对奥地利兰代克区 2 型糖尿病患者的护理质量进行评估。

IF 2.6 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM
Veronika Haslwanter , Ursula Rochau , Lára R. Hallsson , Uwe Siebert , Hans-Robert Schönherr , Monika Lechleitner , Willi Oberaigner
{"title":"对奥地利兰代克区 2 型糖尿病患者的护理质量进行评估。","authors":"Veronika Haslwanter ,&nbsp;Ursula Rochau ,&nbsp;Lára R. Hallsson ,&nbsp;Uwe Siebert ,&nbsp;Hans-Robert Schönherr ,&nbsp;Monika Lechleitner ,&nbsp;Willi Oberaigner","doi":"10.1016/j.pcd.2024.01.011","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>Structured diabetes care based on evidence-based guidelines is one of the main strategies to improve glycemic control and to reduce long-term complications in diabetes mellitus.</p></div><div><h3>Methods</h3><p>This study is based on the “Diabetes-Landeck Cohort”, a population-based cohort of patients with diabetes mellitus type 2 (T2DM). We assessed the quality of diabetes care and compared it between three groups of care units, that is, general practitioners (GP), diabetes specialists in private practice (DSPP), and hospitals (HOSP).</p></div><div><h3>Results</h3><p>The total study population comprised 1616 patients with T2DM, including 378 patients of GP, 281 of DSPP, and 957 from HOSP. We identified statistically significant differences: DSPP showed the highest percentage of structured training, sufficient training, eye examinations and foot examinations. The group HOSP showed the highest proportion for increased HbA1c≥ 7.5 and almost all long-term complications surveyed, that is, nephropathy (23.2%), neuropathy (14.4%), diabetic foot (5.1%), and cerebrovascular diseases (10.9%).</p></div><div><h3>Conclusion</h3><p>This population-based cohort study on patients with T2DM in Austria showed significant differences in important quality-of-care process and outcome parameters across different groups of care units. Future research should also include prediction modeling for early warning and monitoring systems as well as adjustment for patient characteristics and duration and severity of disease.</p></div>","PeriodicalId":48997,"journal":{"name":"Primary Care Diabetes","volume":null,"pages":null},"PeriodicalIF":2.6000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1751991824000123/pdfft?md5=521bc30c72a21dde7a72bef3d41580f0&pid=1-s2.0-S1751991824000123-main.pdf","citationCount":"0","resultStr":"{\"title\":\"The assessment of quality of care of patients with type 2 diabetes mellitus in a population-based cohort in the District of Landeck in Austria\",\"authors\":\"Veronika Haslwanter ,&nbsp;Ursula Rochau ,&nbsp;Lára R. Hallsson ,&nbsp;Uwe Siebert ,&nbsp;Hans-Robert Schönherr ,&nbsp;Monika Lechleitner ,&nbsp;Willi Oberaigner\",\"doi\":\"10.1016/j.pcd.2024.01.011\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><p>Structured diabetes care based on evidence-based guidelines is one of the main strategies to improve glycemic control and to reduce long-term complications in diabetes mellitus.</p></div><div><h3>Methods</h3><p>This study is based on the “Diabetes-Landeck Cohort”, a population-based cohort of patients with diabetes mellitus type 2 (T2DM). We assessed the quality of diabetes care and compared it between three groups of care units, that is, general practitioners (GP), diabetes specialists in private practice (DSPP), and hospitals (HOSP).</p></div><div><h3>Results</h3><p>The total study population comprised 1616 patients with T2DM, including 378 patients of GP, 281 of DSPP, and 957 from HOSP. We identified statistically significant differences: DSPP showed the highest percentage of structured training, sufficient training, eye examinations and foot examinations. The group HOSP showed the highest proportion for increased HbA1c≥ 7.5 and almost all long-term complications surveyed, that is, nephropathy (23.2%), neuropathy (14.4%), diabetic foot (5.1%), and cerebrovascular diseases (10.9%).</p></div><div><h3>Conclusion</h3><p>This population-based cohort study on patients with T2DM in Austria showed significant differences in important quality-of-care process and outcome parameters across different groups of care units. Future research should also include prediction modeling for early warning and monitoring systems as well as adjustment for patient characteristics and duration and severity of disease.</p></div>\",\"PeriodicalId\":48997,\"journal\":{\"name\":\"Primary Care Diabetes\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2024-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S1751991824000123/pdfft?md5=521bc30c72a21dde7a72bef3d41580f0&pid=1-s2.0-S1751991824000123-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Primary Care Diabetes\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1751991824000123\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ENDOCRINOLOGY & METABOLISM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Primary Care Diabetes","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1751991824000123","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
引用次数: 0

