A comparative study of two various models of organising diabetes follow-up in public primary health care – the model influences the use of services, their quality and costs

Background In Finland diabetologists have long been concerned about the level of diabetes care as the incidence of type 1 diabetes and complicated type 2 diabetes is exceeding the capacity of specialist clinics. We compared the outcome of diabetes care in two middle-sized Finnish municipalities with...
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Autor*in:	Honkasalo, Mikko T [verfasserIn] Linna, Miika Sane, Timo Honkasalo, Atte Elonheimo, Outi

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2014

Schlagwörter:	Type 1 diabetes Organisation of diabetes care Costs of diabetes care Patient satisfaction Comparison of diabetes care PHC diabetes care

Anmerkung:	© Honkasalo et al.; licensee BioMed Central Ltd. 2014

Übergeordnetes Werk:	Enthalten in: BMC health services research - London : BioMed Central, 2001, 14(2014), 1 vom: 20. Jan.
Übergeordnetes Werk:	volume:14 ; year:2014 ; number:1 ; day:20 ; month:01

Links:	Volltext

DOI / URN:	10.1186/1472-6963-14-26

Katalog-ID:	SPR028261941

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100	1		\|a Honkasalo, Mikko T \|e verfasserin \|4 aut
245	1	2	\|a A comparative study of two various models of organising diabetes follow-up in public primary health care – the model influences the use of services, their quality and costs
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500			\|a © Honkasalo et al.; licensee BioMed Central Ltd. 2014
520			\|a Background In Finland diabetologists have long been concerned about the level of diabetes care as the incidence of type 1 diabetes and complicated type 2 diabetes is exceeding the capacity of specialist clinics. We compared the outcome of diabetes care in two middle-sized Finnish municipalities with different models of diabetes care organisation in public primary health care. In Kouvola the primary health care of all diabetic patients is based on general practitioners, whereas in Nurmijärvi the follow-up of type 1 and most complicated type 2 diabetic patients is assigned to a general practitioner specialised in diabetes care. Methods Our study population consisted of all adult diabetic patients living in the municipalities under review. We compared the use and costs of public diabetes care, glycemic control, blood pressure, LDL-cholesterol level, the application of the national guidelines and patient satisfaction. The main outcome measures were the costs and use of health care services due to diabetes and its complications. Results In Nurmijärvi, where diabetes care was centralised, more type 1 diabetic patients were followed up in primary health care than in Kouvola, where general practitioners need more specialist consultations. The centralisation resulted in cost savings in the diabetes care of type 1 diabetic patients. Although the quality of care was similar, type 1 diabetic patients were more satisfied with their follow-up in the centralised system. In the care of type 2 diabetic patients the centralised system required fewer specialist consultations, but the quality and costs were similar in both models. Conclusions The follow-up of most diabetic patients – including type 1 diabetes – can be organised in primary health care with the same quality as in secondary care units. The centralised primary care of type 1 diabetes is less costly and requires fewer specialist consultations.
