title: [Establishment of a collaborative work team management for type 1 diabetes mellitus patient].
abstract: This article will provide the necessary information to establish a childhood and adolescence management center that would promote the integration and coordination of interdisciplinary members as healthcare teams. It will also show how Instituto da Criança com Diabetes from Rio Grande do Sul (ICD) was built, structured and how it works. The aim of this program is to decrease the frequency of hospitalization in acute cases, to decrease chronic complications and to qualify human resources. So far 1315 outpatients and day-care hospital patients, mostly type 1 diabetes, have been seeing free of charge in Public Health Service (PHS), in a partnership with Grupo Hospitalar Conceição (GHC) and the Ministry of Health. Among other activities an educational program (consisting of 45-minute daily classes) is given to the patient and his family. From 2004 to 2007 it could be seen a decrease from 7,5% to 2,7% in the diabetes related hospitalization concerning these patients. Clinical guidelines followed by the interdisciplinary ICD team will also be presented in this essay.
authors.affiliation: Instituto da Criança com Diabetes, Hospital da Criança Conceição, Porto Alegre, RS, Brasil. tbalduino@ghc.com.br
authors.forename: Balduino
authors.initials: B
authors.lastname: Tschiedel
authors.forename: Gislaine Vissoky
authors.initials: GV
authors.lastname: Cé
authors.forename: César
authors.initials: C
authors.lastname: Geremia
authors.forename: Paula
authors.initials: P
authors.lastname: Mondadori
authors.forename: Silvana
authors.initials: S
authors.lastname: Speggiorin
authors.forename: Marcia K C
authors.initials: MK
authors.lastname: Puñales
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services / Q000458:organization & administration; D000553:Ambulatory Care / Q000458:organization & administration; D001938:Brazil; D002648:Child; D002662:Child Health Services / Q000458:organization & administration; D002675:Child, Preschool; D002908:Chronic Disease; D002982:Clinical Clerkship; D003922:Diabetes Mellitus, Type 1 / Q000628:therapy*; D019468:Disease Management; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D010348:Patient Care Team / Q000458:organization & administration*; D010353:Patient Education as Topic