Disease management in diabetes care: When involving GPs improves patient compliance and health outcomes
| Autor: | Elena Berti, Anna Caterina Leucci, Maria Luisa Moro, Matteo Lippi Bruni, Gianluca Fiorentini, Lucia Nobilio, Cristina Ugolini |
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| Přispěvatelé: | Cristina Ugolini, Matteo Lippi Bruni, Gianluca Fiorentini, Anna Caterina Leucci, Maria Luisa Moro, Elena Berti, Lucia Nobilio |
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Best practice media_common.quotation_subject Psychological intervention diabetes care clinical guidelines primary care Diabetes Management Programs Compliance (psychology) 03 medical and health sciences 0302 clinical medicine General Practitioners Diabetes management Diabetes mellitus Outcome Assessment Health Care Health care ddc:330 Humans Medicine Quality (business) 030212 general & internal medicine I10 Disease management (health) Clinical guideline Aged H51 media_common business.industry 030503 health policy & services Health Policy Disease Management Primary care medicine.disease Diabetes Mellitus Type 2 Italy Quaderni - Working Paper DSE Family medicine Patient Compliance Female Guideline Adherence SECS-P/03 Scienza delle finanze 0305 other medical science business C21 Diabetes care |
| Zdroj: | Ugolini, Cristina ; Lippi Bruni, Matteo ; Leucci, Anna Caterina ; Fiorentini, Gianluca ; Berti, Elena ; Nobilio, Lucia ; Moro, Maria Luisa (2019) Disease management in diabetes care: when involving GPs improves patient compliance and health outcomes. Bologna: Dipartimento di Scienze economiche, p. 27. DOI 10.6092/unibo/amsacta/6149 |
| ISSN: | 0168-8510 |
| Popis: | Although the study of the association between interventions in primary care and health outcomes continues to produce mixed findings, programs designed to promote the greater compliance of General Practitioners and their diabetic patients with treatment guidelines have been increasingly introduced worldwide, in an attempt to achieve better quality diabetes care through the enhanced standardisation of patient supervision. In this study we use clinical data taken from the Diabetes Register of one Local Health Authority (LHAs) in Italy’s Emilia-Romagna Region for the period 2014-2015. Firstly, we test to see whether the monitoring activities prescribed for diabetics by regional diabetes guidelines, actually have a positive impact on patients’ health outcomes and increase appropriateness in health care utilization. Secondly, we investigate whether GPs’ participation in the local Diabetes Management Program (DMP) leads to improved patient compliance with regional guidelines. Our results show that such a program, which aims to increase GPs’ involvement and cooperation in following regional guidelines for best practices, achieves its goal of improved patient compliance with the prescribed actions. In turn, through the implementation of the DMP and the greater involvement of physicians, regional policies have succeeded in promoting better health outcomes and the improved appropriateness of health care utilization. |
| Databáze: | OpenAIRE |
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