Team-Based Diabetes Care in Ontario and Hong Kong: a Comparative Review.

IF 5.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Calvin Ke, Emaad Mohammad, Juliana C N Chan, Alice P S Kong, Fok-Han Leung, Baiju R Shah, Douglas Lee, Andrea O Luk, Ronald C W Ma, Elaine Chow, Xiaolin Wei
{"title":"Team-Based Diabetes Care in Ontario and Hong Kong: a Comparative Review.","authors":"Calvin Ke,&nbsp;Emaad Mohammad,&nbsp;Juliana C N Chan,&nbsp;Alice P S Kong,&nbsp;Fok-Han Leung,&nbsp;Baiju R Shah,&nbsp;Douglas Lee,&nbsp;Andrea O Luk,&nbsp;Ronald C W Ma,&nbsp;Elaine Chow,&nbsp;Xiaolin Wei","doi":"10.1007/s11892-023-01508-0","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose of review: </strong>There are gaps in implementing and accessing team-based diabetes care. We reviewed and compared how team-based diabetes care was implemented in the primary care contexts of Ontario and Hong Kong.</p><p><strong>Recent findings: </strong>Ontario's Diabetes Education Programs (DEPs) were scaled-up incrementally. Hong Kong's Multidisciplinary Risk Assessment and Management Program for Diabetes Mellitus (RAMP-DM) evolved from a research-driven quality improvement program. Each jurisdiction had a mixture of non-team and team-based primary care with variable accessibility. Referral procedures, follow-up processes, and financing models varied. DEPs used a flexible approach, while the RAMP-DM used structured assessment for quality assurance. Each approach depended on adequate infrastructure, processes, and staff. Diabetes care is most accessible and functional when integrated team-based services are automatically initiated upon diabetes diagnosis within a strong primary care system, ideally linked to a register with supports including specialist care. Structured assessment and risk stratification are the basis of a well-studied, evidence-based approach for achieving the standards of team-based diabetes care, although flexibility in care delivery may be needed to meet the unique needs of some individuals. Policymakers and funders should ensure investment in skilled health professionals, infrastructure, and processes to improve care quality.</p>","PeriodicalId":10898,"journal":{"name":"Current Diabetes Reports","volume":"23 7","pages":"135-146"},"PeriodicalIF":5.2000,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10091345/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Current Diabetes Reports","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11892-023-01508-0","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
引用次数: 0

Abstract

Purpose of review: There are gaps in implementing and accessing team-based diabetes care. We reviewed and compared how team-based diabetes care was implemented in the primary care contexts of Ontario and Hong Kong.

Recent findings: Ontario's Diabetes Education Programs (DEPs) were scaled-up incrementally. Hong Kong's Multidisciplinary Risk Assessment and Management Program for Diabetes Mellitus (RAMP-DM) evolved from a research-driven quality improvement program. Each jurisdiction had a mixture of non-team and team-based primary care with variable accessibility. Referral procedures, follow-up processes, and financing models varied. DEPs used a flexible approach, while the RAMP-DM used structured assessment for quality assurance. Each approach depended on adequate infrastructure, processes, and staff. Diabetes care is most accessible and functional when integrated team-based services are automatically initiated upon diabetes diagnosis within a strong primary care system, ideally linked to a register with supports including specialist care. Structured assessment and risk stratification are the basis of a well-studied, evidence-based approach for achieving the standards of team-based diabetes care, although flexibility in care delivery may be needed to meet the unique needs of some individuals. Policymakers and funders should ensure investment in skilled health professionals, infrastructure, and processes to improve care quality.

Abstract Image

安大略省和香港以团队为基础的糖尿病护理:比较回顾。
综述目的:在实施和获得以团队为基础的糖尿病护理方面存在差距。我们回顾并比较了安大略省和香港的基层医疗环境中团队型糖尿病护理的实施情况。最近的发现:安大略省的糖尿病教育项目(DEPs)正在逐步扩大规模。香港的糖尿病多学科风险评估及管理计划(RAMP-DM)是从一项以研究为导向的质素改善计划发展而来。每个辖区都混合了非团队和基于团队的初级保健,可及性各不相同。转诊程序、后续进程和融资模式各不相同。dep使用灵活的方法,而RAMP-DM使用结构化评估来保证质量。每种方法都依赖于适当的基础设施、过程和人员。当在一个强大的初级保健系统中,在诊断出糖尿病后自动启动基于团队的综合服务时,糖尿病护理是最容易获得和最有效的,理想情况下,该系统与包括专科护理在内的支持系统相关联。结构化的评估和风险分层是一个经过充分研究的、以证据为基础的方法的基础,以达到以团队为基础的糖尿病护理的标准,尽管在护理提供方面可能需要灵活性,以满足某些个体的独特需求。决策者和资助者应确保投资于熟练的卫生专业人员、基础设施和流程,以提高护理质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
9.80
自引率
0.00%
发文量
52
审稿时长
6-12 weeks
期刊介绍: The goal of this journal is to publish cutting-edge reviews on subjects pertinent to all aspects of diabetes epidemiology, pathophysiology, and management. We aim to provide incisive, insightful, and balanced contributions from leading experts in each relevant domain that will be of immediate interest to a wide readership of clinicians, basic scientists, and translational investigators. We accomplish this aim by appointing major authorities to serve as Section Editors in key subject areas across the discipline. Section Editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year on their topics, in a crisp and readable format. We also provide commentaries from well-known figures in the field, and an Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信