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Verfasst von:Karimova, Kateryna [VerfasserIn]   i
 Uhlmann, Lorenz [VerfasserIn]   i
Titel:The development of diabetes complications in GP-centered Healthcare
Verf.angabe:Kateryna Karimova, MSc; Lorenz Uhlmann, MSc; Marc Hammer, MPH; Corina Guethlin, PhD; Ferdinand M. Gerlach, MD, MPH; and Martin Beyer, MSc
E-Jahr:2018
Jahr:July 20, 2018
Umfang:6 S.
Fussnoten:Gesehen am 06.12.2019
Titel Quelle:Enthalten in: The American journal of managed care
Ort Quelle:Plainsboro, NJ : Managed Care & Healthcare Communications, 1995
Jahr Quelle:2018
Band/Heft Quelle:24(2018), 7, Seite 322-327
ISSN Quelle:1936-2692
Abstract: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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Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1684665418
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