Main navigation

Vol 36, (1/2) 1–96

Do multidisciplinary care plans result in better care for patients with type 2 diabetes?

Nicholas A Zwar MBBS, MPH, PhD, FRACGP, is Professor of General Practice, School of Public Health and Community Medicine, University of New South Wales, and Director, General Practice Unit, Sydney South West Area Health Service, New South Wales.

Oshana Hermiz MBChB, DS, is project officer, School of Public Health and Community Medicine, University of New South Wales.

Elizabeth J Comino BVS, PhD, is Senior Research Fellow, School of Public Health and Community Medicine, University of New South Wales.

Timothy Shortus MBBS, MPH, FRACGP, is an academic registrar, General Practice Unit, Sydney South West Area Health Service, New South Wales.

Joan Burns BSc, MEdAdmin, is a researcher, School of Public Health and Community Medicine, University of New South Wales.

Mark Harris MBBS, MD, FRACGP, is Professor of General Practice and Executive Director, Research Centre for Primary Health Care and Equity, School of Public Health and Community Medicine, University of New South Wales.

BACKGROUND Since the introduction of the Enhanced Primary Care package, care plans have become part of Australian general practice. Previous research has focused on barriers to the uptake of care plans. This study examined the effect of multidisciplinary care plans on provision and outcome of care for patients with type 2 diabetes.

METHODS A retrospective before/after medical record audit design was chosen. Subjects of the study were general practitioners practising in Southwest Sydney (New South Wales) and their diabetic patients who had written care plans. Outcome measures were frequency and results of glycosylated haemoglobin, blood pressure, foot, serum lipids, weight, and microalbumin checks.

RESULTS The medical records of 230 patients were audited. Following the care plan, adherence to diabetes guidelines increased. Metabolic control and cardiovascular risk factors improved for patients who had multidisciplinary care implemented.

DISCUSSION Whether the improved diabetes care shown here is attributed to improved teamwork and/or coordination of care needs further research.

Publication Date: 29 January 2007
Authorised By: Australian Family Physician