650		4	\|a Type 1 diabetes \|7 (dpeaa)DE-He213
650		4	\|a Organisation of diabetes care \|7 (dpeaa)DE-He213
650		4	\|a Costs of diabetes care \|7 (dpeaa)DE-He213
650		4	\|a Patient satisfaction \|7 (dpeaa)DE-He213
650		4	\|a Comparison of diabetes care \|7 (dpeaa)DE-He213
650		4	\|a PHC diabetes care \|7 (dpeaa)DE-He213
700	1		\|a Linna, Miika \|4 aut
700	1		\|a Sane, Timo \|4 aut
700	1		\|a Honkasalo, Atte \|4 aut
700	1		\|a Elonheimo, Outi \|4 aut
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856	4	0	\|u https://dx.doi.org/10.1186/1472-6963-14-26 \|z kostenfrei \|3 Volltext
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912			\|a GBV_ILN_602
912			\|a GBV_ILN_702
912			\|a GBV_ILN_2001
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912			\|a GBV_ILN_2005
912			\|a GBV_ILN_2006
912			\|a GBV_ILN_2008
912			\|a GBV_ILN_2009
912			\|a GBV_ILN_2010
912			\|a GBV_ILN_2011
912			\|a GBV_ILN_2014
912			\|a GBV_ILN_2015
912			\|a GBV_ILN_2020
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912			\|a GBV_ILN_2111
912			\|a GBV_ILN_2113
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912			\|a GBV_ILN_4338
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952			\|d 14 \|j 2014 \|e 1 \|b 20 \|c 01

Indexfelder

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publishDate	2014
allfields	10.1186/1472-6963-14-26 doi (DE-627)SPR028261941 (SPR)1472-6963-14-26-e DE-627 ger DE-627 rakwb eng Honkasalo, Mikko T verfasserin aut A comparative study of two various models of organising diabetes follow-up in public primary health care – the model influences the use of services, their quality and costs 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Honkasalo et al.; licensee BioMed Central Ltd. 2014 Background In Finland diabetologists have long been concerned about the level of diabetes care as the incidence of type 1 diabetes and complicated type 2 diabetes is exceeding the capacity of specialist clinics. We compared the outcome of diabetes care in two middle-sized Finnish municipalities with different models of diabetes care organisation in public primary health care. In Kouvola the primary health care of all diabetic patients is based on general practitioners, whereas in Nurmijärvi the follow-up of type 1 and most complicated type 2 diabetic patients is assigned to a general practitioner specialised in diabetes care. Methods Our study population consisted of all adult diabetic patients living in the municipalities under review. We compared the use and costs of public diabetes care, glycemic control, blood pressure, LDL-cholesterol level, the application of the national guidelines and patient satisfaction. The main outcome measures were the costs and use of health care services due to diabetes and its complications. Results In Nurmijärvi, where diabetes care was centralised, more type 1 diabetic patients were followed up in primary health care than in Kouvola, where general practitioners need more specialist consultations. The centralisation resulted in cost savings in the diabetes care of type 1 diabetic patients. Although the quality of care was similar, type 1 diabetic patients were more satisfied with their follow-up in the centralised system. In the care of type 2 diabetic patients the centralised system required fewer specialist consultations, but the quality and costs were similar in both models. Conclusions The follow-up of most diabetic patients – including type 1 diabetes – can be organised in primary health care with the same quality as in secondary care units. The centralised primary care of type 1 diabetes is less costly and requires fewer specialist consultations. Type 1 diabetes (dpeaa)DE-He213 Organisation of diabetes care (dpeaa)DE-He213 Costs of diabetes care (dpeaa)DE-He213 Patient satisfaction (dpeaa)DE-He213 Comparison of diabetes care (dpeaa)DE-He213 PHC diabetes care (dpeaa)DE-He213 Linna, Miika aut Sane, Timo aut Honkasalo, Atte aut Elonheimo, Outi aut Enthalten in BMC health services research London : BioMed Central, 2001 14(2014), 1 vom: 20. Jan. (DE-627)331018756 (DE-600)2050434-2 1472-6963 nnns volume:14 year:2014 number:1 day:20 month:01 https://dx.doi.org/10.1186/1472-6963-14-26 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2129 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2014 1 20 01
