Interdisciplinary speed dating augments diabetes self-management education and support to improve health outcomes.
Adult
Aged
Case Managers
Delivery of Health Care
/ methods
Diabetes Mellitus, Type 1
/ drug therapy
Diabetes Mellitus, Type 2
/ drug therapy
Female
Health Educators
Humans
Hypoglycemic Agents
/ therapeutic use
Interdisciplinary Communication
Male
Middle Aged
Nutritionists
Outcome Assessment, Health Care
Patient Care Team
Patient Education as Topic
Pharmacists
Self Care
Self-Management
/ education
Cholesterol
Chronic care
Chronic care model
Diabetes
Diabetes self-management education
Education
Group education
Hemoglobin A1C
Hospital utilization
Interdisciplinary
Outcomes
Patient education
Shared decision-making
Journal
Patient education and counseling
ISSN: 1873-5134
Titre abrégé: Patient Educ Couns
Pays: Ireland
ID NLM: 8406280
Informations de publication
Date de publication:
11 2020
11 2020
Historique:
received:
30
01
2020
revised:
30
04
2020
accepted:
11
05
2020
pubmed:
2
6
2020
medline:
9
2
2021
entrez:
2
6
2020
Statut:
ppublish
Résumé
To determine if a novel interdisciplinary "speed-dating" clinic augments Diabetes Self-Management Education and Support (DSMES). Adult patients with diabetes attended a DSMES class. Two weeks later patients attended an interdisciplinary clinic utilizing a "speed-dating" format during which they progressed through 5 stations hosted by different healthcare disciplines at 30-minute increments: physician, pharmacist, nurse/dietitian, case manager, and psychologist. Shared decision-making was utilized to identify mutually agreeable recommendations. Change in clinical outcomes were compared for DSMES-only attenders versus Dual-attendees; utilization of emergency department and hospital services were measured 12 months before and after attending the Speed Dating clinic. This analysis represents patients attending the program during 2016. Sixty-nine attended the DSMES class, 40 of whom followed-up in the "speed-dating" clinic (58% return rate). Attending the Speed Dating clinic improved A1C (p = 0.003) and LDL-C (p = 0.003) compared to the DSMES class alone. Comparatively, after attending the speed-dating clinic, patients had fewer emergency department (p = 0.366) and hospital admissions (p = 0.036), and shorter lengths of hospital stay (p = 0.030). The interdisciplinary "speed-dating" approach improved diabetes outcomes beyond DSMES alone and reduced utilization of hospital services. Patients should attend DSMES but also participate in an Interdisciplinary Speed Dating follow-up to further improve outcomes.
Identifiants
pubmed: 32475712
pii: S0738-3991(20)30281-0
doi: 10.1016/j.pec.2020.05.015
pii:
doi:
Substances chimiques
Hypoglycemic Agents
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Pagination
2305-2311Informations de copyright
Copyright © 2020 Elsevier B.V. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest None.