摘要

导言:以循证指南为基础的结构化糖尿病护理是改善血糖控制和减少糖尿病长期并发症的主要策略之一:本研究以 "糖尿病-兰特克队列 "为基础,该队列是一个以人群为基础的2型糖尿病(T2DM)患者队列。我们对糖尿病护理质量进行了评估,并对三组护理单位进行了比较,即全科医生(GP)、私人诊所糖尿病专家(DSPP)和医院(HOSP):研究对象共包括 1616 名 T2DM 患者,其中全科医生 378 名,私人诊所糖尿病专科医生 281 名,HOSP 957 名。我们发现了统计学上的显著差异:全科医生组在结构化培训、充分培训、眼部检查和足部检查方面的比例最高。HOSP 组中 HbA1c≥ 7.5 和几乎所有长期并发症(即肾病(23.2%)、神经病变(14.4%)、糖尿病足(5.1%)和脑血管疾病(10.9%))增加的比例最高:这项针对奥地利 T2DM 患者的人群队列研究显示,不同护理单位的重要护理质量过程和结果参数存在显著差异。未来的研究还应包括预警和监测系统的预测模型,以及对患者特征、病程和病情严重程度的调整。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The assessment of quality of care of patients with type 2 diabetes mellitus in a population-based cohort in the District of Landeck in Austria

Introduction

Structured diabetes care based on evidence-based guidelines is one of the main strategies to improve glycemic control and to reduce long-term complications in diabetes mellitus.

Methods

This study is based on the “Diabetes-Landeck Cohort”, a population-based cohort of patients with diabetes mellitus type 2 (T2DM). We assessed the quality of diabetes care and compared it between three groups of care units, that is, general practitioners (GP), diabetes specialists in private practice (DSPP), and hospitals (HOSP).

Results

The total study population comprised 1616 patients with T2DM, including 378 patients of GP, 281 of DSPP, and 957 from HOSP. We identified statistically significant differences: DSPP showed the highest percentage of structured training, sufficient training, eye examinations and foot examinations. The group HOSP showed the highest proportion for increased HbA1c≥ 7.5 and almost all long-term complications surveyed, that is, nephropathy (23.2%), neuropathy (14.4%), diabetic foot (5.1%), and cerebrovascular diseases (10.9%).

Conclusion

This population-based cohort study on patients with T2DM in Austria showed significant differences in important quality-of-care process and outcome parameters across different groups of care units. Future research should also include prediction modeling for early warning and monitoring systems as well as adjustment for patient characteristics and duration and severity of disease.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Primary Care Diabetes
Primary Care Diabetes ENDOCRINOLOGY & METABOLISM-PRIMARY HEALTH CARE
CiteScore
5.00
自引率
3.40%
发文量
134
审稿时长
47 days
期刊介绍: The journal publishes original research articles and high quality reviews in the fields of clinical care, diabetes education, nutrition, health services, psychosocial research and epidemiology and other areas as far as is relevant for diabetology in a primary-care setting. The purpose of the journal is to encourage interdisciplinary research and discussion between all those who are involved in primary diabetes care on an international level. The Journal also publishes news and articles concerning the policies and activities of Primary Care Diabetes Europe and reflects the society''s aim of improving the care for people with diabetes mellitus within the primary-care setting.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信