spelling	10.1186/1472-6963-14-26 doi (DE-627)SPR028261941 (SPR)1472-6963-14-26-e DE-627 ger DE-627 rakwb eng Honkasalo, Mikko T verfasserin aut A comparative study of two various models of organising diabetes follow-up in public primary health care – the model influences the use of services, their quality and costs 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Honkasalo et al.; licensee BioMed Central Ltd. 2014 Background In Finland diabetologists have long been concerned about the level of diabetes care as the incidence of type 1 diabetes and complicated type 2 diabetes is exceeding the capacity of specialist clinics. We compared the outcome of diabetes care in two middle-sized Finnish municipalities with different models of diabetes care organisation in public primary health care. In Kouvola the primary health care of all diabetic patients is based on general practitioners, whereas in Nurmijärvi the follow-up of type 1 and most complicated type 2 diabetic patients is assigned to a general practitioner specialised in diabetes care. Methods Our study population consisted of all adult diabetic patients living in the municipalities under review. We compared the use and costs of public diabetes care, glycemic control, blood pressure, LDL-cholesterol level, the application of the national guidelines and patient satisfaction. The main outcome measures were the costs and use of health care services due to diabetes and its complications. Results In Nurmijärvi, where diabetes care was centralised, more type 1 diabetic patients were followed up in primary health care than in Kouvola, where general practitioners need more specialist consultations. The centralisation resulted in cost savings in the diabetes care of type 1 diabetic patients. Although the quality of care was similar, type 1 diabetic patients were more satisfied with their follow-up in the centralised system. In the care of type 2 diabetic patients the centralised system required fewer specialist consultations, but the quality and costs were similar in both models. Conclusions The follow-up of most diabetic patients – including type 1 diabetes – can be organised in primary health care with the same quality as in secondary care units. The centralised primary care of type 1 diabetes is less costly and requires fewer specialist consultations. Type 1 diabetes (dpeaa)DE-He213 Organisation of diabetes care (dpeaa)DE-He213 Costs of diabetes care (dpeaa)DE-He213 Patient satisfaction (dpeaa)DE-He213 Comparison of diabetes care (dpeaa)DE-He213 PHC diabetes care (dpeaa)DE-He213 Linna, Miika aut Sane, Timo aut Honkasalo, Atte aut Elonheimo, Outi aut Enthalten in BMC health services research London : BioMed Central, 2001 14(2014), 1 vom: 20. Jan. (DE-627)331018756 (DE-600)2050434-2 1472-6963 nnns volume:14 year:2014 number:1 day:20 month:01 https://dx.doi.org/10.1186/1472-6963-14-26 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2129 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2014 1 20 01
allfields_unstemmed	10.1186/1472-6963-14-26 doi (DE-627)SPR028261941 (SPR)1472-6963-14-26-e DE-627 ger DE-627 rakwb eng Honkasalo, Mikko T verfasserin aut A comparative study of two various models of organising diabetes follow-up in public primary health care – the model influences the use of services, their quality and costs 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Honkasalo et al.; licensee BioMed Central Ltd. 2014 Background In Finland diabetologists have long been concerned about the level of diabetes care as the incidence of type 1 diabetes and complicated type 2 diabetes is exceeding the capacity of specialist clinics. We compared the outcome of diabetes care in two middle-sized Finnish municipalities with different models of diabetes care organisation in public primary health care. In Kouvola the primary health care of all diabetic patients is based on general practitioners, whereas in Nurmijärvi the follow-up of type 1 and most complicated type 2 diabetic patients is assigned to a general practitioner specialised in diabetes care. Methods Our study population consisted of all adult diabetic patients living in the municipalities under review. We compared the use and costs of public diabetes care, glycemic control, blood pressure, LDL-cholesterol level, the application of the national guidelines and patient satisfaction. The main outcome measures were the costs and use of health care services due to diabetes and its complications. Results In Nurmijärvi, where diabetes care was centralised, more type 1 diabetic patients were followed up in primary health care than in Kouvola, where general practitioners need more specialist consultations. The centralisation resulted in cost savings in the diabetes care of type 1 diabetic patients. Although the quality of care was similar, type 1 diabetic patients were more satisfied with their follow-up in the centralised system. In the care of type 2 diabetic patients the centralised system required fewer specialist consultations, but the quality and