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changes/integrating-other-practitioners diperoleh pada 24 oktober 2017

Integrating Other Practitioners

Other practitioners, such as pharmacists, podiatrists, optometrists, dentists, mental health

practitioners, and counselors, can have a significant impact on diabetes management and should
be considered as important partners to the primary care team.1 For example, pharmacists can
assist primary care providers in the monitoring, management, and education of a patients
medication plans and have been effectively integrated directly into primary care.2 Similarly,
dentists can screen for and educate patients about the importance of proper oral health in
managing the complexities of diabetes-related complications. Developing strategies for
facilitating coordination of care with non-traditional practitioners and partners can help ensure a
comprehensive approach to supporting patients in their diabetes management. Patient
navigators, care managers, and care coordinators may serve as useful resources for linking
patients to appropriate health care providers. The way your practice coordinates services with
other practitioners will depend on the availability of local resources.

You Can Do It

Providers of pharmacy, podiatry, optometry, and dentistry (PPOD) are well positioned to advise
and educate patients about diabetes control and prevention. This toolkit for PPOD practitioners
shows providers how they can work collaboratively with each other as well as with all other
members of the health care team, such as primary health care providers, physician assistants,
nurse educators, and community health workers, to promote better outcomes in people with

Read about practical examples of collaborative care for diabetes prevention and management in a
variety of practice settings with different professional team members.

In addition to health care providers, the resources and support of community partners, such as
community health workers, trained peer leaders, and school nurses, can also augment clinical
care teams.3 In particular, peer leaders and community health workers have been successfully
trained to facilitate sustained diabetes self-management with support needed over the long
term.4,5 The role of these partners appears be particularly effective in underserved areas and with
ethnically diverse populations.6

Let the Evidence Guide You

American Association of Diabetes Educators. A Sustainable Model of Diabetes Self-Management

Education/Training Involves a Multi-Level Team that Can Include Community Health
Workers (PDF, 243 MB) Published April 2010. Accessed August 24, 2017.

California Health Workforce Alliance. Taking Innovation to Scale: Community Health Workers,
Promotores, and the Triple Aim A Statewide Assessment of the Roles and Contributions of
Californias Community Health Workers (PDF, 5.79 MB). Preliminary Findings, Observations,
and Recommendations. Published August 2013. Accessed August 24, 2017.

Tools You Can Use

Learn more about strategies for engaging with community health workers:
Watch this NDEP webinar: Community Health Workers: Their Role in Preventing and
Controlling Chronic Conditions.
NDEPs Road to Health Toolkit (PDF, 283 MB) can help increase knowledge and skills regarding
type 2 diabetes prevention among community health workers in Hispanic/Latino and African
American/African Ancestry communities.

Centers for Disease Control and Prevention: Community Health Worker (CHW) Toolkit

[1] Takhar A, Herbert J, Plum R, et al. SWEETWISE: developing a multi-professional approach
to diabetes mellitus. Primary Health Care Research & Development. 2015;17(2):107113.

[2] Simpson SH, Lier DA, Majumdar SR, et al. Cost-effectiveness analysis of adding pharmacists
to primary care teams to reduce cardiovascular risk in patients with type 2 diabetes: results from
a randomized controlled trial. Diabetic Medicine. 2015;32(7):899906.

[3] Haas L, Maryniuk M, Beck J, et al. National standards for diabetes self-management
education and support. Diabetes Care. 2014;37(Suppl 1):S144S153.

[4] Siminerio L, Ruppert KM, Gabbay RA. Who can provide diabetes self-management support in
primary care? Findings from a randomized controlled trial. The Diabetes Educator.

[5] Tang TS, Funnell M, Sinco B, et al. Comparative effectiveness of peer leaders and community
health workers in diabetes self-management support: results of a randomized controlled
trial. Diabetes Care. 2014;37(6):15251534.

[6] Philis-Tsimikas A, Walker C, Rivard L, et al. Improvement in diabetes care of underinsured

patients enrolled in Project Dulce: a community-based, culturally appropriate, nurse case
management and peer education diabetes care model. Diabetes Care. 2004;27(1):110115.