Evidence map›Paper›PMID 29397351›Full record

ArticlePrimary care diabetes2018

Multidisciplinary coordinated care for Type 2 diabetes: A qualitative analysis of patient perspectives.

Seth A Berkowitz, Stephanie A Eisenstat, Lily S Barnard, Deborah J Wexler

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Primary care diabetes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Seth A BerkowitzDivision of General Internal Medicine, Massachusetts General Hospital, Boston, MA, United States; Diabetes Population Health Research Unit, Massachusetts General Hospital, Boston, MA, United States; Harvard Medical School, Boston, MA, United States. Electronic address: SABerkowitz@partners.org.
Stephanie A EisenstatDivision of General Internal Medicine, Massachusetts General Hospital, Boston, MA, United States; Harvard Medical School, Boston, MA, United States.
Lily S BarnardUniversity of California, San Francisco School of Medicine, San Francisco, CA, United States.
Deborah J WexlerDiabetes Population Health Research Unit, Massachusetts General Hospital, Boston, MA, United States; Harvard Medical School, Boston, MA, United States.

Funding

Understanding & Overcoming Food Insecurity in Diabetes PatientsK23DK109200 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BERKOWITZ, SETH A · 2016 to 2020
$973k
NIDDK NIH HHS K23 DK109200NIDDK NIH HHS L30 DK103291
6 · The paper itself

Abstract

aimsTo explore the patient perspective on coordinated multidisciplinary diabetes team care among a socioeconomically diverse group of adults with type 2 diabetes.

methodsQualitative research design using 8 focus groups (n=53). We randomly sampled primary care patients with type 2 diabetes and conducted focus groups at their primary care clinic. Discussion prompts queried current perceptions of team care. Each focus group was audio recorded, transcribed verbatim, and independently coded by three reviewers. Coding used an iterative process. Thematic saturation was achieved. Data were analyzed using content analysis.

resultsMost participants believed that coordinated multidisciplinary diabetes team care was a good approach, feeling that diabetes was too complicated for any one care team member to manage. Primary care physicians were seen as too busy to manage diabetes alone, and participants were content to be treated by other care team members, especially if there was a single point of contact and the care was coordinated. Participants suggested that an ideal multidisciplinary approach would additionally include support for exercise and managing socioeconomic challenges, components perceived to be missing from the existing approach to diabetes care.

conclusionsCoordinated, multidisciplinary diabetes team care is understood by and acceptable to patients with type 2 diabetes.

Indexed as

Interdisciplinary CommunicationQuality of Health CareAdultAgedCohort StudiesDiabetes Mellitus, Type 2FemaleFocus GroupsHumansMaleMiddle AgedOutcome Assessment, Health CarePatient Care TeamPatient SatisfactionPrimary Health CareProgram EvaluationQualitative researchTeam-based primary careType 2 diabetes

Identifiers

PMID29397351
PMCPMC6314296

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.