首页> 外文学位 >The Impact of Interprofessional Collaboration on Diabetes Outcomes in Primary Care Settings
【24h】

The Impact of Interprofessional Collaboration on Diabetes Outcomes in Primary Care Settings

机译:在基层医疗机构中,专业间合作对糖尿病结局的影响

获取原文
获取原文并翻译 | 示例

摘要

Inadequate interprofessional collaboration (IPC) and communication among health care professionals are associated with medical errors and mortality. Guided by the theory of goal attainment and the chronic care model, a systematic review was conducted to explore the evidence related to whether interprofessional collaborative primary care can have a positive effect on health outcomes for patients living with diabetes (PLWD). The systematic review followed the Joanna Briggs Institute method for systematic reviews and results were complied with the PRISMA evidence-based minimum set for reporting. Data were analyzed to identify if IPC positively impacted the health outcomes of PLWD, as evidenced by a reduction in hemoglobin A1c and body mass index. Five studies met the inclusion criteria of English-speaking, peer-reviewed studies. Statistically significant improvement in hemoglobin A1c (p < 0.001) and body mass index (p = 0.026) was shown in 2 studies. Two studies lacked robust statistical analysis of the data; however, researchers showed an average reduction in participants' hemoglobin A1c from 10.6% to 8.8% (N = 45) in one study and a change of -0.7 to -0.9% (N = 3) in another. A fifth study showed that collaboration patterns that included equitable and comprehensive participation of 3 disciplines resulted in a lower proportion of patients with hemoglobin A1c levels greater than 9%. Four out of the 5 research studies noted the integration of pharmacists into the interprofessional collaborative team. The implication for positive social change for this systematic review is that the greater use of interprofessional collaboration and communication may improve the outcomes of patients with diabetes in primary care settings.
机译:专业人士之间的跨专业合作(IPC)和沟通不足与医疗错误和死亡率有关。在目标达成理论和慢性护理模型的指导下,进行了系统的综述,以探讨与专业间协作式初级护理是否可以对糖尿病患者的健康结果产生积极影响的证据。系统评价遵循Joanna Briggs Institute方法进行系统评价,结果符合PRISMA循证报告的最低要求。通过分析数据来确定IPC是否对PLWD的健康结局产生了积极影响,如血红蛋白A1c和体重指数的降低所证明。五项研究符合英语,同行评审研究的纳入标准。两项研究显示,血红蛋白A1c(p <0.001)和体重指数(p = 0.026)有统计学意义的改善。有两项研究缺乏对数据进行可靠的统计分析。然而,研究人员显示,在一项研究中,参与者的血红蛋白A1c从10.6%降低至8.8%(N = 45),在另一项研究中,则从-0.7降低至-0.9%(N = 3)。第五项研究表明,包括3个学科的公平和全面参与在内的协作模式导致血红蛋白A1c水平高于9%的患者比例降低。 5项研究中有4项指出了药剂师已纳入跨专业合作团队。这项系统评价带来积极的社会变革的意义在于,更多地使用专业间的协作和交流可以改善初级保健机构中糖尿病患者的结局。

著录项

  • 作者

    DeLoach, Charette.;

  • 作者单位

    Walden University.;

  • 授予单位 Walden University.;
  • 学科 Nursing.;Public health.
  • 学位 D.N.P.
  • 年度 2018
  • 页码 96 p.
  • 总页数 96
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 建筑科学;
  • 关键词

  • 入库时间 2022-08-17 11:41:25

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号