costs were similar in both models. Conclusions The follow-up of most diabetic patients – including type 1 diabetes – can be organised in primary health care with the same quality as in secondary care units. The centralised primary care of type 1 diabetes is less costly and requires fewer specialist consultations. Type 1 diabetes (dpeaa)DE-He213 Organisation of diabetes care (dpeaa)DE-He213 Costs of diabetes care (dpeaa)DE-He213 Patient satisfaction (dpeaa)DE-He213 Comparison of diabetes care (dpeaa)DE-He213 PHC diabetes care (dpeaa)DE-He213 Linna, Miika aut Sane, Timo aut Honkasalo, Atte aut Elonheimo, Outi aut Enthalten in BMC health services research London : BioMed Central, 2001 14(2014), 1 vom: 20. Jan. (DE-627)331018756 (DE-600)2050434-2 1472-6963 nnns volume:14 year:2014 number:1 day:20 month:01 https://dx.doi.org/10.1186/1472-6963-14-26 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2129 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2014 1 20 01
allfieldsGer	10.1186/1472-6963-14-26 doi (DE-627)SPR028261941 (SPR)1472-6963-14-26-e DE-627 ger DE-627 rakwb eng Honkasalo, Mikko T verfasserin aut A comparative study of two various models of organising diabetes follow-up in public primary health care – the model influences the use of services, their quality and costs 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Honkasalo et al.; licensee BioMed Central Ltd. 2014 Background In Finland diabetologists have long been concerned about the level of diabetes care as the incidence of type 1 diabetes and complicated type 2 diabetes is exceeding the capacity of specialist clinics. We compared the outcome of diabetes care in two middle-sized Finnish municipalities with different models of diabetes care organisation in public primary health care. In Kouvola the primary health care of all diabetic patients is based on general practitioners, whereas in Nurmijärvi the follow-up of type 1 and most complicated type 2 diabetic patients is assigned to a general practitioner specialised in diabetes care. Methods Our study population consisted of all adult diabetic patients living in the municipalities under review. We compared the use and costs of public diabetes care, glycemic control, blood pressure, LDL-cholesterol level, the application of the national guidelines and patient satisfaction. The main outcome measures were the costs and use of health care services due to diabetes and its complications. Results In Nurmijärvi, where diabetes care was centralised, more type 1 diabetic patients were followed up in primary health care than in Kouvola, where general practitioners need more specialist consultations. The centralisation resulted in cost savings in the diabetes care of type 1 diabetic patients. Although the quality of care was similar, type 1 diabetic patients were more satisfied with their follow-up in the centralised system. In the care of type 2 diabetic patients the centralised system required fewer specialist consultations, but the quality and costs were similar in both models. Conclusions The follow-up of most diabetic patients – including type 1 diabetes – can be organised in primary health care with the same quality as in secondary care units. The centralised primary care of type 1 diabetes is less costly and requires fewer specialist consultations. Type 1 diabetes (dpeaa)DE-He213 Organisation of diabetes care (dpeaa)DE-He213 Costs of diabetes care (dpeaa)DE-He213 Patient satisfaction (dpeaa)DE-He213 Comparison of diabetes care (dpeaa)DE-He213 PHC diabetes care (dpeaa)DE-He213 Linna, Miika aut Sane, Timo aut Honkasalo, Atte aut Elonheimo, Outi aut Enthalten in BMC health services research London : BioMed Central, 2001 14(2014), 1 vom: 20. Jan. (DE-627)331018756 (DE-600)2050434-2 1472-6963 nnns volume:14 year:2014 number:1 day:20 month:01 https://dx.doi.org/10.1186/1472-6963-14-26 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2129 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2014 1 20 01
