Dataset Information

Effectiveness of integrated care model for type 2 diabetes: A population-based study in Reggio Emilia (Italy).

ABSTRACT:

Aims

To compare the effectiveness of integrated care with that of the diabetes clinic care model in terms of mortality and hospitalisation of type 2 diabetes patients with low risk of complications.

Methods

Out of 27234 people with type 2 diabetes residing in the province of Reggio Emilia on 31/12/2011, 3071 were included in this cohort study as eligible for integrated care (i.e., low risk of complications) and cared for with the same care model for at least two years. These patients were followed up from 2012 to 2016, for all-cause and diabetes-related mortality and hospital admissions. We performed a Poisson regression model, using the proportion of eligible patients included in the integrated care model for each general practitioner as an instrumental variable.

Results

1700 patients were cared for by integrated care and 1371 by diabetes clinics. Mortality rate ratios were 0.83 (95%CI 0.60-1.13) and 0.95 (95%CI 0.54-1.70) for all-cause and cardiovascular mortality, respectively, and incidence rate ratios were 0.90 (95%CI 0.76-1.06) and 0.91 (95%CI 0.69-1.20) for all-cause and cardiovascular disease hospitalisation, respectively.

Conclusion

For low risk patients with type 2 diabetes, the integrated care model involving both general practitioner and diabetes clinic professionals showed similar mortality and hospitalisation as a model with higher use of specialized care in an exclusively diabetes clinic setting.

SUBMITTER: Ballotari P

PROVIDER: S-EPMC5870991 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature

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Publications

Effectiveness of integrated care model for type 2 diabetes: A population-based study in Reggio Emilia (Italy).

Ballotari Paola P Venturelli Francesco F Manicardi Valeria V Ferrari Francesca F Vicentini Massimo M Greci Marina M Pignatti Fabio F Storani Simone S Giorgi Rossi Paolo P

PloS one 20180327 3

<h4>Aims</h4>To compare the effectiveness of integrated care with that of the diabetes clinic care model in terms of mortality and hospitalisation of type 2 diabetes patients with low risk of complications.<h4>Methods</h4>Out of 27234 people with type 2 diabetes residing in the province of Reggio Emilia on 31/12/2011, 3071 were included in this cohort study as eligible for integrated care (i.e., low risk of complications) and cared for with the same care model for at least two years. These patie ...[more]

PMID: 29584749

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Dataset Information

Effectiveness of integrated care model for type 2 diabetes: A population-based study in Reggio Emilia (Italy).

Aims

Methods

Results

Conclusion

Publications

Effectiveness of integrated care model for type 2 diabetes: A population-based study in Reggio Emilia (Italy).

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