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Effectiveness of an interprofessional ambulatory care model on diabetes: evaluating clinical markers in a low-income patient population.

Madsen N, Joyce C, Vlasses F, Burkhart L. Effectiveness of an interprofessional ambulatory care model on diabetes: evaluating clinical markers in a low-income patient population. Journal of Interprofessional Care. 2021 Aug 6; 1-9.

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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 ( =  204) and propensity matched ( =  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 ( =  .02). Diastolic blood pressure less than 90 also significantly improved in the pre/post arm of the study (10.1% =  18, versus 3.9%, =  7, =  .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.





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