allfieldsSound	10.1186/1472-6963-14-26 doi (DE-627)SPR028261941 (SPR)1472-6963-14-26-e DE-627 ger DE-627 rakwb eng Honkasalo, Mikko T verfasserin aut A comparative study of two various models of organising diabetes follow-up in public primary health care – the model influences the use of services, their quality and costs 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Honkasalo et al.; licensee BioMed Central Ltd. 2014 Background In Finland diabetologists have long been concerned about the level of diabetes care as the incidence of type 1 diabetes and complicated type 2 diabetes is exceeding the capacity of specialist clinics. We compared the outcome of diabetes care in two middle-sized Finnish municipalities with different models of diabetes care organisation in public primary health care. In Kouvola the primary health care of all diabetic patients is based on general practitioners, whereas in Nurmijärvi the follow-up of type 1 and most complicated type 2 diabetic patients is assigned to a general practitioner specialised in diabetes care. Methods Our study population consisted of all adult diabetic patients living in the municipalities under review. We compared the use and costs of public diabetes care, glycemic control, blood pressure, LDL-cholesterol level, the application of the national guidelines and patient satisfaction. The main outcome measures were the costs and use of health care services due to diabetes and its complications. Results In Nurmijärvi, where diabetes care was centralised, more type 1 diabetic patients were followed up in primary health care than in Kouvola, where general practitioners need more specialist consultations. The centralisation resulted in cost savings in the diabetes care of type 1 diabetic patients. Although the quality of care was similar, type 1 diabetic patients were more satisfied with their follow-up in the centralised system. In the care of type 2 diabetic patients the centralised system required fewer specialist consultations, but the quality and costs were similar in both models. Conclusions The follow-up of most diabetic patients – including type 1 diabetes – can be organised in primary health care with the same quality as in secondary care units. The centralised primary care of type 1 diabetes is less costly and requires fewer specialist consultations. Type 1 diabetes (dpeaa)DE-He213 Organisation of diabetes care (dpeaa)DE-He213 Costs of diabetes care (dpeaa)DE-He213 Patient satisfaction (dpeaa)DE-He213 Comparison of diabetes care (dpeaa)DE-He213 PHC diabetes care (dpeaa)DE-He213 Linna, Miika aut Sane, Timo aut Honkasalo, Atte aut Elonheimo, Outi aut Enthalten in BMC health services research London : BioMed Central, 2001 14(2014), 1 vom: 20. Jan. (DE-627)331018756 (DE-600)2050434-2 1472-6963 nnns volume:14 year:2014 number:1 day:20 month:01 https://dx.doi.org/10.1186/1472-6963-14-26 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2129 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2014 1 20 01
language	English
source	Enthalten in BMC health services research 14(2014), 1 vom: 20. Jan. volume:14 year:2014 number:1 day:20 month:01
sourceStr	Enthalten in BMC health services research 14(2014), 1 vom: 20. Jan. volume:14 year:2014 number:1 day:20 month:01
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Type 1 diabetes Organisation of diabetes care Costs of diabetes care Patient satisfaction Comparison of diabetes care PHC diabetes care
isfreeaccess_bool	true
container_title	BMC health services research
authorswithroles_txt_mv	Honkasalo, Mikko T @@aut@@ Linna, Miika @@aut@@ Sane, Timo @@aut@@ Honkasalo, Atte @@aut@@ Elonheimo, Outi @@aut@@
publishDateDaySort_date	2014-01-20T00:00:00Z
hierarchy_top_id	331018756
id	SPR028261941
language_de	englisch
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We compared the outcome of diabetes care in two middle-sized Finnish municipalities with different models of diabetes care organisation in public primary health care. In Kouvola the primary health care of all diabetic patients is based on general practitioners, whereas in Nurmijärvi the follow-up of type 1 and most complicated type 2 diabetic patients is assigned to a general practitioner specialised in diabetes care. Methods Our study population consisted of all adult diabetic patients living in the municipalities under review. We compared the use and costs of public diabetes care, glycemic control, blood pressure, LDL-cholesterol level, the application of the national guidelines and patient satisfaction. The main outcome measures were the costs and use of health care services due to diabetes and its complications. Results In Nurmijärvi, where diabetes care was centralised, more type 1 diabetic patients were followed up in primary health care than in Kouvola, where general practitioners need more specialist consultations. The centralisation resulted in cost savings in the diabetes care of type 1 diabetic patients. Although the quality of care was similar, type 1 diabetic patients were more satisfied with their follow-up in the centralised system. In the care of type 2 diabetic patients the centralised system required fewer specialist consultations, but the quality and costs were similar in both models. Conclusions The follow-up of most diabetic patients – including type 1 diabetes – can be organised in primary health care with the same quality as in secondary care units. 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author	Honkasalo, Mikko T
