The impact of second-level specialized care on hospitalization in persons with diabetes: a multilevel population-based study

Diabetic Medicine : a Journal of the British Diabetic Association
C GiordaRegional Board for Diabetes Care of Piemonte

Abstract

We evaluated whether differences in the use of specialized care have an impact on rates of hospitalization for diabetes. In 2001 we determined the number of hours of second-level diabetes care provided by local health units (LHU) of the Piemonte Region (Italy) and created an indicator of the mean weekly number of hours of care per 1000 residents for each LHU. From the database of the Piemonte Hospital Information System, we extracted all hospitalizations for 20-75-year-old residents with a main discharge diagnosis of diabetes mellitus (n = 3457). For each LHU, we calculated the hospitalization rate, the percentage of unplanned hospital admissions, the mean length of hospital stay, the percentage of day-hospital admissions and the percentage of re-admissions for diabetes-related complications within 6 months. The association between the indicators of specialized care and of hospital care was studied using two-level generalized hierarchical linear regression models (level 1: patient; level 2: LHU), taking into account the clustered nature of the data. Age, educational level and an indicator of disease severity were used as adjustment parameters. In the tertile of LHUs that provided the greatest number of hours of diabetes care, w...Continue Reading

References

Mar 1, 1989·International Journal of Epidemiology·S Greenland, H Morgenstern
Mar 17, 2000·BMJ : British Medical Journal·P Moore
Dec 29, 2000·Diabetes Care·P T DonnanUNKNOWN Diabetes Audit and Research in Tayside, Scotland/Medicine Monitoring Unit Collaboration
Mar 17, 2001·Diabetic Medicine : a Journal of the British Diabetic Association·D A CavanD Kerr
Mar 7, 2002·Diabetes Research and Clinical Practice·Florentino CarralManuel Aguilar
Apr 12, 2002·Diabetic Medicine : a Journal of the British Diabetic Association·P H WinocourR Williams
May 6, 2005·Treatments in Endocrinology·Carlo LucioniUNKNOWN CODE-2 Italian Advisory Board

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Citations

Mar 7, 2014·Nutrition, Metabolism, and Cardiovascular Diseases : NMCD·C B GiordaR Gnavi
Aug 22, 2012·Nutrition, Metabolism, and Cardiovascular Diseases : NMCD·C B Giorda
Sep 6, 2015·European Journal of Public Health·Chiara SeghieriGiuseppe Seghieri
Nov 22, 2011·Expert Review of Pharmacoeconomics & Outcomes Research·Carlo B GiordaJesús Diago Cabezudo

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