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-rel...

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Bibliographic Details
Published in:Canadian journal of diabetes 2014-06, Vol.38 (3), p.212-215
Main Authors: Reichert, Sonja M., MD, MSc, CCFP, Harris, Stewart, MD, MPH, FCFP, FACPM, Harvey, Betty, RNEC, BScN, MScN
Format: Article
Language:English
Subjects:
Canada
Community Health Services - economics
Community Health Services - organization & administration
Delivery of Health Care
diabetes delivery models primary healthcare reform team-based care
Diabetes Mellitus, Type 1 - economics
Diabetes Mellitus, Type 1 - therapy
Diabetes Mellitus, Type 2 - economics
Diabetes Mellitus, Type 2 - therapy
Endocrinology & Metabolism
Fee-for-Service Plans
Female
Financing, Government
Glycated Hemoglobin A - metabolism
Health Care Reform
Humans
Male
modèles de prestation de soins aux diabétiques réforme des soins de santé primaires soins prodigués en équipe
Other
Practice Guidelines as Topic
Primary Health Care - economics
Primary Health Care - organization & administration
Program Evaluation
Self Care
Social Support
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Summary: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.
ISSN:1499-2671
2352-3840
DOI:10.1016/j.jcjd.2014.03.008