{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T16:40:31Z","timestamp":1792428031245,"version":"4.5.0"},"reference-count":25,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2021,10,8]],"date-time":"2021-10-08T00:00:00Z","timestamp":1633651200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100010270","name":"Capital Health Research and Development of Special Fund","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100010270","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:p><jats:bold>Objectives:<\/jats:bold> Discuss the experience and practice of multidisciplinary cooperation of diabetic foot in China and analyze its impact on the quality of care.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> 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.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> 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.<\/jats:p><jats:p><jats:bold>Conclusions:<\/jats:bold> 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.<\/jats:p>","DOI":"10.3389\/fpubh.2021.760440","type":"journal-article","created":{"date-parts":[[2021,10,10]],"date-time":"2021-10-10T16:19:38Z","timestamp":1633882778000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["Will Multidisciplinary Collaboration Reduce the Disability Rate of Diabetic Foot (2009\u20132019)?\u2014A Study Based on the Perspective of Organizational Reform"],"prefix":"10.3389","volume":"9","author":[{"given":"Mengchi","family":"Hou","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xue","family":"Gong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenhu","family":"Chang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Dong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feifei","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhili","family":"Ji","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Guo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2021,10,8]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"e3268","DOI":"10.1002\/dmrr.3268","article-title":"Definitions and criteria for diabetic foot disease","volume":"36","author":"van Netten","year":"2020","journal-title":"Diabetes Metab Res Rev."},{"key":"B2","doi-asserted-by":"publisher","first-page":"1719","DOI":"10.1016\/S0140-6736(05)67698-2","article-title":"The global burden of diabetic foot disease","volume":"366","author":"Boulton","year":"2005","journal-title":"Lancet."},{"key":"B3","unstructured":"IDF Diabetes Atlas.2019"},{"key":"B4","doi-asserted-by":"publisher","first-page":"92","DOI":"10.3760\/cma.j.issn.1674-5809.2019.02.004","article-title":"Chinese guideline on prevention and management of diabetic foot (2019 edition)","volume":"2","year":"2019","journal-title":"Chin J Diabetes Mellitus"},{"key":"B5","unstructured":"IWGDF Guidelines on the Prevention and Management of Diabetic Foot Disease"},{"key":"B6","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1002\/dmrr.2245","article-title":"Cost of treating diabetic foot ulcers in five different countries","volume":"28","author":"Cavanagh","year":"2012","journal-title":"Diabetes Metab Res Rev."},{"key":"B7","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1016\/j.oraloncology.2016.01.001","article-title":"Does a multidisciplinary team approach in a tertiary referral centre impact on the initial management of head and neck cancer?","volume":"54","author":"Bergamini","year":"2016","journal-title":"Oral Oncol."},{"key":"B8","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1016\/j.diabres.2017.10.015","article-title":"Improved limb salvage for patients with vascular disease and tissue loss associated with new model of provision targeted at the diabetic foot","volume":"135","author":"Williams","year":"2018","journal-title":"Diabetes Res Clin Pract."},{"key":"B9","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1007\/s11845-012-0823-8","article-title":"The cost utility of a multi-disciplinary foot protection clinic (MDFPC) in an Irish hospital setting","volume":"182","author":"Nason","year":"2013","journal-title":"Ir J Med Sci."},{"key":"B10","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1002\/dmrr.706","article-title":"Economic aspects of diabetic foot care in a multidisciplinary setting: a review","volume":"23","author":"Matricali","year":"2007","journal-title":"Diabetes Metab Res Rev."},{"key":"B11","doi-asserted-by":"publisher","first-page":"126","DOI":"10.1016\/j.diabres.2019.02.003","article-title":"Multidisciplinary diabetic foot care in Sweden-A national survey","volume":"149","author":"Wennberg","year":"2019","journal-title":"Diab Res Clin Pract"},{"key":"B12","doi-asserted-by":"publisher","first-page":"e9199","DOI":"10.7759\/cureus.9199","article-title":"Correlation of hemoglobin A1c with wagner classification in patients with diabetic foot","volume":"12","author":"Farooque","year":"2020","journal-title":"Cureus."},{"key":"B13","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1097\/00004010-199904000-00003","article-title":"The implementation of business process reengineering in American and Canadian hospitals","volume":"24","author":"Ho","year":"1999","journal-title":"Health Care Manage Rev."},{"key":"B14","first-page":"1363","article-title":"Does reengineering really work? 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