The development of diabetes complications in GP-centered Healthcare
Objectives: To compare the development of diabetes complications, measured in terms of clinical end points, of patients enrolled in general practitioner (GP)-centered healthcare (Hausarztzentrierte Versorgung [HZV]) and patients in usual GP care (non-HZV) over 4 years. Study Design: Retrospective cl...
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| Main Authors: | , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
July 20, 2018
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| In: |
The American journal of managed care
Year: 2018, Volume: 24, Issue: 7, Pages: 322-327 |
| ISSN: | 1936-2692 |
| Online Access: | Verlag, kostenfrei registrierungspflichtig, Volltext: https://www.ajmc.com/journals/issue/2018/2018-vol24-n7/the-development-of-diabetes-complications-in-gpcentered-healthcare
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| Author Notes: | Kateryna Karimova, MSc; Lorenz Uhlmann, MSc; Marc Hammer, MPH; Corina Guethlin, PhD; Ferdinand M. Gerlach, MD, MPH; and Martin Beyer, MSc |
| Summary: | Objectives: To compare the development of diabetes complications, measured in terms of clinical end points, of patients enrolled in general practitioner (GP)-centered healthcare (Hausarztzentrierte Versorgung [HZV]) and patients in usual GP care (non-HZV) over 4 years. Study Design: Retrospective closed cohort study based on German claims data. Methods: The main end points in our evaluation were dialysis, blindness, amputation, stroke, myocardial infarction, cardiovascular disease, hypoglycemia, and mortality. We used Cox proportional hazards regression models for multivariable analysis. Results: We included 217,964 patients in our study: 119,355 were enrolled in HZV and 98,609 were in non-HZV. Compared with non-HZV, the HZV group had a 15.6% lower risk of requiring dialysis during the 4 years of observation. Risks were also lower in the HZV group for all other end points except mortality. Conclusions: The results of the present study indicate that GP-centered healthcare is associated with a delay in the occurrence of serious diabetes complications and reduces the risk of diabetes complications. This may be because GP-centered care is associated with improved coordination of care. |
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| Item Description: | Gesehen am 06.12.2019 |
| Physical Description: | Online Resource |
| ISSN: | 1936-2692 |