spellingShingle	Honkasalo, Mikko T misc Type 1 diabetes misc Organisation of diabetes care misc Costs of diabetes care misc Patient satisfaction misc Comparison of diabetes care misc PHC diabetes care A comparative study of two various models of organising diabetes follow-up in public primary health care – the model influences the use of services, their quality and costs
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topic_title	A comparative study of two various models of organising diabetes follow-up in public primary health care – the model influences the use of services, their quality and costs Type 1 diabetes (dpeaa)DE-He213 Organisation of diabetes care (dpeaa)DE-He213 Costs of diabetes care (dpeaa)DE-He213 Patient satisfaction (dpeaa)DE-He213 Comparison of diabetes care (dpeaa)DE-He213 PHC diabetes care (dpeaa)DE-He213
topic	misc Type 1 diabetes misc Organisation of diabetes care misc Costs of diabetes care misc Patient satisfaction misc Comparison of diabetes care misc PHC diabetes care
topic_unstemmed	misc Type 1 diabetes misc Organisation of diabetes care misc Costs of diabetes care misc Patient satisfaction misc Comparison of diabetes care misc PHC diabetes care
topic_browse	misc Type 1 diabetes misc Organisation of diabetes care misc Costs of diabetes care misc Patient satisfaction misc Comparison of diabetes care misc PHC diabetes care
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title	A comparative study of two various models of organising diabetes follow-up in public primary health care – the model influences the use of services, their quality and costs
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title_full	A comparative study of two various models of organising diabetes follow-up in public primary health care – the model influences the use of services, their quality and costs
author_sort	Honkasalo, Mikko T
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author_browse	Honkasalo, Mikko T Linna, Miika Sane, Timo Honkasalo, Atte Elonheimo, Outi
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author-letter	Honkasalo, Mikko T
doi_str_mv	10.1186/1472-6963-14-26
title_sort	comparative study of two various models of organising diabetes follow-up in public primary health care – the model influences the use of services, their quality and costs
title_auth	A comparative study of two various models of organising diabetes follow-up in public primary health care – the model influences the use of services, their quality and costs
abstract	Background In Finland diabetologists have long been concerned about the level of diabetes care as the incidence of type 1 diabetes and complicated type 2 diabetes is exceeding the capacity of specialist clinics. We compared the outcome of diabetes care in two middle-sized Finnish municipalities with different models of diabetes care organisation in public primary health care. In Kouvola the primary health care of all diabetic patients is based on general practitioners, whereas in Nurmijärvi the follow-up of type 1 and most complicated type 2 diabetic patients is assigned to a general practitioner specialised in diabetes care. Methods Our study population consisted of all adult diabetic patients living in the municipalities under review. We compared the use and costs of public diabetes care, glycemic control, blood pressure, LDL-cholesterol level, the application of the national guidelines and patient satisfaction. The main outcome measures were the costs and use of health care services due to diabetes and its complications. Results In Nurmijärvi, where diabetes care was centralised, more type 1 diabetic patients were followed up in primary health care than in Kouvola, where general practitioners need more specialist consultations. The centralisation resulted in cost savings in the diabetes care of type 1 diabetic patients. Although the quality of care was similar, type 1 diabetic patients were more satisfied with their follow-up in the centralised system. In the care of type 2 diabetic patients the centralised system required fewer specialist consultations, but the quality and costs were similar in both models. Conclusions The follow-up of most diabetic patients – including type 1 diabetes – can be organised in primary health care with the same quality as in secondary care units. The centralised primary care of type 1 diabetes is less costly and requires fewer specialist consultations. © Honkasalo et al.; licensee BioMed Central Ltd. 2014
