title: An innovative model of diabetes care and delivery: the St. Joseph's Primary Care Diabetes Support Program (SJHC PCDSP).
abstract: The majority of diabetes care in Canada is provided within the primary healthcare setting. It is delivered in a variety of models ranging from the physician working in a solo fee-for-service practice to an interprofessional team setting with specialist collaboration. To augment diabetes-related health services, the Ontario government has provided substantial funding to support community diabetes education programs. These models and initiatives are improving diabetes outcomes, and continued evolution of these programs can provide even greater outcomes. The St. Joseph's Primary Care Diabetes Support Program (SJHC PCDSP) is an innovative model that incorporates multidisciplinary allied health professionals together with physician support to provide care for more than 3000 patients in London, Ontario, Canada. It embodies the Canadian Diabetes Association (CDA)'s Organizations of Care recommendations to combine patient education and self-management with active medical support at each clinic encounter, all while embodying the tenets of primary care. A brief review of primary healthcare reform is provided to explain how the SJHC PCDSP combines features of current models in a unique format so as to deliver exceptional patient care. By providing a detailed description of the services delivered at the SJHC PCDSP, it is hoped that both specialists and primary care providers consider using and adapting approaches to diabetes management based on this innovative model to optimize their practices.
authors.affiliation: Department of Family Medicine and Centre for Studies in Family Medicine, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada. Electronic address: sonja.reichert@schulich.uwo.ca.
authors.forename: Sonja M
authors.initials: SM
authors.lastname: Reichert
authors.affiliation: Department of Family Medicine and Centre for Studies in Family Medicine, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada.
authors.forename: Stewart
authors.initials: S
authors.lastname: Harris
authors.affiliation: Arthur Labatt Family School of Nursing, Faculty of Health Sciences, University of Western Ontario, London, Ontario, Canada.
authors.forename: Betty
authors.initials: B
authors.lastname: Harvey
mesh_terms: D002170:Canada; D003153:Community Health Services / Q000191:economics / Q000458:organization & administration*; D003695:Delivery of Health Care; D003922:Diabetes Mellitus, Type 1 / Q000191:economics / Q000628:therapy*; D003924:Diabetes Mellitus, Type 2 / Q000191:economics / Q000628:therapy*; D018588:Fee-for-Service Plans; D005260:Female; D005380:Financing, Government; D006442:Glycated Hemoglobin / Q000378:metabolism*; D018166:Health Care Reform; D006801:Humans; D008297:Male; D017410:Practice Guidelines as Topic; D011320:Primary Health Care / Q000191:economics / Q000458:organization & administration*; D015397:Program Evaluation; D012648:Self Care; D012944:Social Support
chemical_list: D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human
keywords: diabetes delivery models primary healthcare reform team-based care; modèles de prestation de soins aux diabétiques réforme des soins de santé primaires soins prodigués en équipe