Effectiveness of an interprofessional ambulatory care model on diabetes: evaluating clinical markers in a low-income patient population
| Autor: | Frances R. Vlasses, Lisa Burkhart, Nancy Madsen, Cara Joyce |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Interprofessional Relations Population Collaborative Care Type 2 diabetes Ambulatory care Diabetes mellitus Health care Ambulatory Care medicine Humans Cooperative Behavior education Poverty Retrospective Studies Patient Care Team education.field_of_study business.industry General Medicine medicine.disease Blood pressure Diabetes Mellitus Type 2 Ambulatory Physical therapy business Biomarkers |
| Zdroj: | Journal of Interprofessional Care. 36:500-508 |
| ISSN: | 1469-9567 1356-1820 |
| DOI: | 10.1080/13561820.2021.1941816 |
| Popis: | The purpose of this study was to determine whether a new ambulatory care model, interprofessional collaborative care-coordinated team model (interprofessional model), based on the Wagner Care Model improved clinical indicators in a low-income population. This study was a retrospective 12-month pre-post (n = 204) and propensity matched (n = 171) comparative study of the interprofessional model in a primary clinic for patients with type 2 diabetes. Secondary data were collected from June 2014to February 2017 in an academic medical centre in a large Midwestern city. Findings demonstrated statistically and clinically significant improvement in A1C in both the pre/post arm of the study (↓ 0.8%) and the intervention/propensity matched arm (↓ 0.53%). Within the intervention group, there was a significant decrease in weight in the pre/post arm with 55% of cases losing weight, whereas 45% did not lose weight (p = .02). Diastolic blood pressure less than 90 also significantly improved in the pre/post arm of the study (10.1% n = 18, versus 3.9%, n = 7, p = .04). The interprofessional model showed that an ambulatory healthcare redesign incorporating an interprofessional team approach to optimise the health of this type 2 diabetes patient population can be effective. This study demonstrates the importance of using interprofessional collaborative practice teams to guide healthcare and improve patient outcomes. |
| Databáze: | OpenAIRE |
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