Integrated Care Models For Diabetes Management: Perspective From Medicine, Surgery, Nursing, Physical Therapy And Health Administration
Main Article Content
Keywords
integrated care, diabetes management, multidisciplinary care, nursing, medicine, surgery, physical therapy, health administration.
Abstract
Integrated care models in diabetes management involve collaboration across medicine, surgery, nursing, physical therapy, and health administration to optimize patient outcomes. By examining studies from 2010 to 2022, this paper highlights the benefits of a multidisciplinary approach to diabetes care, including improved quality of life, reduced complications, and enhanced patient outcomes.
These care models leverage the strengths of each discipline: physicians lead diagnosis and treatment planning; surgeons manage diabetes-related complications; nurses coordinate care and educate patients; physical therapists address mobility issues; and health administrators support policy changes and quality improvement. Despite the potential for positive impact, challenges such as inconsistent implementation and lack of standardization persist.
Ongoing research and the refinement of evidence-based practices are essential for furthering integrated care models and improving diabetes management. This paper underscores the importance of multidisciplinary collaboration in providing comprehensive, patient-centered care for individuals with diabetes
References
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Nasmith L, Cote B, Cox J, Inkell D, Rubenstein H, Jimenez V, et al. The challenge of promoting integration: conceptualization, implementation, and assessment of a pilot care delivery model for patients with type 2 diabetes. Fam Med. 2004;36(1):40–5.
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Nuovo J, Balsbaugh T, Barton S, Davidson E, Fox-Garcia J, Gandolfo A, et al. Development of a diabetes care management curriculum in a family medicine residency program. Dis Manag. 2004;7(4):314–24.
Ouwens M, Wollersheim H, Hermens R, Hulscher M, Grol R. Integrated care programmes for chronically ill patients: a review of systematic reviews. Int J Qual Health Care. 2005;17(2):141–6.
Pawson R, Tilley N. Realistic evaluation. London: SAGE Publications Ltd; 1997.
Peterson KA, Radosevich DM, O’Connor PJ, Nyman JA, Prineas RJ, Smith SA, et al. Improving diabetes care in practice: Findings from the TRANSLATE trial. Diabetes Care. 2008;12:2238–43.
Rothe U, Muller G, Schwarz PE, Seifert M, Kunath H, Koch R, et al. Evaluation of a diabetes management system based on practice guidelines, integrated care, and continuous quality management in a Federal State of Germany: a population-based approach to health care research. Diabetes Care. 2008;31(5):863–8.
Sanchez I. Implementation of a diabetes self-management education program in primary care for adults using shared medical appointments. Diabetes Educ. 2011;37(3):381–91.
Shojania KG, Ranji SR, McDonald KM, Grimshaw JM, Sundaram V, Rushakoff RJ, et al. Effects of quality improvement strategies for type 2 diabetes on glycemic control: A meta-regression analysis. The Journal of the American Medical Association. 2006;296(4):427–40.
Sunaert P, Bastiaens H, Feyen L, Snauwaert B, Nobels F, Wens J, et al. Implementation of a program for type 2 diabetes based on the Chronic Care Model in a hospital-centered health care system: “the Belgian experience”. BMC Health Serv Res. 2009;9:152.
Yu GC, Beresford R. Implementation of a chronic illness model for diabetes care in a family medicine residency program. J Gen Intern Med. 2010;25 Suppl 4:S615–9.
Antoline C, Kramer A, Roth M. Implementation and methodology of a multidisciplinary disease-state-management program for comprehensive diabetes care. The Permanente Journal. 2011;15(1):43–8.
Berwick DM. The science of improvement. J Am Med Assoc. 2008;299(10):1182–4.
Borgermans L, Goderis G, Van Den Broeke C, Verbeke G, Carbonez A, Ivanova A, et al. Interdisciplinary diabetes care teams operating on the interface between primary and specialty care are associated with improved outcomes of care: findings from the Leuven Diabetes Project. BMC Health Serv Res. 2009;9:179.
Caruso LB, Clough-Gorr KM, Silliman RA. Improving quality of care for urban older people with diabetes mellitus and cardiovascular disease. J Am Geriatr Soc. 2007;55(10):1656–62.
Estrada CA, Safford MM, Salanitro AH, Houston TK, Curry W, Williams JH, Ovalle F, Kim Y, Foster P, Allison JJ. A web-based diabetes intervention for physician: a cluster-randomized effectiveness trial. International journal for quality in health care : journal of the International Society for Quality in Health Care/ISQua2011. p. 682–89.
Fokkens AS, Wiegersma PA, Reijneveld SA. Organization of diabetes primary care: a review of interventions that delegate general practitioner tasks to a nurse. J Eval Clin Pract. 2011;17:199–203.
Gabbay RA, Lendel I, Saleem TM, Shaeffer G, Adelman AM, Mauger DT, et al. Nurse case management improves blood pressure, emotional distress and diabetes complication screening. Diabetes Res Clin Pract. 2006;71(1):28–35.
