BACKGROUND: Since the introduction of the Enhanced Primary Care package, care plans have become part of Australian general practice. Previous research has focused on barriers to the uptake of care plans. This study examined the effect of multidisciplinary care plans on provision and outcome of care for patients with type 2 diabetes. METHODS: A retrospective before/after medical record audit design was chosen. Subjects of the study were general practitioners practising in Southwest Sydney (New South Wales) and their diabetic patients who had written care plans. Outcome measures were frequency and results of glycosylated haemoglobin, blood pressure, foot, serum lipids, weight, and microalbumin checks. RESULTS: The medical records of 230 patients were audited. Following the care plan, adherence to diabetes guidelines increased. Metabolic control and cardiovascular risk factors improved for patients who had multidisciplinary care implemented. DISCUSSION: Whether the improved diabetes care shown here is attributed to improved teamwork and/or coordination of care needs further research.
BACKGROUND: Since the introduction of the Enhanced Primary Care package, care plans have become part of Australian general practice. Previous research has focused on barriers to the uptake of care plans. This study examined the effect of multidisciplinary care plans on provision and outcome of care for patients with type 2 diabetes. METHODS: A retrospective before/after medical record audit design was chosen. Subjects of the study were general practitioners practising in Southwest Sydney (New South Wales) and their diabeticpatients who had written care plans. Outcome measures were frequency and results of glycosylated haemoglobin, blood pressure, foot, serum lipids, weight, and microalbumin checks. RESULTS: The medical records of 230 patients were audited. Following the care plan, adherence to diabetes guidelines increased. Metabolic control and cardiovascular risk factors improved for patients who had multidisciplinary care implemented. DISCUSSION: Whether the improved diabetes care shown here is attributed to improved teamwork and/or coordination of care needs further research.
Authors: Geremia B Bolli; Larry C Deeb; Satish K Garg; John L Leahy; Roger S Mazze; David R Owens; Matthew C Riddle; Phil Southerland; Ellie S Strock Journal: Diabetes Technol Ther Date: 2011-09 Impact factor: 6.118
Authors: Jenni Burt; Jo Rick; Thomas Blakeman; Joanne Protheroe; Martin Roland; Pete Bower Journal: Prim Health Care Res Dev Date: 2013-07-24 Impact factor: 1.458
Authors: Justin K Benzer; Gary Young; Kelly Stolzmann; Katerine Osatuke; Mark Meterko; Allison Caso; Bert White; David C Mohr Journal: Health Serv Res Date: 2011-01-06 Impact factor: 3.402
Authors: Joanne Protheroe; Tom Blakeman; Peter Bower; Carolyn Chew-Graham; Anne Kennedy Journal: BMC Health Serv Res Date: 2010-07-14 Impact factor: 2.655
Authors: David Reeves; Mark Hann; Jo Rick; Kelly Rowe; Nicola Small; Jenni Burt; Martin Roland; Joanne Protheroe; Tom Blakeman; Gerry Richardson; Anne Kennedy; Peter Bower Journal: Br J Gen Pract Date: 2014-09 Impact factor: 5.386
Authors: Jenny Newbould; Jenni Burt; Peter Bower; Tom Blakeman; Anne Kennedy; Anne Rogers; Martin Roland Journal: BMC Fam Pract Date: 2012-07-25 Impact factor: 2.497