PMID- 35395729
OWN - NLM
STAT- MEDLINE
DCOM- 20220412
LR  - 20220514
IS  - 2731-4553 (Electronic)
IS  - 2731-4553 (Linking)
VI  - 23
IP  - 1
DP  - 2022 Apr 8
TI  - Interprofessional care of patients with type 2 diabetes mellitus in primary care: 
      family physicians' perspectives.
PG  - 74
LID - 10.1186/s12875-022-01688-w [doi]
LID - 74
AB  - BACKGROUND: There is a lack of understanding of the team processes and factors 
      that influence teamwork and medication management practices in the care of 
      patients with type 2 diabetes mellitus (T2DM). The purpose of the study was to 
      explore physicians' perspectives of barriers and facilitators to 
      interprofessional care of patients with T2DM within team-based family practice 
      settings. METHODS: This was a qualitative, descriptive study. Participants 
      included physicians affiliated with a primary care network providing care to 
      patients with T2DM in an interprofessional team-based primary care setting in 
      Edmonton, Alberta, Canada. Participants' contact information was obtained from 
      the publicly available College of Physicians and Surgeons of Alberta and 
      respective primary care network websites. Interview questions addressed 
      physicians' perspectives on factors or processes that facilitated and hindered 
      the care and medication management of adult patients with T2DM in primary care 
      team-based clinical practice. Interviews were audio-recorded, transcribed, and 
      analyzed using qualitative content analysis and a constant comparative approach. 
      RESULTS: A total of 15 family physicians participated in individual interviews. 
      Family physicians identified facilitators of interprofessional team-based care 
      and medication management of patients with T2DM in three theme areas-access to 
      team members and programs, knowledgeable and skilled health professionals, and 
      provision of patient education by other health professionals. Two themes emerged 
      as barriers to interprofessional care - lack of provider continuity and the loss 
      of skills from delegation of tasks. CONCLUSION: Family physicians perceive both 
      benefits and risks to interprofessional team-based care in caring for patients 
      with T2DM. Successful functioning of team-based care in family practice will 
      require overcoming traditional professional roles.
CI  - (c) 2022. The Author(s).
FAU - Torti, Jacqueline M I
AU  - Torti JMI
AD  - Department of Medicine, Schulich School of Medicine and Dentistry; Faculty of 
      Education; Centre for Education Research and Innovation, Schulich School of 
      Medicine and Dentistry, Western University. Medical Sciences Building Suite 102A, 
      London, ON, N6A 5C1, Canada. jtorti2@uwo.ca.
FAU - Szafran, Olga
AU  - Szafran O
AD  - Department of Family Medicine, University of Alberta, 6-10 University Terrace, 
      Edmonton, AB, T6G 2T4, Canada.
FAU - Kennett, Sandra L
AU  - Kennett SL
AD  - Clinical Nurse Specialist, Edmonton Oliver Primary Care Network Family Medicine 
      Clinic, Presently Is: Nurse Advisor, Primary Care, Health Canada, Misericordia 
      Community Hospital, Edmonton, Alberta, Canada, Suite 730, 9700 Jasper Avenue, 
      Edmonton, AB, 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, AB, T5R 4H5, 
      Canada.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20220408
PL  - England
TA  - BMC Prim Care
JT  - BMC primary care
JID - 9918300889006676
SB  - IM
MH  - Adult
MH  - Alberta
MH  - *Diabetes Mellitus, Type 2/therapy
MH  - Humans
MH  - Patient Care Team
MH  - *Physicians, Family
MH  - Primary Health Care
PMC - PMC8990268
OTO - NOTNLM
OT  - Family physician
OT  - Medication therapy management
OT  - Patient care team
OT  - Primary health care
OT  - Qualitative research
OT  - Type 2 diabetes mellitus
COIS- The authors declare that they have no competing interests.
EDAT- 2022/04/10 06:00
MHDA- 2022/04/13 06:00
PMCR- 2022/04/08
CRDT- 2022/04/09 05:04
PHST- 2022/01/06 00:00 [received]
PHST- 2022/04/05 00:00 [accepted]
PHST- 2022/04/09 05:04 [entrez]
PHST- 2022/04/10 06:00 [pubmed]
PHST- 2022/04/13 06:00 [medline]
PHST- 2022/04/08 00:00 [pmc-release]
AID - 10.1186/s12875-022-01688-w [pii]
AID - 1688 [pii]
AID - 10.1186/s12875-022-01688-w [doi]
PST - epublish
SO  - BMC Prim Care. 2022 Apr 8;23(1):74. doi: 10.1186/s12875-022-01688-w.