title: 'Working with the team': an exploratory study of improved type 2 diabetes management in a new model of integrated primary/secondary care.
abstract: This study aimed to explore how a new model of integrated primary/secondary care for type 2 diabetes management, the Brisbane South Complex Diabetes Service (BSCDS), related to improved diabetes management in a selected group of patients. We used a qualitative research design to obtain detailed accounts from the BSCDS via semi-structured interviews with 10 patients. The interviews were fully transcribed and systematically coded using a form of thematic analysis. Participants' responses were grouped in relation to: (1) Patient-centred care; (2) Effective multiprofessional teamwork; and (3) Empowering patients. The key features of this integrated primary/secondary care model were accessibility and its delivery within a positive health care environment, clear and supportive interpersonal communication between patients and health care providers, and patients seeing themselves as being part of the team-based care. The BSCDS delivered patient-centred care and achieved patient engagement in ways that may have contributed to improved type 2 diabetes management in these participants.
authors.affiliation: Centre for Primary Health Care Research, School of Medicine, The University of Queensland, Herston, Qld 4006, Australia.
authors.forename: Julie
authors.initials: J
authors.lastname: Hepworth
authors.forename: Deborah
authors.initials: D
authors.lastname: Askew
authors.forename: Claire
authors.initials: C
authors.lastname: Jackson
authors.forename: Anthony
authors.initials: A
authors.lastname: Russell
mesh_terms: D000328:Adult; D000368:Aged; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D019468:Disease Management; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D017146:Models, Organizational; D010348:Patient Care Team / Q000458:organization & administration*; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D018802:Patient-Centered Care / Q000379:methods / Q000458:organization & administration*; D011209:Power, Psychological; D011369:Professional-Patient Relations; D036301:Qualitative Research; D011793:Queensland; D012648:Self Care / Q000379:methods / Q000523:psychology; D000078329:Workforce