Multidiscipline Care for Type 2 Diabetes Patients: from General to Asian Population
Abstract: Multidiscipline care
is defined as a care consisting of at least a physician, a nurse, and other
healthcare worker (eg. dietician). Multidiscipline care has generated benefits,
both in medical aspects (eg. increasing patients’ compliance) and nonmedical
aspects (eg. more cost-effective than conventional treatment). There are
several models of multidiscpline care; however, which model is more suitable
for type 2 diabetes care is not clear yet. In this review, we aimed to identify
and compare multidiscipline care method for reducing glycated hemoglobin (
HbA1C) levels in type 2 diabetes patients, particularly Asian patients because
they have greater tendency to develop type 2 diabetes at lower degrees of
obesity and at younger ages than Caucasian ethnic group. There were limited
number of studies examining multidiscipline care for type 2 diabetes patients,
moreover for Asian patients. They showed mixed results on the efficacy of
multidiscipline care in achieving HbA1C target. Healthcare personnel visit,
either personal or group session, appeared effective both for general and Asian
T2DM patients. It needs further studies to clarify which models are most
effective for practices of varying cultures, socio-economic condition, and
healthcare settings.
Keywords: Asian; glycated
hemoglobin; multidiscipline care; multidiscipline team; type 2 diabetes
mellitus
Author: Benedicta Mutiara
Suwita, Dewi Friska, Deriyan Sukma Widjaja, Liana Srisawitri
Journal Code: jpkedokterangg170327