Effectiveness of pro-active organizational models in primary care for diabetes patients
| Autor: | Mirko Claus, Mario Braga, Mimma Cosentino, Rosa Gini, Valeria Domenica Tozzi, Riccardo Fusinato, Vincenzo Baldo, Mariadonata Bellentani, Verdiana Morando, Paolo Francesconi, Gianfranco Damiani, Giovanna Boccuzzo, Alessandra Buja |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Quality management Remote patient monitoring media_common.quotation_subject Practice Patterns Primary care Organizational Performance assessment 03 medical and health sciences 0302 clinical medicine Nursing Models Diabetes management General Practitioners Diabetes mellitus Disease management Health care medicine Diabetes Mellitus Humans Quality (business) 030212 general & internal medicine Disease management (health) Practice Patterns Physicians' Settore MED/42 - IGIENE GENERALE E APPLICATA media_common Quality of Health Care Physicians' Diabetes Healthcare Primary health care Primary Health Care business.industry 030503 health policy & services Health Policy Middle Aged medicine.disease Italy Models Organizational Chronic Disease Female 0305 other medical science business |
| Zdroj: | Health policy (Amsterdam, Netherlands). 123(8) |
| ISSN: | 1872-6054 |
| Popis: | Background Demographic changes and chronicity are posing new challenges to health care systems. Our study aimed to examine how effectively the three different types of proactive primary care models adopted by three different regional health care systems in Italy were improving the quality of diabetes management by general practitioners. Methods A coordinated Italian nationwide project to compare systematically the new proactive organizational models implemented at regional and local level (the MEDINA Project) involved several regions and their local health units (LHUs). A quasi-experimental study was conducted on a large dataset obtained by processing administrative databases. A combined indicator was developed to assess the quality of care delivered by primary care physicians, based on adherence to recommendations concerning patient monitoring and treatment. Result The study concerned 602 Italian general practitioners (GPs), 174 of them female, who were caring for a total of 753,366 patients (47,575 of them diabetic). Analyzing a total score, representing global adherence to a quality management of patients with diabetes, confirmed that GPs who had adopted the new model of care for their diabetic patients obtained better results than those who had not, so the new policy was generally effective. Conclusion Our study showed that introducing new, proactive primary care models could sustain efforts made around the world to guarantee good-quality chronic disease management in the primary care setting. |
| Databáze: | OpenAIRE |
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