Quality of type 2 diabetes management in general practice is associated with involvement of general practice nurses
| Autor: | Lise Juul, Morten Frydenberg, Jette Kolding Kristensen, Helle Terkildsen Maindal, Annelli Sandbæk |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Endocrinology Diabetes and Metabolism media_common.quotation_subject Denmark Population General Practice Type 2 diabetes Nurse's Role Danish Diabetes management Diabetes mellitus Surveys and Questionnaires Internal Medicine medicine Humans Quality (business) Registries education media_common Aged Quality of Health Care Aged 80 and over Glycated Hemoglobin education.field_of_study Nutrition and Dietetics business.industry Middle Aged medicine.disease language.human_language Cholesterol Treatment Outcome Diabetes Mellitus Type 2 Family medicine Health Care Surveys General practice Practice Guidelines as Topic language Observational study Female Guideline Adherence Family Practice business Biomarkers |
| Zdroj: | Juul, L, Maindal, H T, Frydenberg, M, Kristensen, J K & Sandbaek, A 2012, ' Quality of type 2 diabetes management in general practice is associated with involvement of general practice nurses ', Primary Care Diabetes, vol. 6, no. 3, pp. 221-8 . https://doi.org/10.1016/j.pcd.2012.04.001 |
| Popis: | Aims To assess whether involvement of general practice nurses in type 2 diabetes care in Danish general practice is associated with improved adherence to national guidelines on regular type 2 diabetes monitoring, and with lower HbA1c and cholesterol levels in the type 2 diabetes population. Methods The study was an observational study soliciting questionnaire data from 193 Danish general practices and register data on 12,960 patients with type 2 diabetes (age range 40–80 years) from a diabetes database and a laboratory database. Clustering was addressed in the analyses. Result Practices with well-implemented nurse-led type 2 diabetes consultations and practices with no nurse(s) employed differed according to the mean proportions of patients whose HbA1c was measured (6.4%-points: 95% CI: 1.5 to 11.4), and the mean proportions of patients whose HbA1c was ≥8% (−3.7%-points: 95% CI: −6.7 to −0.6). Small non-significant differences were found in the cholesterol analyses. Conclusion Compared with practices with no nurse(s) employed, the quality of diabetes management was generally higher in terms of that HbA1c was measured according to the guidelines in a larger proportion of the diabetes population and the proportion of patients with an HbA1c level ≥8% was lower in practices with well-implemented nurse-led type 2 diabetes consultations. |
| Databáze: | OpenAIRE |
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