PMID- 30871513 OWN - NLM STAT- MEDLINE DCOM- 20200210 LR - 20231006 IS - 1471-2296 (Electronic) IS - 1471-2296 (Linking) VI - 20 IP - 1 DP - 2019 Mar 13 TI - Interprofessional collaboration in diabetes care: perceptions of family physicians practicing in or not in a primary health care team. PG - 44 LID - 10.1186/s12875-019-0932-9 [doi] LID - 44 AB - BACKGROUND: In Canada, most patients with type 2 diabetes mellitus (T2DM) are cared for in the primary care setting in the practices of family physicians. This care is delivered through a variety of practice models ranging from a single practitioner to interprofessional team models of care. This study examined the extent to which family physicians collaborate with other health professionals in the care of patients with T2DM, comparing those who are part of an interprofessional health care team called a Primary Care Network (PCN) to those who are not part of a PCN. METHODS: Family physicians in Alberta, Canada were surveyed to ascertain: which health professionals they refer to or have collaborative arrangements with when caring for T2DM patients; satisfaction and confidence with other professionals' involvement in diabetes care; and perceived effects of having other professionals involved in diabetes care. Chi-squared and Fishers Exact tests were used to test for differences between PCN and non-PCN physicians. RESULTS: 170 (34%) family physicians responded to the survey, of whom 127 were PCN physicians and 41 were non-PCN physicians (2 not recorded). A significantly greater proportion of PCN physicians vs non-PCN physicians referred patients to pharmacists (23.6% vs 2.6%) or had collaborative working arrangements with diabetes educators (55.3% vs 18.4%), dietitians (54.5% vs 21.1%), or pharmacists (43.1% vs 21.1%), respectively. Regardless of PCN status, family physicians expressed greater satisfaction and confidence in specialists than in other family physicians or health professionals in medication management of patients with T2DM. Physicians who were affiliated with a PCN perceived that interprofessional collaboration enabled them to delegate diabetes education and monitoring and/or adjustment of medications to other health professionals and resulted in improved patient care. CONCLUSIONS: This study sheds new insight on the influence that being part of a primary care team has on physicians' practice. Specifically, supporting physicians' access to other health professionals in the primary care setting is perceived to facilitate interprofessional collaboration in the care of patients with T2DM and improve patient care. FAU - Szafran, Olga AU - Szafran O AD - Department of Family Medicine, University of Alberta, 6-10 University Terrace, Edmonton, Alberta, T6G 2T4, Canada. olga.szafran@ualberta.ca. FAU - Kennett, Sandra L AU - Kennett SL AD - Edmonton Oliver Primary Care Network, Family Medicine Clinic, Misericordia Community Hospital, Edmonton, Alberta, Canada. AD - Primary Care, Health Canada, Suite 730, 9700 Jasper Avenue, Edmonton, Alberta, T5J 4C3, Canada. FAU - Bell, Neil R AU - Bell NR AD - Department of Family Medicine, University of Alberta, Family Medicine Clinic, Misericordia Community Hospital, 16940 - 87 Avenue, Edmonton, Alberta, T5R 4H5, Canada. FAU - Torti, Jacqueline M I AU - Torti JMI AD - Department of Family Medicine, University of Alberta, Health Sciences Addition Room 110, London, Ontario, N6A 5C1, Canada. AD - Centre for Education Research and Innovation, Schulich School of Medicine and Dentistry, Western University, Health Sciences Addition Room 110, London, Ontario, N6A 5C1, Canada. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190313 PL - England TA - BMC Fam Pract JT - BMC family practice JID - 100967792 SB - IM MH - Adult MH - Aged MH - *Attitude of Health Personnel MH - Canada MH - *Cooperative Behavior MH - Diabetes Mellitus, Type 2/*therapy MH - Female MH - *Health Educators MH - Humans MH - Interprofessional Relations MH - Male MH - Middle Aged MH - *Nutritionists MH - *Patient Care Team MH - *Pharmacists MH - *Physicians, Family MH - Surveys and Questionnaires PMC - PMC6419394 OTO - NOTNLM OT - Canada OT - Family physicians OT - Family practice OT - Interprofessional health team OT - Primary health care OT - Type 2 diabetes mellitus COIS- AUTHORS' INFORMATION: OS, (MHSA) is Associate Director of Research in the Department of Family Medicine at the University of Alberta. At the time of the study, SK (MN, CDE) was a Clinical Nurse Specialist, Edmonton Oliver Primary Care Network, Family Medicine Clinic, Misericordia Community Hospital, Edmonton, Alberta; currently she is Nurse Advisor for Primary Care with Health Canada, Edmonton Alberta. NB (MD, SM, FCFP) is Professor in the Department of Family Medicine at the University of Alberta and a family physician at the Family Medicine Clinic, Misericordia Community Hospital, Edmonton, Alberta. At the time of the study, JT (PhD) was a Research Assistant in the Department of Family Medicine at the University of Alberta; currently she is a Research Associate at the Centre for Education Research and Innovation in the Schulich School of Medicine and Dentistry at Western University, Canada. ETHICS APPROVAL AND CONSENT TO PARTICIPATE: The study was approved by Research Ethics Board 2, University of Alberta (Pro00040620). Consent to participate was implied by the return of a completed questionnaire. CONSENT FOR PUBLICATION: Not applicable. COMPETING INTERESTS: The authors declare that they have no competing interests. PUBLISHER'S NOTE: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. EDAT- 2019/03/16 06:00 MHDA- 2020/02/11 06:00 PMCR- 2019/03/13 CRDT- 2019/03/16 06:00 PHST- 2018/01/26 00:00 [received] PHST- 2019/03/06 00:00 [accepted] PHST- 2019/03/16 06:00 [entrez] PHST- 2019/03/16 06:00 [pubmed] PHST- 2020/02/11 06:00 [medline] PHST- 2019/03/13 00:00 [pmc-release] AID - 10.1186/s12875-019-0932-9 [pii] AID - 932 [pii] AID - 10.1186/s12875-019-0932-9 [doi] PST - epublish SO - BMC Fam Pract. 2019 Mar 13;20(1):44. doi: 10.1186/s12875-019-0932-9.