Encouraging structured personalised diabetes care in general practice: a 6-year follow-up study of process and patient outcomes in newly diagnosed patients.
OBJECTIVE: To evaluate the quality of diabetes care achieved on the process and outcomes of care in the context of a multifaceted intervention directed at general practitioners (GPs) encouraging regular follow-up and individualised goal-setting. DESIGN: A 6-year follow-up study. SETTING: A total of...
| Publicado en: | Scandinavian Journal of Primary Health Care Vol. 21; no. 2; pp. 89 - 96 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jun2003
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106641560&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106641560 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02813432 BDB jtl: Scandinavian Journal of Primary Health Care issn: 02813432 maglogo: Y pubinfo: dt: Jun2003 vid: 21 iid: 2 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 106641560 106641560 2005089021 10.1080/802813430310001680 NLM12877371 106641560 ppf: 89 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Encouraging structured personalised diabetes care in general practice: a 6-year follow-up study of process and patient outcomes in newly diagnosed patients. aug: au: Hansen LJ Olivarius NF Siersma V Beck-Nielsen H Pedersen PA affil: Central Research Unit of General Practice, University of Copenhagen, Panum Institute, Blegdamsvej 3, DK-2200 Copenhagen N, Denmark; L.Hansen@gpract.ku.dk sug: subj: Diabetes Mellitus, Type 2 Therapy Family Practice Patient Centered Care Quality of Health Care Evaluation Aged Cross Sectional Studies Denmark Descriptive Statistics Female Glycemic Control Male Middle Age Prospective Studies Random Sample Treatment Outcomes Funding Source Human Aged: 65+ years Middle Aged: 45-64 years Female Male ab: OBJECTIVE: To evaluate the quality of diabetes care achieved on the process and outcomes of care in the context of a multifaceted intervention directed at general practitioners (GPs) encouraging regular follow-up and individualised goal-setting. DESIGN: A 6-year follow-up study. SETTING: A total of 243 Danish GPs and a population-based sample of 729 newly diagnosed, predominantly type 2 diabetic patients participated. MAIN OUTCOME MEASURES: Questionnaires and laboratory assessments were used to determine the proportion of patients reviewed regularly, and their pharmacological treatment and risk factors. RESULTS: During the study, the proportion of patients who had an annual clinical examination decreased from 100% to 77%. The proportion given oral anti-diabetic agents or insulin increased from 43% to 71%. Median glycated haemoglobin (HbA1c) dropped in the 2nd year to 7.7% (normal range 5.4-7.4%), after which it increased gradually, but remained on average at 1.3% above the upper limit of the normal range. Median blood pressure (systolic/diastolic), total cholesterols and fasting triglycerides were maintained at 145-150/81-85 mmHg, 6.0-6.2 mmol/l and 1.66-1.96 mmol/l, respectively. Initial weight loss was partly regained over 6 years. CONCLUSION: Among centrally supported GPs, most patients were regularly reviewed and obtained acceptable levels of risk factors for at least 6 years, although glycaemic control progressively deteriorated after an initial drop to near-normal average level. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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