PMID- 32591227
OWN - NLM
STAT- MEDLINE
DCOM- 20210817
LR  - 20210817
IS  - 1878-0210 (Electronic)
IS  - 1878-0210 (Linking)
VI  - 14
IP  - 5
DP  - 2020 Oct
TI  - Multidisciplinary team approach to diabetes. An outlook on providers' and 
      patients' perspectives.
PG  - 545-551
LID - S1751-9918(20)30197-2 [pii]
LID - 10.1016/j.pcd.2020.05.012 [doi]
AB  - 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.
CI  - Copyright (c) 2020 Primary Care Diabetes Europe. Published by Elsevier Ltd. All 
      rights reserved.
FAU - Tan, Hon Qin Marcus
AU  - Tan HQM
AD  - Yong Loo Lin School of Medicine, National University Singapore, 10 Medical Dr, 
      Singapore 117597, Singapore.
FAU - Chin, Yip Han
AU  - Chin YH
AD  - Yong Loo Lin School of Medicine, National University Singapore, 10 Medical Dr, 
      Singapore 117597, Singapore.
FAU - Ng, Cheng Han
AU  - Ng CH
AD  - Yong Loo Lin School of Medicine, National University Singapore, 10 Medical Dr, 
      Singapore 117597, Singapore.
FAU - Liow, Yiyang
AU  - Liow Y
AD  - Division of Family Medicine, Yong Loo Lin School of Medicine, National University 
      of Singapore, 10 Medical Dr, Singapore 117597, Singapore.
FAU - Devi, M Kamala
AU  - Devi MK
AD  - Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National 
      University of Singapore, 10 Medical Dr, Singapore 117597, Singapore.
FAU - Khoo, Chin Meng
AU  - Khoo CM
AD  - Yong Loo Lin School of Medicine, National University Singapore, 10 Medical Dr, 
      Singapore 117597, Singapore; Department of Medicine, National University 
      Hospital, 5 Lower Kent Ridge Rd, Singapore 119074, Singapore.
FAU - Goh, Lay Hoon
AU  - Goh LH
AD  - Division of Family Medicine, Yong Loo Lin School of Medicine, National University 
      of Singapore, 10 Medical Dr, Singapore 117597, Singapore. Electronic address: 
      mdcglh@nus.edu.sg.
LA  - eng
PT  - Journal Article
PT  - Systematic Review
DEP - 20200624
PL  - England
TA  - Prim Care Diabetes
JT  - Primary care diabetes
JID - 101463825
SB  - IM
MH  - *Attitude of Health Personnel
MH  - Combined Modality Therapy
MH  - Cooperative Behavior
MH  - Diabetes Mellitus, Type 2/diagnosis/*therapy
MH  - *Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Interdisciplinary Communication
MH  - *Patient Care Team
MH  - *Patient Satisfaction
MH  - Primary Health Care
MH  - Quality Indicators, Health Care
OTO - NOTNLM
OT  - Disease management
OT  - Perceptions
OT  - Primary healthcare
OT  - Type 2 diabetes
EDAT- 2020/06/28 06:00
MHDA- 2021/08/18 06:00
CRDT- 2020/06/28 06:00
PHST- 2020/04/13 00:00 [received]
PHST- 2020/05/19 00:00 [revised]
PHST- 2020/05/23 00:00 [accepted]
PHST- 2020/06/28 06:00 [pubmed]
PHST- 2021/08/18 06:00 [medline]
PHST- 2020/06/28 06:00 [entrez]
AID - S1751-9918(20)30197-2 [pii]
AID - 10.1016/j.pcd.2020.05.012 [doi]
PST - ppublish
SO  - Prim Care Diabetes. 2020 Oct;14(5):545-551. doi: 10.1016/j.pcd.2020.05.012. Epub 
      2020 Jun 24.