Will Multidisciplinary Collaboration Reduce the Disability Rate of Diabetic Foot (2009–2019)?—A Study Based on the Perspective of Organizational Reform
Objectives: Discuss the experience and practice of multidisciplinary cooperation of diabetic foot in China and analyze its impact on the quality of care.Methods: This study observed the medical procedure by interviewing 12 key personnel in-depth. We extracted data from medical records and assessed t...
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doaj-08b1699cfbe04b2abe7a3b4689284a672021-10-08T06:05:29ZengFrontiers Media S.A.Frontiers in Public Health2296-25652021-10-01910.3389/fpubh.2021.760440760440Will Multidisciplinary Collaboration Reduce the Disability Rate of Diabetic Foot (2009–2019)?—A Study Based on the Perspective of Organizational ReformMengchi Hou0Xue Gong1Wenhu Chang2Jie Dong3Feifei Zhao4Zhili Ji5Rui Guo6School of Public Health, Capital Medical University, Beijing, ChinaSchool of Public Health, Capital Medical University, Beijing, ChinaSchool of Public Health, Capital Medical University, Beijing, ChinaBeijing Luhe Hospital, Capital Medical University, Beijing, ChinaBeijing Luhe Hospital, Capital Medical University, Beijing, ChinaBeijing Anzhen Hospital, Capital Medical University, Beijing, ChinaSchool of Public Health, Capital Medical University, Beijing, ChinaObjectives: Discuss the experience and practice of multidisciplinary cooperation of diabetic foot in China and analyze its impact on the quality of care.Methods: This study observed the medical procedure by interviewing 12 key personnel in-depth. We extracted data from medical records and assessed the effect of MDT in three dimensions: quality, efficiency, and cost, to eventually achieve a final conclusion.Results: The studied reform includes the following three aspects: the adjustment of hospital buildings layout and disciplines, one-stop outpatient, and one-stop inpatient service. After the multidisciplinary collaboration, the rate of above-knee amputation is reduced by 3.63%, the disability score per 100 diabetic foot patients decreases by 6.12, the average length of stay decreases significantly, and the cost of hospitalization shows an increasing trend.Conclusions: Multidisciplinary collaboration is performed based on spatial layout adjustment and clinical pathway optimization, which provide more comprehensive and integrated care than a general medical team or a single specialist, thereby reducing the rate of disability, shortening the length of hospitalization. Besides, the new measurable indicator called disability score per 100 diabetic foot patients has been verified to evaluate the living ability of patients after surgery. This paper provides a reference for organizational reform of multidisciplinary diseases to support treatment and management of other multiorgan diseases.https://www.frontiersin.org/articles/10.3389/fpubh.2021.760440/fullmultidisciplinarydisability ratediabetic footorganizational reformassess |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mengchi Hou Xue Gong Wenhu Chang Jie Dong Feifei Zhao Zhili Ji Rui Guo |
spellingShingle |
Mengchi Hou Xue Gong Wenhu Chang Jie Dong Feifei Zhao Zhili Ji Rui Guo Will Multidisciplinary Collaboration Reduce the Disability Rate of Diabetic Foot (2009–2019)?—A Study Based on the Perspective of Organizational Reform Frontiers in Public Health multidisciplinary disability rate diabetic foot organizational reform assess |
author_facet |
Mengchi Hou Xue Gong Wenhu Chang Jie Dong Feifei Zhao Zhili Ji Rui Guo |
author_sort |
Mengchi Hou |
title |
Will Multidisciplinary Collaboration Reduce the Disability Rate of Diabetic Foot (2009–2019)?—A Study Based on the Perspective of Organizational Reform |
title_short |
Will Multidisciplinary Collaboration Reduce the Disability Rate of Diabetic Foot (2009–2019)?—A Study Based on the Perspective of Organizational Reform |
title_full |
Will Multidisciplinary Collaboration Reduce the Disability Rate of Diabetic Foot (2009–2019)?—A Study Based on the Perspective of Organizational Reform |
title_fullStr |
Will Multidisciplinary Collaboration Reduce the Disability Rate of Diabetic Foot (2009–2019)?—A Study Based on the Perspective of Organizational Reform |
title_full_unstemmed |
Will Multidisciplinary Collaboration Reduce the Disability Rate of Diabetic Foot (2009–2019)?—A Study Based on the Perspective of Organizational Reform |
title_sort |
will multidisciplinary collaboration reduce the disability rate of diabetic foot (2009–2019)?—a study based on the perspective of organizational reform |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Public Health |
issn |
2296-2565 |
publishDate |
2021-10-01 |
description |
Objectives: Discuss the experience and practice of multidisciplinary cooperation of diabetic foot in China and analyze its impact on the quality of care.Methods: This study observed the medical procedure by interviewing 12 key personnel in-depth. We extracted data from medical records and assessed the effect of MDT in three dimensions: quality, efficiency, and cost, to eventually achieve a final conclusion.Results: The studied reform includes the following three aspects: the adjustment of hospital buildings layout and disciplines, one-stop outpatient, and one-stop inpatient service. After the multidisciplinary collaboration, the rate of above-knee amputation is reduced by 3.63%, the disability score per 100 diabetic foot patients decreases by 6.12, the average length of stay decreases significantly, and the cost of hospitalization shows an increasing trend.Conclusions: Multidisciplinary collaboration is performed based on spatial layout adjustment and clinical pathway optimization, which provide more comprehensive and integrated care than a general medical team or a single specialist, thereby reducing the rate of disability, shortening the length of hospitalization. Besides, the new measurable indicator called disability score per 100 diabetic foot patients has been verified to evaluate the living ability of patients after surgery. This paper provides a reference for organizational reform of multidisciplinary diseases to support treatment and management of other multiorgan diseases. |
topic |
multidisciplinary disability rate diabetic foot organizational reform assess |
url |
https://www.frontiersin.org/articles/10.3389/fpubh.2021.760440/full |
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