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Conflicting health care plans concerning new diagnosis of diabetes (Main…
Conflicting health care plans concerning new diagnosis of diabetes
Main Actors
Specialist
Diagnosed as MODY (Mature Onset Diabetes of the Young) after specific blood work
Recommended genetic testing in order to determine treatment plan
Prescribed medication to take until further treatment plan is determined
Nurse at education centre
Recommended stopping medication
No alternative treatment plan
Family physician
Recommends to treat with diet and exercise
Diagnosed as type 2 diabetes
Interdependencies among actors
Needing referrals
Have to get a referral to see a specialist in order to get certain blood work done
Need a referral to even require about further testing
Having to communicate through the hierarchical system
Waiting for family physician to make a referral to a specialist
Waiting for specialist to have availability for an appointment
Waiting for specialist to arrange for testing at a lab out of the country
Waiting for lab staff to communicate with specialist
Barriers to Integration
Limited communication between health care professionals making the health care plan and professionals following up with the patient
Nurse recommending stopping the medication
Waiting for an appointment with the specialist who prescribed the medication
Having to wait for the blood work ordered by specialist in order to make appointment
Not being able to ask the specialist for a timeframe for the testing results without an appointment
Enablers of Integrated Health Care
Communication between health care professionals working with a patient
Communication between professional who made the health care plan and the professionals that regularly follow up with the patient
Timely communication between health care professionals and patient in terms of results
Educating the patient on how they can self-manage or when they should seek heal care services