Review and analysis of the effectiveness of the multidisciplinary model for diabetes care.

Authors

DOI:

https://doi.org/10.19136/hs.a18n3.3300

Abstract

Objective: To describe the effectiveness of the multidisciplinary model of care in the treatment of people with type II diabetes.

Material and Method: Based on a literary search using the google academic search engine for the ease in its use, studies were searched that will involve the subject of interest multidisciplinary models in the treatment of Diabetes. A narrative synthesis was carried out that was carried out from the studies that were found, which consisted in a summary of each study that included the country of the study, description of the methodology, the size of the sample, and a synopsis of the results. Results: The analyzed studies were classified according to their score in the categories: changes of biochemical markers, prevention and reduction of adverse events and cost-effectiveness analysis. In all the categories of analysis, the evidence was broadly favorable in patients with multidisciplinary management.

Conclusions: Multidisciplinary group care in patients with diabetes has significant advantages with respect to purely biomedical care. It offers the emotional and social support of people with similar experiences and serves as a model of greater resolution of the problem to patients in similar circumstances, favoring the ability to achieve diabetes management goals.

Keywords: Patient Care Team; Diabetes Mellitus Type 2; Cost-Effectiveness Evaluation.

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Author Biographies

  • Joaquín Arnoldo Escobar-Trinidad, National Institute of Public Health

    Bio-medical engineer. Master of Science student in Health Systems and Policies. National Institute of Public Health, Mexico.

  • Abel Armando Arredondo-López, National Institute of Public Health

    Bachelor of Medicine Master of Science in Organization and Management of Health Care Systems Doctor of Health Sciences Professor Researcher at the National Institute of Public Health SNI III

References

Marín C, Arcia N, Menéndez J, Alfonso JC, León Díaz EM, Guevara A. Enfermedades crónicas y limitación funcional en adultos mayores: estudio comparativo en siete ciudades de América Latina y el Caribe. Rev Panam Salud Pública. 2007;17(5–6):353–61.

Organización Mundial de la Salud. Informe Mundial Sobre La Diabetes. Resumen de orientación [Internet]. 2016;4. Available from: https://www.who.int/diabetes/global-report/es/

Rivera JA, Barquera S, Gonzalez-Cossio T, Olaiz G, Sepulveda J. Nutrition transition in Mexico and in other Latin American countries. Nutr Rev 2004;62(7 Pt 2):S149-S157.

56. Smith S, Bury G, O’Leary M, Shannon W, Tynan A, Staines A, et al. The North Dublin randomized controlled trial of structured diabetes shared care. Fam Prac 2004;21:39-46.

Landon B, Hicks LRS, O’Malley AJ, Lieu T, Keegan T, Mc Neil BJ, et al. Improving the management of chronic disease at community health centers. N Engl J Med 2007;356:921-934.

Renders CM, Valk GD, Griffin S, Wagner EH, van Eijk JThM, Assendelft WJJ. Interventions to improve the management of diabetes mellitus in primary care, outpatient and community settings. Cochrane Database of Systematic Reviews 2000; Issue 4. Art No. CD001481.

Salud México S de. Norma Oficial Mexicana NOM-015-SSA2 2010 Para la prevención, tratamiento y control de la Diabetes. D Of la Fed [Internet]. 2010;2:40. Available from: www.ssa.gob.mx

Glasgow RE, Strycker LA. Preventive care practices for diabetes management in two primary care samples. Am J. Prev Med 2000; 19:9-14.

Peters AL, Legorreta AP, Ossorio RC, Davidson MB. Quality of outpatient care provided to diabetic patients. A health maintanance organization experience. Diabetes Care 1996; 19:601-6

Secretaría de Salud. Manual de Implementación UNEMES Enfermedades Crónicas: Sobrepeso, Riesgo Cardiovascular y Diabetes, 2ª edición. Disponible en: http://www.cenaprece.salud.gob.mx/programas/interior/adulto/descargas/pdf/ManualImplementacionUNEME_ECsobrepeso_RCV_DM.pdf.

Klonoff DC, Schwartz DM. An economic analysis of interventions for diabetes. Diabetes Care 1996;19:601-06.

Gozzoli V, Palmer AJ, Brandt A, Spinas GA. Economic and clinical impact of alternative disease management strategies for secondary prevention in type 2 diabetes in the Swiss setting. Swiss Med Wkly. 2001;131(21–22):303–10.

Villarreal-Ríos E, Vargas-Daza ER, Martínez-González L, Galicia-Rodríguez L, Ramos-Arteaga I. Coste-efectividad de la atención del paciente con diabetes mellitus tipo II manejado por el médico familiar versus estrategia educativa. Rev Clínica Med Fam. 2014;6(3):123–30.

Hull S, Chowdhury TA, Mathur R, Robson J. Improving outcomes for patients with type 2 diabetes using general practice networks: A quality improvement project in east London. BMJ Qual Saf. 2014;23(2):171–6.

Atenco SM, Lerdo T De. Programa de atención multidisciplinario para el tratamiento de pacientes con diabetes en el primer nivel de atención. 2016;18–23.

Orjuela A, Ellis E, Ocampo D. Impacto de un programa personalizado de educación en pacientes diabeticos tipo 2. Acta Medica Colombiana. 2014; 39(3):258-263

Buggy A, Moore Z. The impact of the multidisciplinary team in the management of individuals with diabetic foot ulcers: a systematic review. Journal of Wound Care.2017.26(6), 324–339.

Jimenez A, Aguilar A, Rojas R, Hernandez M. Type 2 diabetes and frecuency of prevention and control measures. Salud Pública Mex. 2013; 55(2):137-143.

González C, López R, Campuzano C, González E. The status of diabetes care in Mexican population: are we making a difference? results of the National Health and Nutrition Survey 2006. Salud Publica Mex. 2010;52(1):36-43.

Fanghänel G, Sánchez L, Chiquete E, De la Luz Castro J, Escalante A. Multicenter international registry to evaluate the clinical practice delivered to patients with type 2 diabetes mellitus: a sub-analysis of the experience in Mexico. Gac Med Mex. 2011; 147:226-33.

Clarke P, et al. A model to estimate the lifetime health outcome of patients with Type 2 diabetes: the United Kingdom Prospective Diabetes Study (UKPDS) Outcomes Model (UKPDS no. 68). Diabetologia 2008; 47(10): 1747-59.

Published

2019-08-29

Issue

Section

Reviewed Articles

How to Cite

Escobar-Trinidad, J. A. ., & Arredondo-López, A. A. (2019). Review and analysis of the effectiveness of the multidisciplinary model for diabetes care. Horizonte Sanitario, 18(3). https://doi.org/10.19136/hs.a18n3.3300

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