Health Care ,media_common ,Patient Care Team ,Teamwork ,Nutrition and Dietetics ,Primary Health Care ,business.industry ,Combined Modality Therapy ,Diabetes Mellitus, Type 2 ,Patient Satisfaction ,Current practice ,Interdisciplinary Communication ,Family Practice ,business ,Healthcare providers ,Healthcare system - 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.
- Published
- 2020