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    Multidisciplinary care: Experience of patients with complex needs

    Access Status
    Open access via publisher
    Authors
    Maneze, D.
    Dennis, S.
    Chen, Huei-Yang
    Taggart, J.
    Vagholkar, S.
    Bunker, J.
    Liaw, S.
    Date
    2014
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Maneze, Della and Dennis, Sarah and Chen, Huei-Yang and Taggart, Jane and Vagholkar, Sanjyot and Bunker, Jeremy and Liaw, Siaw-Teng. 2014. Multidisciplinary care: Experience of patients with complex needs. Australian Journal of Primary Health. 20 (1): pp. 20-26.
    Source Title
    Australian Journal of Primary Health
    DOI
    10.1071/PY12072
    ISSN
    1448-7527
    URI
    http://hdl.handle.net/20.500.11937/26681
    Collection
    • Curtin Research Publications
    Abstract

    The rapidly increasing prevalence of diabetes with its high morbidity and mortality raises the need for an integrated multidisciplinary service from health care providers across health sectors. The aim of this study was to explore the diabetic patients’ experience of multidisciplinary care, in particular their perceptions, perceived barriers and facilitators. Thirteen patients with type-2 diabetes admitted to the emergency department of a local hospital in NSW were interviewed and completed a demographic questionnaire. Results showed that patients found it inconvenient to be referred to many health professionals because of multiple physical and psychosocial barriers. Separate sets of instructions from different health professionals were overwhelming, confusing and conflicting. Lack of a dedicated coordinator of care, follow up and support for self-management from health professionals were factors that contributed to patients’ challenges in being actively involved in their care. The presence of multiple co-morbidities made it more difficult for patients to juggle priorities and ‘commitments’ to many health professionals. In addition, complex socioeconomic and cultural issues, such as financial difficulties, lack of transport and language barriers, intensified the challenge for these patients to navigate the health system independently. Few patients felt that having many health professionals involved in their care improved their diabetes control. Communication among the multidisciplinary care team was fragmented and had a negative effect on the coordination of care. The patients’ perspective is important to identify the problems they experience and to formulate strategies for improving multidisciplinary care for patients with diabetes.

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