Inadequate interprofessional collaboration (IPC) and communication among health care professionals are associated with medical errors and mortality. Guided by the theory of goal attainment and the chronic care model, a systematic review was conducted to explore the evidence related to whether interprofessional collaborative primary care can have a positive effect on health outcomes for patients living with diabetes (PLWD). The systematic review followed the Joanna Briggs Institute method for systematic reviews and results were complied with the PRISMA evidence-based minimum set for reporting. Data were analyzed to identify if IPC positively impacted the health outcomes of PLWD, as evidenced by a reduction in hemoglobin A1c and body mass index. Five studies met the inclusion criteria of English-speaking, peer-reviewed studies. Statistically significant improvement in hemoglobin A1c (p < 0.001) and body mass index (p = 0.026) was shown in 2 studies. Two studies lacked robust statistical analysis of the data; however, researchers showed an average reduction in participants' hemoglobin A1c from 10.6% to 8.8% (N = 45) in one study and a change of -0.7 to -0.9% (N = 3) in another. A fifth study showed that collaboration patterns that included equitable and comprehensive participation of 3 disciplines resulted in a lower proportion of patients with hemoglobin A1c levels greater than 9%. Four out of the 5 research studies noted the integration of pharmacists into the interprofessional collaborative team. The implication for positive social change for this systematic review is that the greater use of interprofessional collaboration and communication may improve the outcomes of patients with diabetes in primary care settings.

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京都大学 / 0048 / 新制・課程博士 / 博士(医学) / 甲第21251号 / 医博第4369号 / 新制||医||1029(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 佐藤 俊哉, 教授 川上 浩司, 教授 今中 雄一 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

Objectives: (1) Make use of freely available evidence-based resources and tools to inform primary care (2) Conduct better PubMed Searches for evidence to support primary care and evaluate relevant results based on principles of evidence-based medicine

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Excerpt: Twenty years ago, I (Jodi Polaha) had a freshly minted PhD in Child Clinical Psychology and a strong desire to be a Mental Health Hero of Rural and Underserved Places.