Codispoti Catherine, Douglas Malinda Reddish, McCallister Tonya, Zuniga Armando
OU College of Public Health, USA.
J Okla State Med Assoc. 2004 May;97(5):201-4.
In an effort to provide effective and efficient care to patients with chronic health conditions, the U.S. healthcare system is in the process of redesigning its delivery system. One approach to meet the high demands of patients and to best utilize resources is the use of a multidisciplinary team approach to provide better care when compared to an individual patient - physician care. When properly implemented, this team approach provides positive measurable outcomes. With a diverse group of healthcare professionals, such as physicians, nurses, pharmacists, dieticians, and health educators with the patient at the center of the team, the team can ensure treatment goals are maintained for chronic diseases. The team approach implements: patient satisfaction and self-management, development of a community support network, team coordination, team communication, patient follow-up, use of protocols and other tools, use of computerized information systems, and outcome evaluations. The goal of this paper is to demonstrate the benefits of utilizing this multidisciplinary approach with Type II diabetes through the improvement of glycemic control and improved quality of life. Cost effectiveness is also discussed.
为了向患有慢性健康问题的患者提供有效且高效的护理，美国医疗保健系统正在重新设计其服务提供系统。与个体患者 - 医生护理相比，满足患者高需求并最佳利用资源的一种方法是采用多学科团队方法来提供更好的护理。如果实施得当，这种团队方法能产生可衡量的积极成果。由医生、护士、药剂师、营养师和健康教育工作者等不同的医疗保健专业人员组成团队，以患者为中心，该团队可以确保维持慢性病的治疗目标。团队方法实施：患者满意度和自我管理、社区支持网络的发展、团队协调、团队沟通、患者随访、协议和其他工具的使用、计算机化信息系统的使用以及结果评估。本文的目的是通过改善血糖控制和提高生活质量来证明对II型糖尿病采用这种多学科方法的益处。还讨论了成本效益。
