Interprofessional Teams for Chronic Disease Management

Sales, Anne and O'Reilly, Daria Joan and Bornstein, Stephen and Butler, Janice and MacKenzie, Meagan and Kean , Robert (2012) Interprofessional Teams for Chronic Disease Management. Project Report. Newfoundland and Labrador Centre for Applied Health Research (NLCAHR).

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Abstract

Research Question: “Is there reliable scientific evidence to support team-based management of chronic disease and, if so, given the NL context (in terms of geography, demography, fiscal resources and health system capacities) what is the most effective and efficient way to organize, implement, and sustain team-based care for individuals with diabetes and chronic obstructive pulmonary disease (COPD) so as to derive the best possible outcomes for patients, providers, and the health system?” Findings: As we worked through the many challenges of synthesizing the evidence on team-based chronic disease management, the project team concluded, in consultation with our subject experts, that we are unable to answer this CHRSP question as formulated. As our report will show, the high-level research evidence on both the clinical and cost-effectiveness of team-based Chronic Disease Management is simply not available at this time. In short, the question itself is ahead of the published literature. We are hopeful that, as research in this subject area advances, we may be in a better position to provide some guidance on this question in future.

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