الفهرس 
AcknowledgmentOnly 14 pages are availabe for public view
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Abstract
The data reviewed for this study had shown that there is evidence
that a team approach for the treatment of diabetes can reduce risk factors
for type 2 diabetes, improve diabetes management, and lower the risk for
chronic complications. This evidence supports an opportunity for health
care professionals and organization leaders to help improve the health of
people with diabetes. At the same time, it is important that studies of
team interventions involving the skills of numerous health care
professionals continue to explain effective ways to implement team care
that improve patients’ well-being and to assess the costs involved.
The commitment of an organization’s leadership is essential for a
team to provide comprehensive, lifetime management for patients with
diabetes. Team care requires a collaborative, interactive, multi-skilled
approach that maximizes the use of many different health professionals as
educators, care coordinators, and providers of services to help patients
achieve the best health outcomes possible. Community health workers,
innovative interactions via tele-health technology, and alternative ways to
deliver care such as group visits all contribute to the practice of team
care. When patients participate as decision-making partners in care,
improved diabetes control can be achieved. This improvement, in turn
can, lead to greater patient satisfaction with care, better quality of life,
improved health outcomes, and lower health care costs. Team care is
likely to play a major role in future health care systems designed to
provide comprehensive lifetime prevention and management of chronic
diseases such as diabetes.
Summary and Conclusion
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As evidenced in the literature, it is known that individuals that
engage in DSME programs have exhibited significant improvements in
diabetes management and reduced complications. Given this fact, the
researcher views DSME as the foundation of diabetes care that all
individuals should follow. DSME that delivered via the different methods
and programs (group classes, one-to-one with nurses, family physicians,
and follow-up) is viewed as essential for every individual with diabetes.
Other methods of education such as: computer/internet; and books,
video/CDs from the library as well as other methods of education in the
community are important supports. One method of education does not
work for all. The results of the surveys that visited for this study indicate
that individuals with diabetes wish information from their provider. If the
provider is unable to directly offer DSME out of his/her office, the
provider in turn can refer patients to DSME for the comprehensive
foundation. Providers can also recommend other education modalities
such as: internet, reference books, community resources such as support
groups, community lifestyle programs, telephone programs to provide
additional on-going support.
Studies published in the nineties and up-to-date demonstrated that
many of the debilitating effects of diabetes are avoidable through
consistent glucose control, regular medical care, and self-management
practices. Several research studies visited for the purpose of this study;
have shown that people with diabetes that attend diabetes selfmanagement
education (DSME) have better clinical outcomes compared
to those that haven’t participated. Results of the surveys have consistently
show lower complication rates, fewer ER and hospitalization experiences,
and improved health measures among those involved in DSME