Association of processes of primary care and hospitalisation for people with diabetes: A record linkage study

Diabetes Research and Clinical Practice
Elizabeth Jean CominoMark Fort Harris

Abstract

To explore the association of primary care and hospitalisation for people with diabetes. The study comprised 20,433 diabetic participants in the Sax Institute's 45 and Up Study. Data on processes of care at recruitment (15 months) were extracted from the Department of Human Services Medicare database. Processes included continuity of primary care (47.1%), and claims for completion of an annual cycle of care (25.0%), GP management plan/team care arrangement (GPMP/TCA, 41.3%), review of GPMP/TCA (24.0%), and monitoring including HbA1c (62.7%). Hospitalisation (12 months) following recruitment was extracted from administrative data held by NSW Ministry of Health. Adjusted incidence rate ratios (aIRR) with 95% confidence interval were calculated. A hospital admission was reported for 33.0% of participants. Continuity of care (aIRR: 0.92 (95%CI: 0.89-0.96)), or claims for an annual cycle of care (aIRR: 0.77 (0.74-0.80)) or HbA1c testing (aIRR: 0.92 (0.89-0.96) were associated with a reduced likelihood of hospitalisation. While claims for preparation of GPMP/TCA were not associated with hospitalisation, a claim for review of GPMP/TCA was associated with a reduced likelihood of hospitalisation (aIRR: 0.92 (95%CI: 0.89 0.96)). This stu...Continue Reading

References

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Citations

Oct 4, 2018·Health Information Management : Journal of the Health Information Management Association of Australia·Joan HendersonAndrew Bonney
Jul 28, 2017·Australian Journal of Primary Health·Julie RedfernDavid Peiris
Dec 7, 2018·The Diabetes Educator·Jennifer A Fearon-LynchCaitlin M Stover
Oct 8, 2020·BMC Health Services Research·Rachael E MoorinCameron M Wright
Nov 10, 2020·Diabetes Research and Clinical Practice·Emma SainsburyStephen Colagiuri
Jul 13, 2018·The Medical Journal of Australia·Mark F HarrisAndrew W Knight
Mar 9, 2017·Diabetes Spectrum : a Publication of the American Diabetes Association·Shanley ChongBin Jalaludin

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