'Working with the team': an exploratory study of improved type 2 diabetes management in a new model of integrated primary/secondary care

Aust J Prim Health. 2013;19(3):207-12. doi: 10.1071/PY12087.

Abstract

This study aimed to explore how a new model of integrated primary/secondary care for type 2 diabetes management, the Brisbane South Complex Diabetes Service (BSCDS), related to improved diabetes management in a selected group of patients. We used a qualitative research design to obtain detailed accounts from the BSCDS via semi-structured interviews with 10 patients. The interviews were fully transcribed and systematically coded using a form of thematic analysis. Participants' responses were grouped in relation to: (1) Patient-centred care; (2) Effective multiprofessional teamwork; and (3) Empowering patients. The key features of this integrated primary/secondary care model were accessibility and its delivery within a positive health care environment, clear and supportive interpersonal communication between patients and health care providers, and patients seeing themselves as being part of the team-based care. The BSCDS delivered patient-centred care and achieved patient engagement in ways that may have contributed to improved type 2 diabetes management in these participants.

MeSH terms

  • Adult
  • Aged
  • Diabetes Mellitus, Type 2 / therapy*
  • Disease Management
  • Female
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Models, Organizational
  • Patient Care Team / organization & administration*
  • Patient Education as Topic
  • Patient Satisfaction*
  • Patient-Centered Care / methods
  • Patient-Centered Care / organization & administration*
  • Power, Psychological
  • Professional-Patient Relations
  • Qualitative Research
  • Queensland
  • Self Care / methods
  • Self Care / psychology
  • Workforce