BACKGROUND: The authors have previously found that multidisciplinary care plans are associated with improved processes and outcomes of care for diabetic patients. This article examines whether care plans are more likely to be implemented and have greater benefit for patients with poor metabolic control. METHODS: Retrospective before and after medical record audit of 230 type 2 diabetic patients with care plans. RESULTS: There was more multidisciplinary care provided and a significant decrease in mean post-care plan glycated haemoglobin (HbA1c) in patients who had a pre-care plan HbA1c level of more than 7%, but no significant change in those patients with HbA1c of 7% or less. DISCUSSION: Care plans are beneficial and more often implemented for patients with poor metabolic control. If this positive impact is due to the implementation of multidisciplinary care, questions are raised about the relative effectiveness of general practitioner management plans and team care arrangements, as the former do not necessarily involve other health professionals.
BACKGROUND: The authors have previously found that multidisciplinary care plans are associated with improved processes and outcomes of care for diabeticpatients. This article examines whether care plans are more likely to be implemented and have greater benefit for patients with poor metabolic control. METHODS: Retrospective before and after medical record audit of 230 type 2 diabeticpatients with care plans. RESULTS: There was more multidisciplinary care provided and a significant decrease in mean post-care plan glycated haemoglobin (HbA1c) in patients who had a pre-care plan HbA1c level of more than 7%, but no significant change in those patients with HbA1c of 7% or less. DISCUSSION: Care plans are beneficial and more often implemented for patients with poor metabolic control. If this positive impact is due to the implementation of multidisciplinary care, questions are raised about the relative effectiveness of general practitioner management plans and team care arrangements, as the former do not necessarily involve other health professionals.
Authors: Ashley N Saucier; Benjamin Ansa; Janis Coffin; Mariam Akhtar; Andre Miller; Holly Mahoney; Denise M Hodo; Carla Duffie; Brittney Fontenot; Holly E Andrews; Selina A Smith Journal: Eur J Pers Cent Healthc Date: 2017
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: 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: Susan Mary Carr; Penny Paliadelis; Monique Lhussier; Natalie Forster; Simon Eaton; Glenda Parmenter; Catharine Death Journal: SAGE Open Med Date: 2014-04-22