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. 2009 Apr;32(4):603-5.
doi: 10.2337/dc08-1169. Epub 2009 Jan 26.

Quality of life and quality of care in patients with diabetes experiencing different models of care

Margaret M Collins  1 , Tony O'Sullivan, Velma Harkins, Ivan J Perry
Affiliations

Quality of life and quality of care in patients with diabetes experiencing different models of care

Margaret M Collins et al. Diabetes Care. 2009 Apr.

Abstract

Objective: To study variation in quality of life and quality of care in patients with diabetes experiencing three different models of care: traditional hospital care, hospital/general practitioner (GP) shared care, and structured GP care.

Research design and methods: A cross-sectional study involving 1,456 patients with diabetes (71% response rate) was conducted. Quality of life was assessed with the Audit of Diabetes-Dependent Quality of Life (ADDQoL) instrument and quality of care with a 10-point process-of-care report card.

Results: The adjusted odds ratio (OR) for a high (upper quartile) ADDQoL score was significantly increased in the structured care relative to the traditional hospital care group (OR 1.7 [95% CI 1.2-2.5]). A significantly higher proportion of structured GP care patients reported compliance with seven or more key process-of-care measures compared with the other models of care.

Conclusions: Diabetes quality of life may be enhanced when care is provided in a primary care setting without compromising quality of care.

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References

    1. Brennan C, Harkins MV, Perry IJ: Management of diabetes in primary care: a structured care approach. Eur J Gen Pract. In press - PubMed
    1. Griffin S, Kinmonth AL: Diabetes care: the effectiveness of systems for routine surveillance for people with diabetes. Cochrane Database Syst Rev 2: CD000541, 2000 - PubMed
    1. O'Connor PJ, Rush WA, Davidson G, Louis TA, Solberg LI, Crain L, Johnson PE, Whitebird RR: Variation in quality of diabetes care at the levels of patient, physician, and clinic. Prev Chronic Dis 2: A15, 2008 - PMC - PubMed
    1. Smith S, Bury G, O'Leary M, Shannon W, Tynan A, Staines A, Thompson C: The North Dublin randomized controlled trial of structured diabetes shared care. Fam Pract 21: 39– 45, 2004 - PubMed
    1. Wagner EH, Grothaus LC, Sandhu N, Galvin MS, McGregor M, Artz K, Coleman EA: Chronic care clinics for diabetes in primary care: a system-wide randomized trial. Diabetes Care 24: 695– 700, 2001 - PubMed

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