WORKLOAD AND OUTCOMES OF DIABETES CARE IN GENERAL-PRACTICE

被引:5
作者
BRADSHAW, C
ECCLES, MP
STEEN, IN
CHOI, HY
机构
[1] Marsden Road Health Centre, University of Newcastle upon Tyne, South Shields
[2] Centre for Health Services Research, University of Newcastle upon Tyne
[3] Southwick Health Centre, Sunderland
关键词
DIABETES; OUTCOME MEASURES; WORKLOAD; GENERAL PRACTICE;
D O I
10.1111/j.1464-5491.1992.tb01776.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The effect of starting a general practice diabetes clinic on practice work-load and intermediate outcome measures was studied retrospectively using patient records. The 35 diabetic patients included had been diagnosed > 4 years before the diabetes clinic started and were followed for 6 years in the clinic, together with a group of age- and sex-matched controls. There was a significant rise in the consultation rates of the diabetic patients, due to an increase in diabetes-related consultations, from 3.9 consultations yr-1 to 6.7 consultations yr-1 (p < 0.001). There was a fall in HbA1c level of 0.22 (99 % Cl 0.13, 0.32) %Hb yr-1 over the 6 years and in body mass index of 0.37 (99 % Cl 0.22, 0.52) kg m-2 yr-1, suggesting an improvement in diabetes management.
引用
收藏
页码:275 / 278
页数:4
相关论文
共 16 条
[1]  
Simm ISG, Walker C., Thorn PA, Russell IR, Serhan F., Diabetic clinics in general practice: over 12 years experience, Shared Care in Diabetes, pp. 9-15, (1985)
[2]  
Foulke A., Kinmonth AL, Frost S., MacDonald D., Organised personal care—an effective choice for managing diabetes in general practice, J Roy Coll Gen Pract, 39, pp. 444-447, (1989)
[3]  
Hayes TM, Harries J., Randomized controlled trial of routine hospital clinic care versus routine general practice care for type 2 diabetics, Br Med J, 289, pp. 728-730, (1984)
[4]  
Day JL, Freeze H., Alban-Davies H., Problems of comprehensive shared diabetes care, Br Med J, 294, pp. 1590-1592, (1987)
[5]  
Fleming PC., What is happening to our diabetic patients. An audit of care in general practice, Practical Diabetes International, 2, pp. 26-29, (1985)
[6]  
Williams DRR, Munroe C., Hospedales CJ, Greenwood RH., A three‐year evaluation of the quality of diabetes care in the Norwich community care scheme, Diabetic Med, 7, pp. 74-79, (1990)
[7]  
Morrell DC., Expressions of morbidity in general practice, Br Med J, 2, pp. 454-458, (1971)
[8]  
Morbidity Statistics from General Practice 1981–1982. Third National Study, (1986)
[9]  
Donabedian A., Evaluating the quality of medical care, Millbank Memorial Fund Quarterly., 44, pp. 166-206, (1966)
[10]  
Waine C., Hall M., Essex B., Tuske P., Diabetes (Information Folder), (1988)