Twenty-seven oft of 41 postal questionnaires were returned, and the results showed that nurses were involved in 79 different activities, most notably information giving and clinic coordination.
Many staff identified challenges in clinic coordination that interfered with patients getting the services they needed, such that many patients disappeared from clinical care: "the flow of patients, the problem is… they come but sometimes they don't turn up due to lack of counseling.
From data are obtained about partnership relationships, but are especially needed about failed relationships in clinic-to-clinic and clinic-to-hospital coordination.
As described in more detail below, there were ten clinics where personal coordination was reported to impact standardized coordination through a feedback loop, such that interpersonal interactions between services were used to adjust standardized coordination procedures to better serve patient and provider needs.
In summary, our study of HCP in Trinidad and Tobago demonstrates many barriers to achieving optimal diabetes care in this country such as resource availability, provider knowledge, inadequate clinic time, and coordination of care.
Streamlining care through MDT clinics can enhance care coordination and improve clinical outcomes.
Their designated role as clinic manager included supervision and coordination of the different clinic activities, ensuring the cleanliness of the clinic, attendance at monthly administrative meetings, report writing, and requisitions of the essential supplies (including pharmacy) and equipment for the clinic.
Reports suggested that most clinics have good personal coordination processes (10 good, 2 poor, 4 neither/unclear), and clinics appeared to be split regarding standardized coordination processes (6 good, 7 poor, 3 neither/unclear).
We sincerely appreciate Guangdong Health Bureau and Centre for Disease Control and Prevention of Guangdong Province for their effort on coordination with clinics.
