Login Register Cart 0
Generic placeholder image

Current Diabetes Reviews

Editor-in-Chief

ISSN (Print): 1573-3998
ISSN (Online): 1875-6417

Back
Journal Home About Journal Editorial Board Journal Insight Current Issue Volumes/Issues
Subscribe
Systematic Review Article

Perceived Barriers, Benefits, Facilitators, and Attitudes of Health Professionals Towards Multidisciplinary Team Care in Type 2 Diabetes Management: A Systematic Review

Author(s): Usman Sani Dankoly*, Dirk Vissers, Zainab El Farkouch, Esther Kolasa, Abderrahim Ziyyat, Bart Van Rompaey and Abdellatif Maamri

Volume 17, Issue 6, 2021

Published on: 10 November, 2020

Article ID: e111020187812 Pages: 21

DOI: 10.2174/1573399816999201110200126

Price: $65

Abstract

Background: The need for a multidisciplinary team approach to provide physical exercise, diet, behavioral change, and insulin therapy in type 2 diabetes mellitus (T2DM) treatment has long been recognized. However, often patients with T2DM do not have access to a multidisciplinary team.

Introduction: In developing countries, most patients with T2DM receive their diabetes care in the office of an internist or family practice physician or in a primary level health center with a general practitioner. Knowledge of healthcare professionals regarding the perceived barriers, attitudes, facilitators, and benefits of a multidisciplinary team approach in T2DM treatment can help facilitate the implementation of multidisciplinary care in T2DM.

Methods: A systematic search strategy was performed in six databases (PubMed, Web of Science, CINAHL, EMBASE, MEDLINE, and Cochrane) using different keyword combinations to identify studies describing the healthcare professionals’ views of multidisciplinary team care in T2DM. A textual narrative synthesis was used to analyze data. The Critical Appraisals Skills Programme (CASP) tool for qualitative studies was used to assess the risk of bias and transferability.

Results: The views of health professionals about multidisciplinary team care in T2DM were categorized into six major factors, namely working collaboratively to foster supportive relationships; strong committed organizational and team leadership; diversity in expertise, with team members tailored to local circumstances; shared goals and approaches to ensure consistency of message; clear and open communication with the team and with patients; and the patient at the center of decision- making.

Conclusion: There is a huge gap in shared roles among health professionals in T2DM therapy. Hence, there is a need for allied health professionals such as physiotherapists, dieticians, and psychologists with expertise in diabetes to explore primary healthcare, barriers and facilitators to the successful integration of multidisciplinary team, seamlessly distributedinto three hierarchal levels, namely health management, health professionals, and diabetic patients.

Keywords: Type 2 diabetes, interdisciplinary health team, qualitative research, health profession, multidisciplinary care, narrative synthesis.

