Peer-Reviewed Journal Details
Mandatory Fields
Collins, MM,O'Sullivan, T,Harkins, V,Perry, IJ;
2009
March
Diabetes Care
Quality of Life and Quality of Care in Patients With Diabetes Experiencing Different Models of Care
Validated
()
Optional Fields
RANDOMIZED CONTROLLED-TRIAL ADULTS
32
603
605
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 stud), 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% Cl 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.
DOI 10.2337/dc08-1169
Grant Details