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2型糖尿病管理中的跨学科团队:来自实际场景的挑战与最佳实践解决方案

The interdisciplinary team in type 2 diabetes management: Challenges and best practice solutions from real-world scenarios.

作者信息

McGill Margaret, Blonde Lawrence, Chan Juliana C N, Khunti Kamlesh, Lavalle Fernando J, Bailey Clifford J

机构信息

Diabetes Centre, Royal Prince Alfred Hospital, University of Sydney, Sydney, Australia.

Ochsner Diabetes Clinical Research Unit, Frank Riddick Diabetes Institute, Department of Endocrinology, Ochsner Medical Centre, New Orleans, LA, USA.

出版信息

J Clin Transl Endocrinol. 2016 Dec 9;7:21-27. doi: 10.1016/j.jcte.2016.12.001. eCollection 2017 Mar.

Abstract

The has previously recommended the implementation of an interdisciplinary team (IDT) approach to type 2 diabetes (T2DM) management as one of 10 practical steps for health care professionals to help more people achieve their glycaemic goal. This article discusses some of the key contributors to success and also the challenges faced when applying IDT care, by examining case studies and examples from around the world. The real-world practices discussed show that implementing successful interdisciplinary care in diabetes is possible despite significant barriers such as established hierarchal structures and financial resource constraints. Instituting collaborative, integrated working relationships among multiple disciplines under strong leadership, together with enhanced and active communication and improved patient access to appropriate specialties is essential. Patients have a crucial role in the management of their own disease and including them as part of the treatment team is also critical. IDTs in diabetes care improve patient outcomes in terms of control of glycaemia and cardiometabolic risk factors, and decreased risk of diabetes complications. Ensuring access to an appropriate IDT, in whatever form, is paramount to enable the best care to be delivered.

摘要

该机构此前已建议采用跨学科团队(IDT)方法来管理2型糖尿病(T2DM),这是医疗保健专业人员帮助更多人实现血糖目标的10项实用步骤之一。本文通过研究世界各地的案例研究和实例,讨论了成功的一些关键因素以及应用IDT护理时面临的挑战。所讨论的实际做法表明,尽管存在既定的等级结构和财政资源限制等重大障碍,但在糖尿病中实施成功的跨学科护理是可能的。在强有力的领导下,在多个学科之间建立协作、综合的工作关系,同时加强积极沟通并改善患者获得适当专科治疗的机会至关重要。患者在自身疾病的管理中起着关键作用,将他们纳入治疗团队也是至关重要的。糖尿病护理中的IDT在控制血糖和心血管代谢危险因素以及降低糖尿病并发症风险方面改善了患者的治疗效果。确保以任何形式获得适当的IDT对于提供最佳护理至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5379/5651292/8fd6cd3d7f02/gr1.jpg

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