Improving Chronic Care of Type 2 Diabetes Using Teams of Interprofessional Learners

Abstract

Interprofessional team care by learners was effective in improving quality of care for adult patients with diabetes treated in general medicine clinics. The chronic illness framework resulted in more appropriate health care utilization.

Training Health Care Professionals for 21st-Century Practice

“…The 3 highestquality studies were by Lausen et al, 63 Janson et al, 64 and Stevens et al 65 Articles were predominately single-institution (N = 21; 95.4%) studies, often using a single-group pre-and posttest study design (N = 10; 45.4%). Eight studies (36.4%) used a single-group posttest-only study design.…”

Implementation of a Coordinated Care Clinical Education and Practice Model to Promote Health: The Interprofessional Diabetes Clinic

“…Improved outcomes in patients with Type 2 diabetes have also been shown to occur in settings with "teams of interprofessional learners" (Jason, 2009(Jason, , p. 1540. University clinic based IPE models are beginning to appear in the literature, describing hands-on clinical teaching and practice (Copley, et al, 2007;Dubouloz, et al, 2010).…”

“…A growing number of studies demonstrate, when applied to clinical practice, these competencies translate into actual improved patient care outcomes and improved health (Jason, et al, 2009;Renders, et al, 2001;Smith, et al, 2008;Wagner, 2000;WHO, 2010;Zwarenstein, et al, 2009). In the context of healthcare reform, this patient-centered approach optimizes resources across the entire array of providers by practicing to the full-scope of their professions, and can minimize costly acute care and hospitalizations by focusing on the health, wellness, and quality of life of the whole patient, rather than the isolated disease entity (Lewin, et al, 2001).…”

Collaborative diabetes training in outpatient primary care

“…[2] A key component to improve better acute, chronic and preventive evidence based care and self-care support of the patient is to build effective interprofessional (IP) teams in primary health care. [4–6] In diabetes type 2 care patient centred collaboration between primary and specialised hospital services is essential. To our knowledge there are limited models of this form of collaboration in health care education.…”

“…[7] Janson et al [6] noted that IP teams consisting of primary care internal medicine residents, nurse practitioner students and pharmacy students were effective in improving quality of care for adult patients with diabetes treated in general medicine clinics, and further noted that chronic illness framework resulted in more appropriate health care utilisation. [6] Bunniss and Kelly [4] found out that experimental and shared learning motivated the professionals to prioritise patients’ needs and understand the roles and skills of each other. Delva et al [5] discovered that clear goals and attention to teamwork at all levels of collaboration are needed if effective IPE is to be achieved.…”