Hon Qin Marcus Tan1, Yip Han Chin1, Cheng Han Ng1, Yiyang Liow2, M Kamala Devi3, Chin Meng Khoo4, Lay Hoon Goh5. 1. Yong Loo Lin School of Medicine, National University Singapore, 10 Medical Dr, Singapore 117597, Singapore. 2. Division of Family Medicine, Yong Loo Lin School of Medicine, National University of Singapore, 10 Medical Dr, Singapore 117597, Singapore. 3. Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, 10 Medical Dr, Singapore 117597, Singapore. 4. Yong Loo Lin School of Medicine, National University Singapore, 10 Medical Dr, Singapore 117597, Singapore; Department of Medicine, National University Hospital, 5 Lower Kent Ridge Rd, Singapore 119074, Singapore. 5. Division of Family Medicine, Yong Loo Lin School of Medicine, National University of Singapore, 10 Medical Dr, Singapore 117597, Singapore. Electronic address: mdcglh@nus.edu.sg.
Abstract
OBJECTIVE/ BACKGROUND: This study sought to uncover the perspectives of various stakeholders towards multidisciplinary team (MDT) care, discover new understandings and help inform current practice on MDT care for diabetic patients. METHODS: 5 electronic databases were searched for articles that evaluated patients' and providers' perspectives on type 2 Diabetes Mellitus (T2DM) MDT management. Articles retrieved were sieved, coded and findings were analytically themed together in accordance to Thomas and Harden methodology. RESULTS: 15 articles were identified with three common themes: interactions between healthcare providers, benefits to patients and constraints and facilitators of the healthcare system. Trust and synergistic teamwork are important factors in promoting effective care. Patients commended MDT's improved accessibility and convenience and felt more welcomed. Often plagued by poor support, lack of manpower and resources, MDTs are less efficient and incapable of realizing their full potential. CONCLUSION: This review illustrates that the MDT model does improve diabetes treatment outcome, help prevent or reduce complications. Nevertheless, the MDT model can be a double-edged sword as poor interactions between HCPs can hamper quality patient care. The current MDT model is also based on available resources of the health system. More effort is needed to modify the MDT model to meet the changing needs of patients.
OBJECTIVE/ BACKGROUND: This study sought to uncover the perspectives of various stakeholders towards multidisciplinary team (MDT) care, discover new understandings and help inform current practice on MDT care for diabeticpatients. METHODS: 5 electronic databases were searched for articles that evaluated patients' and providers' perspectives on type 2 Diabetes Mellitus (T2DM) MDT management. Articles retrieved were sieved, coded and findings were analytically themed together in accordance to Thomas and Harden methodology. RESULTS: 15 articles were identified with three common themes: interactions between healthcare providers, benefits to patients and constraints and facilitators of the healthcare system. Trust and synergistic teamwork are important factors in promoting effective care. Patients commended MDT's improved accessibility and convenience and felt more welcomed. Often plagued by poor support, lack of manpower and resources, MDTs are less efficient and incapable of realizing their full potential. CONCLUSION: This review illustrates that the MDT model does improve diabetes treatment outcome, help prevent or reduce complications. Nevertheless, the MDT model can be a double-edged sword as poor interactions between HCPs can hamper quality patient care. The current MDT model is also based on available resources of the health system. More effort is needed to modify the MDT model to meet the changing needs of patients.
Authors: Wilson Sim; Wen Hui Lim; Cheng Han Ng; Yip Han Chin; Clyve Yu Leon Yaow; Clare Wei Zhen Cheong; Chin Meng Khoo; Dujeepa D Samarasekera; M Kamala Devi; Choon Seng Chong Journal: PLoS One Date: 2021-08-31 Impact factor: 3.240
Authors: Zhi H Ong; Lorraine H E Tan; Haziratul Z B Ghazali; Yun T Ong; Jeffrey W H Koh; Rachel Z E Ang; Chermaine Bok; Min Chiam; Alexia S I Lee; Annelissa M C Chin; Jamie X Zhou; Gene W H Chan; Gayathri D Nadarajan; Lalit K R Krishna Journal: J Med Educ Curric Dev Date: 2021-10-16
Authors: Ramfis Nieto-Martínez; Andrés Velásquez-Rodríguez; Claudia Neira; Xichen Mou; Andres Neira; Gabriela Garcia; Pedro Velásquez-Rodríguez; Marian Levy; Jeffrey I Mechanick; Pedro A Velásquez-Mieyer Journal: Nutrients Date: 2022-08-18 Impact factor: 6.706