학술논문

Effectiveness of an interprofessional ambulatory care model on diabetes: evaluating clinical markers in a low-income patient population.
Document Type
Article
Source
Journal of Interprofessional Care. Jul/Aug2022, Vol. 36 Issue 4, p500-508. 9p. 1 Diagram, 4 Charts.
Subject
*Statistical significance
*Outpatient medical care
*Key performance indicators (Management)
*Multivariate analysis
*Multiple regression analysis
*Retrospective studies
*Mann Whitney U Test
*Type 2 diabetes
*Socioeconomic factors
*Treatment effectiveness
*Comparative studies
*Interprofessional relations
*Philosophy of education
*Clinical medicine
*Research funding
*Descriptive statistics
*Chi-squared test
*Medical practice
*Data analysis software
*Data analysis
Language
ISSN
1356-1820
Abstract
The purpose of this study was to determine whether a new ambulatory care model, interprofessional collaborative care–coordinated team model (interprofessional model), based on the Wagner Care Model improved clinical indicators in a low-income population. This study was a retrospective 12-month pre-post (n = 204) and propensity matched (n = 171) comparative study of the interprofessional model in a primary clinic for patients with type 2 diabetes. Secondary data were collected from June 2014to February 2017 in an academic medical centre in a large Midwestern city. Findings demonstrated statistically and clinically significant improvement in A1C in both the pre/post arm of the study (↓ 0.8%) and the intervention/propensity matched arm (↓ 0.53%). Within the intervention group, there was a significant decrease in weight in the pre/post arm with 55% of cases losing weight, whereas 45% did not lose weight (p =.02). Diastolic blood pressure less than 90 also significantly improved in the pre/post arm of the study (10.1% n = 18, versus 3.9%, n = 7, p =.04). The interprofessional model showed that an ambulatory healthcare redesign incorporating an interprofessional team approach to optimise the health of this type 2 diabetes patient population can be effective. This study demonstrates the importance of using interprofessional collaborative practice teams to guide healthcare and improve patient outcomes. [ABSTRACT FROM AUTHOR]