ArticleBMC health services research2014
A comparative study of two various models of organising diabetes follow-up in public primary health care - the model influences the use of services, their quality and costs.
Article in BMC health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Costs and its drivers for diabetes mellitus type 2 patients in France and Germany: a systematic review of economic studies.BMC health services research · 2020Pooled it
- Pooled it
- The Economic Costs of Type 2 Diabetes: A Global Systematic Review.PharmacoEconomics · 2015Pooled it
- Eight-year post-trial follow-up of health care and long-term care costs of tele-based health coaching.Health services research · 2020Trial
- Cost-effectiveness analysis for a tele-based health coaching program for chronic disease in primary care.BMC health services research · 2017Trial
- An evaluation of the quality care for type 2 diabetes patients in the primary healthcare using the lot quality assurance sampling technique.BMC health services research · 2024Article
- Feasibility and acceptability of breath research in primary care: a prospective, cross-sectional, observational study.BMJ open · 2021Observational
- Direct costs of inflammatory bowel diseases in a Finnish tertiary-level clinic.Frontline gastroenterology · 2021Article
- Estimation of Annual Health Care Costs for Adults with Type 1 Diabetes in the United States.Journal of managed care & specialty pharmacy · 2020Article
- [Influencing factors of diabetic patients applying for specific disease health insurance and its treatment cost].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2016Article
- A comparative study of the quality of care and glycemic control among ambulatory type 2 diabetes mellitus clients, at a Tertiary Referral Hospital and a Regional Hospital in Central Kenya.BMC research notes · 2016Article
- A Patient Portal With Electronic Messaging: Controlled Before-and-After Study.Journal of medical Internet research · 2015Article
- Primary-care-based episodes of care and their costs in a three-month follow-up in Finland.Scandinavian journal of primary health care · 2015Article
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Authors and funding
5 authors.
Funding
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Abstract
backgroundIn Finland diabetologists have long been concerned about the level of diabetes care as the incidence of type 1 diabetes and complicated type 2 diabetes is exceeding the capacity of specialist clinics. We compared the outcome of diabetes care in two middle-sized Finnish municipalities with different models of diabetes care organisation in public primary health care. In Kouvola the primary health care of all diabetic patients is based on general practitioners, whereas in Nurmijärvi the follow-up of type 1 and most complicated type 2 diabetic patients is assigned to a general practitioner specialised in diabetes care.
methodsOur study population consisted of all adult diabetic patients living in the municipalities under review.We compared the use and costs of public diabetes care, glycemic control, blood pressure, LDL-cholesterol level, the application of the national guidelines and patient satisfaction. The main outcome measures were the costs and use of health care services due to diabetes and its complications.
resultsIn Nurmijärvi, where diabetes care was centralised, more type 1 diabetic patients were followed up in primary health care than in Kouvola, where general practitioners need more specialist consultations. The centralisation resulted in cost savings in the diabetes care of type 1 diabetic patients. Although the quality of care was similar, type 1 diabetic patients were more satisfied with their follow-up in the centralised system. In the care of type 2 diabetic patients the centralised system required fewer specialist consultations, but the quality and costs were similar in both models.
conclusionsThe follow-up of most diabetic patients - including type 1 diabetes - can be organised in primary health care with the same quality as in secondary care units. The centralised primary care of type 1 diabetes is less costly and requires fewer specialist consultations.
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