Background: The need for a multidisciplinary team approach to provide physical exercise,
diet, behavioral change, and insulin therapy in type 2 diabetes mellitus (T2DM) treatment has
long been recognized. However, often patients with T2DM do not have access to a multidisciplinary
Introduction: In developing countries, most patients with T2DM receive their diabetes care in the
office of an internist or family practice physician or in a primary level health center with a general
practitioner. Knowledge of healthcare professionals regarding the perceived barriers, attitudes, facilitators,
and benefits of a multidisciplinary team approach in T2DM treatment can help facilitate
the implementation of multidisciplinary care in T2DM.
Methods: A systematic search strategy was performed in six databases (PubMed, Web of Science,
CINAHL, EMBASE, MEDLINE, and Cochrane) using different keyword combinations to identify
studies describing the healthcare professionals’ views of multidisciplinary team care in T2DM. A
textual narrative synthesis was used to analyze data. The Critical Appraisals Skills Programme
(CASP) tool for qualitative studies was used to assess the risk of bias and transferability.
Results: The views of health professionals about multidisciplinary team care in T2DM were categorized
into six major factors, namely working collaboratively to foster supportive relationships;
strong committed organizational and team leadership; diversity in expertise, with team members
tailored to local circumstances; shared goals and approaches to ensure consistency of message;
clear and open communication with the team and with patients; and the patient at the center of decision-
Conclusion: There is a huge gap in shared roles among health professionals in T2DM therapy.
Hence, there is a need for allied health professionals such as physiotherapists, dieticians, and psychologists
with expertise in diabetes to explore primary healthcare, barriers and facilitators to the
successful integration of multidisciplinary team, seamlessly distributedinto three hierarchal levels,
namely health management, health professionals, and diabetic patients.