Building the evidence for integrated care for type 2 diabetes: a pilot study

Australian Journal of Primary Health
Jessica L BrowneChristopher Gilfillan

Abstract

Integrated care models have the potential to reduce fragmentation in the health system and improve outcomes for people with type 2 diabetes. A pilot evaluation of an integrated care model for people with type 2 diabetes in Melbourne, Australia, is reported on. Two studies were conducted: (1) a 6-month pilot randomised controlled trial (n=56) evaluating the impact of the integrated care model relative to hospital outpatient clinics; and (2) a cross-sectional study (n=92) of patients attending the two services. The primary outcome was diabetes-specific distress; secondary outcomes were perceived quality of diabetes care, diabetes-specific self-efficacy and glycated haemoglobin (HbA1c). There was no effect of service setting on diabetes-specific distress. Participants from the integrated care setting perceived the quality of diabetes care to be higher than did participants from the hospital clinics. Significant HbA1c improvements were observed over time, but with no effect of service setting. The model holds promise for people with type 2 diabetes who need more specialist/multidisciplinary care than can be provided in primary care. Patients' evaluations of the quality of diabetes care received at the integrated care service are ve...Continue Reading

References

Jun 1, 1995·Diabetes Care·W H PolonskyC E Schwartz
Aug 10, 1999·Diabetes/metabolism Research and Reviews·R R Rubin, M Peyrot
Mar 8, 2000·American Journal of Public Health·M H ChinW L McNabb
Oct 17, 2002·JAMA : the Journal of the American Medical Association·Thomas BodenheimerKevin Grumbach
Apr 30, 2003·Diabetes Care·Robert M AndersonMary S Oh
Jan 25, 2005·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Marielle OuwensRichard Grol
Jan 18, 2007·Diabetic Medicine : a Journal of the British Diabetic Association·L M DelahantyJ B Meigs
Dec 18, 2007·Australian and New Zealand Journal of Public Health·Jafar S TabriziPeter K O'Rourke
Dec 5, 2014·International Journal of Integrated Care·Lourdes Ferrer, Nick Goodwin

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Citations

Jun 14, 2018·Diabetic Medicine : a Journal of the British Diabetic Association·C B SchmidtA Honig
May 15, 2020·International Journal of Integrated Care·Reetu ZaroraDavid Simmons
Feb 23, 2021·International Journal of Integrated Care·Sara MurtaghWalter Cullen

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