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Continuity of care in diabetes: To whom does it matter?


, : Continuity of care in diabetes: To whom does it matter?. Diabetes Research & Clinical Practice 52(1): 55-61, April

The Australian health care system allows patients to move around to seek medical treatment. This may impact negatively on continuity of care. To determine factors associated with continuity of care for persons with diabetes, the profiles of 479 patients attending the Diabetes Centre, Royal Prince Alfred Hospital, Sydney, Australia, were examined. The majority of patients (87.7%) attended only one general practitioner and had been under the care of the referring doctor for a median of 6.2 years. These patients were older (P = 0.02), but were comparable with those attending multiple doctors in terms of their type, duration and treatment of diabetes as well as their clinical and complication profile. There was also a relationship between age and the length of time under the care of the referring doctor (P = 0.0002). The HbA1c, lipid, blood pressure and treatment profiles of patients attending the referring doctor short, medium or long-term were comparable. However, there was an upward trend in the proportion of patients with a history of cerebrovascular disease, ischaemic heart disease or any complication of diabetes with each incremental increase in length of time under the referring doctor. Appropriately, patients seek continuity of care as they age and their health needs become more complex.

US$19.90

PMID: 11182216

DOI: 10.1016/s0168-8227(00)00240-0


Other references

Bisbee, G.E.; McCarthy, M.M., 1979: Planning, budgeting and cost control in HMOs. Inquiry 16(1): 22-30

Jarricot, E.; Ciosi, P., 1977: The double-papilla flap. Revue du Sesda: 24-26

Voyvoda, H.; Erdogan, H., 2011: Use of a hand-held meter for detecting subclinical ketosis in dairy cows. The Optium Xceed is a new hand-held meter for determining blood β-hydroxybutyrate (BHBA) and glucose in human medicine. The objective of this study was to compare BHBA and glucose results obtained using the hand-held meter with those results made...

Rettig, H., 1981: Limits and possibilities of spontaneous correction of the growing skeleton. Aktuelle Probleme in Chirurgie und Orthopadie 20: 63-68

Sluglett, J., 1991: The unwrapping of the Bristol Mummy, H7386. West of England Medical Journal 106(4): 92-93

Gerard R.E.; Philipson C.A.; Manni F.M.; Marschall D.M., 1992: Petrographic image analysis; an alternate method for determining petrophysical properties. Pages 249-263 1992

Abramenko, I.V., 2012: The assessment of the clinical efficacy, vasoactive and metabolic effects of mexidol in elderly patients with discirculatory encephalopathy. Forty patients, aged from 55 to 74 years, with chronic cerebral ischemia - discirculatory encephalopathy, stages I--II, against the background of arterial hypertension and atherosclerosis were studied. Patients were randomized into 2 equal groups....

Oshiro, Yasuhiro, 1999: A new species of the genus Patiscus STAL from the Yaeyama Islands, the Ryukyus, Southwestern Japan. A first Japanese species of the genus Patiscus STAL is newly described and illustrated as P. nagatomii. It was collected in the Yaeyama Islands (Ishigaki, Iriomote and Yonaguni Is.).

Sinclair, H.D.; Gibson, M.; Lynn, G.; Stuart, F., 2009: The evidence for a Pyrenean resurrection; reply. Basin Research 21.1

Horth, C.E.; Palmer, R.F., 1972: Measurement of progesterone in human plasma. Clinical Endocrinology 1(2): 199-207