abstractGer	Background In Finland diabetologists have long been concerned about the level of diabetes care as the incidence of type 1 diabetes and complicated type 2 diabetes is exceeding the capacity of specialist clinics. We compared the outcome of diabetes care in two middle-sized Finnish municipalities with different models of diabetes care organisation in public primary health care. In Kouvola the primary health care of all diabetic patients is based on general practitioners, whereas in Nurmijärvi the follow-up of type 1 and most complicated type 2 diabetic patients is assigned to a general practitioner specialised in diabetes care. Methods Our study population consisted of all adult diabetic patients living in the municipalities under review. We compared the use and costs of public diabetes care, glycemic control, blood pressure, LDL-cholesterol level, the application of the national guidelines and patient satisfaction. The main outcome measures were the costs and use of health care services due to diabetes and its complications. Results In Nurmijärvi, where diabetes care was centralised, more type 1 diabetic patients were followed up in primary health care than in Kouvola, where general practitioners need more specialist consultations. The centralisation resulted in cost savings in the diabetes care of type 1 diabetic patients. Although the quality of care was similar, type 1 diabetic patients were more satisfied with their follow-up in the centralised system. In the care of type 2 diabetic patients the centralised system required fewer specialist consultations, but the quality and costs were similar in both models. Conclusions The follow-up of most diabetic patients – including type 1 diabetes – can be organised in primary health care with the same quality as in secondary care units. The centralised primary care of type 1 diabetes is less costly and requires fewer specialist consultations. © Honkasalo et al.; licensee BioMed Central Ltd. 2014
abstract_unstemmed	Background In Finland diabetologists have long been concerned about the level of diabetes care as the incidence of type 1 diabetes and complicated type 2 diabetes is exceeding the capacity of specialist clinics. We compared the outcome of diabetes care in two middle-sized Finnish municipalities with different models of diabetes care organisation in public primary health care. In Kouvola the primary health care of all diabetic patients is based on general practitioners, whereas in Nurmijärvi the follow-up of type 1 and most complicated type 2 diabetic patients is assigned to a general practitioner specialised in diabetes care. Methods Our study population consisted of all adult diabetic patients living in the municipalities under review. We compared the use and costs of public diabetes care, glycemic control, blood pressure, LDL-cholesterol level, the application of the national guidelines and patient satisfaction. The main outcome measures were the costs and use of health care services due to diabetes and its complications. Results In Nurmijärvi, where diabetes care was centralised, more type 1 diabetic patients were followed up in primary health care than in Kouvola, where general practitioners need more specialist consultations. The centralisation resulted in cost savings in the diabetes care of type 1 diabetic patients. Although the quality of care was similar, type 1 diabetic patients were more satisfied with their follow-up in the centralised system. In the care of type 2 diabetic patients the centralised system required fewer specialist consultations, but the quality and costs were similar in both models. Conclusions The follow-up of most diabetic patients – including type 1 diabetes – can be organised in primary health care with the same quality as in secondary care units. The centralised primary care of type 1 diabetes is less costly and requires fewer specialist consultations. © Honkasalo et al.; licensee BioMed Central Ltd. 2014
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container_issue	1
title_short	A comparative study of two various models of organising diabetes follow-up in public primary health care – the model influences the use of services, their quality and costs
url	https://dx.doi.org/10.1186/1472-6963-14-26
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author2	Linna, Miika Sane, Timo Honkasalo, Atte Elonheimo, Outi
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up_date	2024-07-03T18:19:57.437Z
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A comparative study of two various models of organising diabetes follow-up in public primary health care – the model influences the use of services, their quality and costs

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