Improving diabetes care at primary care level with a multistrategic approach: results of the DIAPREM programme

Aim: To present results, 1 year postimplementation at primary care level, of an integrated diabetes care programme including systemic changes, education, registry (clinical, metabolic, and therapeutic indicators), and disease management (DIAPREM). Methods: We randomly selected and trained 15 physic...

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Autores principales:	Prestes, Mariana, Gayarre, Maria A., Elgart, Jorge Federico, González, Lorena, Rucci, Enzo, Paganini, José María, Gagliardino, Juan José
Formato:	Articulo
Lenguaje:	Inglés
Publicado:	2017
Materias:	Ciencias Médicas Salud Quality of care Therapeutic education Medical data registry Diabetes primary care Treatment adherence Disease management
Acceso en línea:	http://sedici.unlp.edu.ar/handle/10915/103746
Aporte de:	SEDICI (UNLP) de Universidad Nacional de La Plata

id	I19-R120-10915-103746
record_format	dspace
institution	Universidad Nacional de La Plata
institution_str	I-19
repository_str	R-120
collection	SEDICI (UNLP)
language	Inglés
topic	Ciencias Médicas Salud Quality of care Therapeutic education Medical data registry Diabetes primary care Treatment adherence Disease management
spellingShingle	Ciencias Médicas Salud Quality of care Therapeutic education Medical data registry Diabetes primary care Treatment adherence Disease management Prestes, Mariana Gayarre, Maria A. Elgart, Jorge Federico González, Lorena Rucci, Enzo Paganini, José María Gagliardino, Juan José Improving diabetes care at primary care level with a multistrategic approach: results of the DIAPREM programme
topic_facet	Ciencias Médicas Salud Quality of care Therapeutic education Medical data registry Diabetes primary care Treatment adherence Disease management
description	Aim: To present results, 1 year postimplementation at primary care level, of an integrated diabetes care programme including systemic changes, education, registry (clinical, metabolic, and therapeutic indicators), and disease management (DIAPREM). Methods: We randomly selected and trained 15 physicians and 15 nurses from primary care units of La Matanza County (intervention—IG) and another 15 physicians/nurses to participate as controls (control—CG). Each physician– nurse team controlled and followed up 10 patients with type 2 diabetes for 1 year; both groups used structured medical records. Patients in IG had quarterly clinical appointments, whereas those in CG received traditional care. Statistical data analysis included parametric/ nonparametric tests according to data distribution profile and Chi-squared test for proportions. Results: After 12 months, the dropout rate was significantly lower in IG than in CG. Whereas in IG HbA1c, blood pressure and lipid profile levels significantly decreased, no changes were recorded in CG. Drug prescriptions showed no significant changes in IG except a decrease in oral monotherapy. Conclusions: DIAPREM is an expedient and simple multistrategic model to implement at the primary care level in order to decrease patient dropout and improve control and treatment adherence, and quality of care of people with diabetes.
format	Articulo Articulo
author	Prestes, Mariana Gayarre, Maria A. Elgart, Jorge Federico González, Lorena Rucci, Enzo Paganini, José María Gagliardino, Juan José
author_facet	Prestes, Mariana Gayarre, Maria A. Elgart, Jorge Federico González, Lorena Rucci, Enzo Paganini, José María Gagliardino, Juan José
author_sort	Prestes, Mariana
title	Improving diabetes care at primary care level with a multistrategic approach: results of the DIAPREM programme
title_short	Improving diabetes care at primary care level with a multistrategic approach: results of the DIAPREM programme
title_full	Improving diabetes care at primary care level with a multistrategic approach: results of the DIAPREM programme
title_fullStr	Improving diabetes care at primary care level with a multistrategic approach: results of the DIAPREM programme
title_full_unstemmed	Improving diabetes care at primary care level with a multistrategic approach: results of the DIAPREM programme
title_sort	improving diabetes care at primary care level with a multistrategic approach: results of the diaprem programme
publishDate	2017
url	http://sedici.unlp.edu.ar/handle/10915/103746
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bdutipo_str	Repositorios
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Improving diabetes care at primary care level with a multistrategic approach: results of the DIAPREM programme

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