Effectiveness of an interprofessional ambulatory care model on diabetes: evaluating clinical markers in a low-income patient population. Issue 4 (4th July 2022)

• Record Type: Journal Article
• Authors: Madsen, Nancy; Joyce, Cara; Vlasses, Frances; Burkhart, Lisa
• Is Part Of: Journal of interprofessional care. Volume 36:Issue 4(2022)
• Page Start: 500
• Page End: 508
• Publication Date: 2022-07-04
• Subjects: Ambulatory care -- type 2 diabetes -- patient care team -- continuity of patient care -- collaborative care -- collaborative practice; Holistic medicine -- Periodicals; Interprofessional relations -- Periodicals; Health care teams -- Periodicals; 361
• DOI: 10.1080/13561820.2021.1941816
• Languages: English
• ISSNs: 1356-1820

Abstract

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.