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

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  • Additional Information
    • Source:
      Publisher: Australian Journal of Public Health, Australian Institute for Primary Care, La Trobe University Country of Publication: Australia NLM ID: 101123037 Publication Model: Print Cited Medium: Print ISSN: 1448-7527 (Print) Linking ISSN: 14487527 NLM ISO Abbreviation: Aust J Prim Health Subsets: MEDLINE
    • Publication Information:
      Original Publication: Bundoora, Vic. : Australian Journal of Public Health, Australian Institute for Primary Care, La Trobe University, c2001-
    • Subject Terms:
      Delivery of Health Care, Integrated/*organization & administration ; Diabetes Mellitus, Type 2/*therapy; Adult ; Aged ; Cross-Sectional Studies ; Disease Management ; Female ; General Practice ; Glycated Hemoglobin/analysis ; Humans ; Male ; Middle Aged ; Patient Satisfaction ; Pilot Projects ; Quality of Health Care ; Self Efficacy ; Treatment Outcome ; Victoria
    • 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 very positive, which is likely to be one of the key strengths of the integrated model.
    • Accession Number:
      0 (Glycated Hemoglobin A)
    • Publication Date:
      Date Created: 20150903 Date Completed: 20180404 Latest Revision: 20221207
    • Publication Date:
      20221213
    • Accession Number:
      10.1071/PY15020
    • Accession Number:
      26330286