Association between person and disease related factors and the planned diabetes care in people who receive person-centered type 2 diabetes care: An implementation study

TY - JOUR

T1 - Association between person and disease related factors and the planned diabetes care in people who receive person-centered type 2 diabetes care

T2 - An implementation study

AU - van Vugt, Heidi A

AU - de Koning, Eelco J P

AU - Rutten, Guy E H M

PY - 2019

Y1 - 2019

N2 - AIMS: To assess the planned diabetes care for the coming year and its associated factors in patients with Type 2 diabetes who have a person-centered annual consultation.METHODS: Implementation study of a new consultation model in 47 general practices (primary care) and 6 outpatient clinics (secondary care); 1200 patients from primary and 166 from secondary care participated. Data collection took place between November 2015 and February 2017. Outcomes: preferred monitoring frequency; referral to other health care provider(s); medication change. One measurement at the end of the consultation. We performed logistic regression analyses. Differences between primary and secondary care were analyzed.RESULTS: Many patients arranged a monitoring frequency <4 times per year (general practices 19.5%, outpatient clinics 40%, p < .001). Type of provider (physician/nurse, OR 3.83, p < .001), baseline HbA1c (OR 1.02, p = .017), glucose lowering medication; and setting treatment goals (OR .65, p = .048) were associated with the chosen frequency. Independently associated with a referral were age (OR .99, p = .039), baseline glucose lowering medication and patients' goal setting (OR 1.52, p = .016). Medication change was associated with type of provider, baseline HbA1c, blood glucose lowering medication, quality of life (OR .80, p = .037) and setting treatment goals (OR 2.64, p = .001).CONCLUSIONS: Not only disease but also person related factors, especially setting treatment goals, are independently associated with planned care use in person-centered diabetes care.

AB - AIMS: To assess the planned diabetes care for the coming year and its associated factors in patients with Type 2 diabetes who have a person-centered annual consultation.METHODS: Implementation study of a new consultation model in 47 general practices (primary care) and 6 outpatient clinics (secondary care); 1200 patients from primary and 166 from secondary care participated. Data collection took place between November 2015 and February 2017. Outcomes: preferred monitoring frequency; referral to other health care provider(s); medication change. One measurement at the end of the consultation. We performed logistic regression analyses. Differences between primary and secondary care were analyzed.RESULTS: Many patients arranged a monitoring frequency <4 times per year (general practices 19.5%, outpatient clinics 40%, p < .001). Type of provider (physician/nurse, OR 3.83, p < .001), baseline HbA1c (OR 1.02, p = .017), glucose lowering medication; and setting treatment goals (OR .65, p = .048) were associated with the chosen frequency. Independently associated with a referral were age (OR .99, p = .039), baseline glucose lowering medication and patients' goal setting (OR 1.52, p = .016). Medication change was associated with type of provider, baseline HbA1c, blood glucose lowering medication, quality of life (OR .80, p = .037) and setting treatment goals (OR 2.64, p = .001).CONCLUSIONS: Not only disease but also person related factors, especially setting treatment goals, are independently associated with planned care use in person-centered diabetes care.

U2 - 10.1371/journal.pone.0219702

DO - 10.1371/journal.pone.0219702

M3 - Article

C2 - 31339929

SN - 1932-6203

VL - 14

SP - e0219702

JO - PLoS One

JF - PLoS One

IS - 7

ER -