ArticleHealth expectations : an international journal of public participation in health care and health policy2015
Multidisciplinary diabetes team care: the experiences of young adults with Type 1 diabetes.
Article in Health expectations : an international journal of public participation in health care and health policy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic Review of Patient Preferences and Experiences Regarding Dietetic Outpatient Care.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025Pooled it
- Transitioning to adult care in youth-onset diabetes: a scoping review of socio-ecological factors in youth-onset type 2 diabetes compared to type 1 diabetes.BMC public health · 2025Article
- Developing a Quality Improvement Framework to Enhance the Health System User Experience for Individuals Living With Type 1 Diabetes: The Reshape T1D Study.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- The Need for Peer Support and Codesigned Services: A Qualitative Study to Understand Diabetes Education Program Needs of Adolescents With Type 1 Diabetes.Pediatric diabetes · 2025Article
- Consumer and provider perceptions of the specialist unit model of care: A qualitative study.PloS one · 2024Article
- The Forgotten Cost of Nephrotic Syndrome to Patients and Caregivers in the United States.Kidney360 · 2022Article
- Quality of care in patients with type 1 diabetes during the COVID-19 pandemic: a cohort study from Southern Brazil.Diabetology & metabolic syndrome · 2022Article
- Collaborative care model for diabetes in primary care settings in Qatar: a qualitative exploration among healthcare professionals and patients who experienced the service.BMC health services research · 2021Article
- Impact and Cost-Effectiveness of Integrated Psychology Services in a Pediatric Endocrinology Clinic.Journal of clinical psychology in medical settings · 2020Article
- "I kind of gave up on it after a while, became too hard, closed my eyes, didn't want to know about it"-adults with type 1 diabetes mellitus describe defeat in the context of low social support.Health expectations : an international journal of public participation in health care and health policy · 2019Article
- New approaches to providing individualized diabetes care in the 21st century.Current diabetes reviews · 2015Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis research examined whether young adults with Type 1 diabetes engage with the multidisciplinary consultation process and if not, then why.
methodsWe designed a web-based self-reported survey, available online from February to May 2011, for Australian adults 18-35 years with Type 1 diabetes. Respondents were asked about which clinicians they consulted to assist with self-management. To expand on the results of the survey, we interviewed 33 respondents.
resultsSURVEY: Respondents (n = 150) consulted with the following clinicians: endocrinologist and diabetes educators: 23.3%; endocrinologist only: 18.0%; endocrinologist, diabetes educators and dieticians: 14.6%; endocrinologist, diabetes educators, dietician and general practitioners (GP): 11.3%; endocrinologist and GP: 10.6%; GP only: 4.6%; all clinicians recommended to assist with self-management: 1.3%; 2.7% did not consult any clinician. Interview: Participants (n = 33) reported eight key disincentives to consultation with multidisciplinary clinicians. These were time constraints; provision of conflicting advice; inaccessibility of health services; variation in service standards; cost constraints; failure of clinicians to refer to other clinicians; lack of opportunity to build a therapeutic relationship; and failure of clinicians to engage in shared decision making.
conclusionOur results indicate that high attrition rates of young adults with Type 1 diabetes from recommended diabetes health services is linked to the failure of those services to meet the needs and preferences of their patients. The identified needs and preferences included joint consultation with multi-disciplinary team clinicians; flexible access to advice by email or telephone consultation; and shared decision making. Patient engagement in health-service re-design has implications for improved health-service delivery and enhanced treatment outcomes.
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