Associations between quality of work features in primary health care and glycaemic control in people with Type 2 diabetes mellitus : A nationwide survey
| Autor: | Lars Jerdén, Björn Eliasson, Ann-Marie Svensson, Lars Steen, Eva Thors Adolfsson, Thorne Wallman, Janeth Leksell, Rebecka Husdal, Stefan Jansson, Andreas Rosenblad, Jan Stålhammar |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Blood Glucose
Male medicine.medical_specialty endocrine system diseases Endocrinology Diabetes and Metabolism Primary health care 030209 endocrinology & metabolism Endocrinology and Diabetes Nationwide survey 03 medical and health sciences Hba1c level 0302 clinical medicine Diabetes mellitus Internal Medicine medicine Humans Hypoglycemic Agents 030212 general & internal medicine Aged Quality Indicators Health Care Sweden National survey Quality of work Nutrition and Dietetics Primary Health Care business.industry Klinisk medicin Type 2 Diabetes Mellitus nutritional and metabolic diseases Middle Aged medicine.disease Quality Improvement Cross-Sectional Studies Diabetes Mellitus Type 2 Family medicine Health Care Surveys Endokrinologi och diabetes Quality of health care Female Clinical Medicine Family Practice business Biomarkers Type 2 |
| Zdroj: | BASE-Bielefeld Academic Search Engine |
| Popis: | Aims: To describe and analyse the associations between primary health care centres’ (PHCCs’) quality of work (QOW) and individual HbA1c levels in people with Type 2 diabetes mellitus (T2DM). Methods: This cross-sectional study invited all 1152 Swedish PHCCs to answer a questionnaire addressing QOW conditions. Clinical, socio-economic and comorbidity data for 230,958 people with T2DM were linked to data on QOW conditions for 846 (73.4%) PHCCs. Results: Of the participants, 56% had controlled (≤52 mmol/mol), 31.9% intermediate (53–69 mmol/mol), and 12.1% uncontrolled (≥70 mmol/mol) HbA1c. An explanatory factor analysis identified seven QOW features. The features having a call-recall system, having individualized treatment plans, PHCCs’ results always on the agenda, and having a follow-up strategy combined with taking responsibility of outcomes/results were associated with lower HbA1c levels in the controlled group (all p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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