Greenhalgh T, Humphrey C, Hughes J, MacFarlane F, Butler C, Pawson R. How Do You modernize a health service? A realist evaluation of whole-scale transformation in London. Milbank Q. 2009;87(2):391–416.
Hill-Briggs F, Batts-Turner M, Gary TL, Brancati FL, Hill M, Levine DM, et al. Training community health workers as diabetes educators for urban African Americans: value added using participatory methods. Prog Community Health Partnersh. 2007;1(2):185–94. Hunt JS, Siemienczuk J, Gillanders W, LeBlanc BH, Rozenfeld Y, Bonin K, et al. The impact of a physician-directed health information technology system on diabetes outcomes in primary care: a pre- and post-implementation study. Inform Prim Care. 2009;17(3):165–74.
Lemay CA, Beagan BM, Ferguson WJ, Hargraves JL. Lessons learned from a collaborative to improve care for patients with diabetes in 17 community health centers, Massachusetts, 2006. Prev Chronic Dis. 2010;7(4):A83.
Ling T, Brereton L, Conklin A, Newbould J, Roland M. Barriers and facilitators to integrating care: experiences from the English Integrated Care Pilots. International Journal of Integrated Care. 2012;12(129):1–12.
Mc Hugh S, O’Mullane M, Perry IJ, Bradley C. Barriers to, and facilitators in, introducing integrated diabetes care in Ireland: a qualitative study of views in general practice. BMJ Open. 2013;3:1–9.
Nasmith L, Cote B, Cox J, Inkell D, Rubenstein H, Jimenez V, et al. The challenge of promoting integration: conceptualization, implementation, and assessment of a pilot care delivery model for patients with type 2 diabetes. Fam Med. 2004;36(1):40–5.
Norris SL, Nichols PJ, Caspersen CJ, Glasgow RE, Engelgau MM, Jack Jr L, et al. The effectiveness of disease and case management for people with diabetes: A systematic review. Am J Prev Med. 2013;22(4 Suppl):15–38.
Nuovo J, Balsbaugh T, Barton S, Davidson E, Fox-Garcia J, Gandolfo A, et al. Development of a diabetes care management curriculum in a family medicine residency program. Dis Manag. 2004;7(4):314–24.
Ouwens M, Wollersheim H, Hermens R, Hulscher M, Grol R. Integrated care programmes for chronically ill patients: a review of systematic reviews. Int J Qual Health Care. 2005;17(2):141–6.
Pawson R, Tilley N. Realistic evaluation. London: SAGE Publications Ltd; 1997.
Peterson KA, Radosevich DM, O’Connor PJ, Nyman JA, Prineas RJ, Smith SA, et al. Improving diabetes care in practice: Findings from the TRANSLATE trial. Diabetes Care. 2008;12:2238–43.
Rothe U, Muller G, Schwarz PE, Seifert M, Kunath H, Koch R, et al. Evaluation of a diabetes management system based on practice guidelines, integrated care, and continuous quality management in a Federal State of Germany: a population-based approach to health care research. Diabetes Care. 2008;31(5):863–8.
Sanchez I. Implementation of a diabetes self-management education program in primary care for adults using shared medical appointments. Diabetes Educ. 2011;37(3):381–91.
Shojania KG, Ranji SR, McDonald KM, Grimshaw JM, Sundaram V, Rushakoff RJ, et al. Effects of quality improvement strategies for type 2 diabetes on glycemic control: A meta-regression analysis. The Journal of the American Medical Association. 2006;296(4):427–40.
Sunaert P, Bastiaens H, Feyen L, Snauwaert B, Nobels F, Wens J, et al. Implementation of a program for type 2 diabetes based on the Chronic Care Model in a hospital-centered health care system: “the Belgian experience”. BMC Health Serv Res. 2009;9:152.
Yu GC, Beresford R. Implementation of a chronic illness model for diabetes care in a family medicine residency program. J Gen Intern Med. 2010;25 Suppl 4:S615–9.
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Published
May 18, 2022
Article Details
How to Cite
Abdullah Abduh M Alsllami1, Saud Mohammed Ibrahim Alnashri2, Mrdiah Ali B Alalawi3, Mohammed Ahmed M Alsayed4, Brwji Sawid S Alsalami5, Hussain Omar A Almahmudi6. (2022). Integrated Care Models For Diabetes Management: Perspective From Medicine, Surgery, Nursing, Physical Therapy And Health Administration. Journal of Population Therapeutics and Clinical Pharmacology, 29(04), 1095-1103. https://doi.org/10.53555/jptcp.v29i04.5695
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All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Abdullah Abduh M Alsllami1, Saud Mohammed Ibrahim Alnashri2, Mrdiah Ali B Alalawi3, Mohammed Ahmed M Alsayed4, Brwji Sawid S Alsalami5, Hussain Omar A Almahmudi6. (2022). Integrated Care Models For Diabetes Management: Perspective From Medicine, Surgery, Nursing, Physical Therapy And Health Administration. Journal of Population Therapeutics and Clinical Pharmacology, 29(04), 1095-1103. https://doi.org/10.53555/jptcp.v29i04.5695