[1]
Seidu SI, Khunti K, Davies MJ. The role of the multidisciplinary team across primary and secondary care textbook of diabetes. 2017; 961-72.
[2]
Levitt NS, Surka S, Farmer A, Mash B. Models of diabetes care across different resource settings.Textbook of diabetes. (5th.). Chichester,West Sussex, UK; Hoboken: Wiley-Blackwell 2016; pp. 973-86.
[3]
Jaacks LM, Siegel KR, Gujral UP, Narayan KMV. Type 2 diabetes: A 21st century epidemic. Best Pract Res Clin Endocrinol Metab 2016; 30(3): 331-43.
[http://dx.doi.org/10.1016/j.beem.2016.05.003] [PMID: 27432069]
[4]
Maamri A, Ben El Mostafa S. The environmental health role in reducing non communicable diseases through a healthy lifestyle.Disease prevention and health promotion in developing countrie. Cham: Springer International Publishing 2020; pp. 39-59.
[5]
Standards of medical care in diabetes--2014. Diabetes Care 2014; 37(Suppl. 1): S14-80.
[http://dx.doi.org/10.2337/dc14-S014] [PMID: 24357209]
[6]
Federation ID. IDF diabetes atlas. (5th.). 2011. Available from: https://www.idf.org/our-activities/advocacy-awareness/resources-and-tools/20-atlas-5th-edition.html
[7]
Wang CY, Yu NC, Sheu WH, Tsai ST, Tai TY. Team care of type 2 diabetes mellitus in Taiwan. Diabetes Res Clin Pract 2014; 106(Suppl. 2): S309-13.
[http://dx.doi.org/10.1016/S0168-8227(14)70735-1] [PMID: 25550059]
[8]
Vaidya V, Gangan N, Sheehan J. PHS4. Impact of cardiovascular comorbidities on patients with type 2 diabetes mellitus: a systematic review. Expert Rev Pharmacoecon Outcomes Res 2015; 17: 1-11.
[9]
Rouyard T, Kent S, Baskerville R, Leal J, Gray A. Perceptions of risks for diabetes-related complications in Type 2 diabetes populations: a systematic review. Diabet Med 2017; 34(4): 467-77.
[http://dx.doi.org/10.1111/dme.13285] [PMID: 27864886]
[10]
McGill M, Felton AM. New global recommendations: A multidisciplinary approach to improving outcomes in diabetes. Prim Care Diabetes 2007; 1(1): 49-55.
[http://dx.doi.org/10.1016/j.pcd.2006.07.004] [PMID: 18632019]
[11]
Suwita BM, Friska D, Widjaja DS, Srisawitri L. Multidiscipline care for type 2 diabetes patients: from general to asian population. Acta Med Indones 2017; 49(3): 259-66.
[PMID: 29093238]
[12]
McGill M, Blonde L, Chan JCN, Khunti K, Lavalle FJ, Bailey CJ. The interdisciplinary team in type 2 diabetes management: Challenges and best practice solutions from real-world scenarios. J Clin Transl Endocrinol 2016; 7: 21-7.
[http://dx.doi.org/10.1016/j.jcte.2016.12.001] [PMID: 29067246]
[13]
Anderson BJ, Goebel-Fabbri AE, Jacobson AM. Behavioral research and psychological issues in diabetes: Progress and prospects.Joslin’s diabetes mellitus. (14th.). Boston: Lippincott Williams and Wilkins 2005; pp. 633-44.
[14]
Programme Cas. CASP Qualitative Checklist 2018. Available from: https://casp-uk.net/casp-tools-checklists/
[15]
Foster M, Burridge L, Donald M, Zhang J, Jackson C. The work of local healthcare innovation: A qualitative study of GP-led integrated diabetes care in primary health care. BMC Health Serv Res 2016; 16: 11.
[http://dx.doi.org/10.1186/s12913-016-1270-4] [PMID: 26769248]
[16]
King M, King L, Willis E, Munt R, Semmens F. Issues that impact on Aboriginal health workers’ and registered nurses’ provision of diabetes health care in rural and remote health settings. Aust J Rural Health 2013; 21(6): 306-12.
[http://dx.doi.org/10.1111/ajr.12062] [PMID: 24299434]
[17]
Manski-Nankervis JA, Furler J, Blackberry I, Young D, O’Neal D, Patterson E. Roles and relationships between health professionals involved in insulin initiation for people with type 2 diabetes in the general practice setting: a qualitative study drawing on relational coordination theory. BMC Fam Pract 2014; 15: 20.
[http://dx.doi.org/10.1186/1471-2296-15-20] [PMID: 24479762]
[18]
McDonald J, Jayasuriya R, Harris MF. The influence of power dynamics and trust on multidisciplinary collaboration: A qualitative case study of type 2 diabetes mellitus. BMC Health Serv Res 2012; 12: 63.
[http://dx.doi.org/10.1186/1472-6963-12-63] [PMID: 22413897]
[19]
Ritholz MD, Beverly EA, Abrahamson MJ, Brooks KM, Hultgren BA, Weinger K. Physicians’ perceptions of the type 2 diabetes multi-disciplinary treatment team: A qualitative study. Diabetes Educ 2011; 37(6): 794-800.
[http://dx.doi.org/10.1177/0145721711423320] [PMID: 22002972]
[20]
Rojas E, Gerber BS, Tilton J, Rapacki L, Sharp LK. Pharmacists’ perspectives on collaborating with community health workers in diabetes care. J Am Pharm Assoc (2003) 2015; 55(4): 429-33.
[http://dx.doi.org/10.1331/JAPhA.2015.14123] [PMID: 26161485]
[21]
Newell E, Donnell MO. A qualitative study exploring GPs’ and practice nurses’ experiences of working with the diabetes nurse specialist. J Diabetes Nurs 2018; 22(6): 46.
[22]
Mc Hugh S, O’Mullane M, Perry IJ, Bradley C. Barriers to, and facilitators in, introducing integrated diabetes care in Ireland: A qualitative study of views in general practice. BMJ Open 2013; 3(8): e003217.
[http://dx.doi.org/10.1136/bmjopen-2013-003217] [PMID: 23959754]
[23]
Booth AO, Lowis C, Dean M, Hunter SJ, McKinley MC. Diet and physical activity in the self-management of type 2 diabetes: Barriers and facilitators identified by patients and health professionals. Prim Health Care Res Dev 2013; 14(3): 293-306.
[http://dx.doi.org/10.1017/S1463423612000412] [PMID: 23739524]
[24]
Winkley K, Upsher R, Keij SM, Chamley M, Ismail K, Forbes A. Healthcare professionals’ views of group structured education for people with newly diagnosed Type 2 diabetes. Diabet Med 2018; 35(7): 911-9.
[http://dx.doi.org/10.1111/dme.13637] [PMID: 29633382]
[25]
Brez S, Rowan M, Malcolm J, et al. Transition from specialist to primary diabetes care: a qualitative study of perspectives of primary care physicians. BMC Fam Pract 2009; 10: 39.
[http://dx.doi.org/10.1186/1471-2296-10-39] [PMID: 19500397]
[26]
Gucciardi E, Espin S, Morganti A, Dorado L. Implementing specialized diabetes teams in primary care in southern ontario. Can J Diabetes 2015; 39(6): 467-77.
[http://dx.doi.org/10.1016/j.jcjd.2015.07.006] [PMID: 26482885]
[27]
Abouammoh NA, Barnes S, Goyder E. Providing lifestyle advice to people with type 2 diabetes from different cultures: A qualitative investigation. Diabetes and Primary Care 2016; 18(6): 283-7.
[28]
Ali HI, Bernsen RM, Baynouna LM. Barriers to weight management among Emirati women: a qualitative investigation of health professionals’ perspectives. Int Q Community Health Educ 2008-2009-2009; 29(2): 143-59.
[http://dx.doi.org/10.2190/IQ.29.2.d] [PMID: 19546089]
[29]
Noor Abdulhadi NM, Al-Shafaee MA, Wahlström R, Hjelm K. Doctors’ and nurses’ views on patient care for type 2 diabetes: an interview study in primary health care in Oman. Prim Health Care Res Dev 2013; 14(3): 258-69.
[http://dx.doi.org/10.1017/S146342361200062X] [PMID: 23259934]
[30]
Sunaert P, Vandekerckhove M, Bastiaens H, et al. Why do GPs hesitate to refer diabetes patients to a self-management education program: a qualitative study. BMC Fam Pract 2011; 12(94): 94.
[http://dx.doi.org/10.1186/1471-2296-12-94] [PMID: 21902832]
[31]
Tapia-Conyer R, Saucedo-Martinez R, Mujica-Rosales R, et al. Enablers and inhibitors of the implementation of the casalud model, a mexican innovative healthcare model for non-communicable disease prevention and control. Health Res Policy Syst 2016; 14(1): 52.
[http://dx.doi.org/10.1186/s12961-016-0125-0] [PMID: 27443309]
[32]
Wibowo Y, Sunderland B, Hughes J. Pharmacist and physician perspectives on diabetes service delivery within community pharmacies in Indonesia: a qualitative study. Int J Pharm Pract 2016; 24(3): 180-8.
[http://dx.doi.org/10.1111/ijpp.12227] [PMID: 26670327]
[33]
Raaijmakers LG, Hamers FJ, Martens MK, Bagchus C, de Vries NK, Kremers SP. Perceived facilitators and barriers in diabetes care: A qualitative study among health care professionals in the Netherlands. BMC Fam Pract 2013; 14: 114.
[http://dx.doi.org/10.1186/1471-2296-14-114] [PMID: 23937325]
[34]
Stevens F, Horst F, Nijhuis F, Bours S. The division of labour in vision care: Professional competence in a system of professions. Sociol Health Illn 2001; 22: 431-52.
[http://dx.doi.org/10.1111/1467-9566.00213]
[35]
Bacon D, Borthwick AM. Charismatic authority in modern healthcare: The case of the ‘diabetes specialist podiatrist’. Sociol Health Illn 2013; 35(7): 1080-94.
[http://dx.doi.org/10.1111/1467-9566.12024] [PMID: 23278366]
[36]
Jortberg BT, Fleming MO. Registered dietitian nutritionists bring value to emerging health care delivery models. J Acad Nutr Diet 2014; 114(12): 2017-22.
[http://dx.doi.org/10.1016/j.jand.2014.08.025] [PMID: 25458750]
[37]
Abuyassin B, Laher I. Diabetes epidemic sweeping the Arab world. World J Diabetes 2016; 7(8): 165-74.
[http://dx.doi.org/10.4239/wjd.v7.i8.165] [PMID: 27114755]
[38]
Badran M, Laher I, Type II, Type II. Type II diabetes mellitus in arabic-speaking countries. Int J Endocrinol 2012; 2012: 902873.
[http://dx.doi.org/10.1155/2012/902873] [PMID: 22851968]
[39]
Ypinazar VA, Margolis SA. Delivering culturally sensitive care: the perceptions of older Arabian gulf Arabs concerning religion, health, and disease. Qual Health Res 2006; 16(6): 773-87.
[http://dx.doi.org/10.1177/1049732306288469] [PMID: 16760535]

Rights & Permissions Print Cite
Article Metrics
28
1
© 2024 Bentham Science Publishers | Privacy Policy