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

Autores
Prestes, Mariana; Gayarre, Maria A.; Elgart, Jorge Federico; González, Lorena; Rucci, Enzo; Paganini, José María; Gagliardino, Juan José
Año de publicación
2017
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
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.
Centro de Endocrinología Experimental y Aplicada
Facultad de Ciencias Económicas
Instituto de Investigación en Informática
Centro Interdisciplinario Universitario para la Salud
Materia
Ciencias Médicas
Salud
Quality of care
Therapeutic education
Medical data registry
Diabetes primary care
Treatment adherence
Disease management
Nivel de accesibilidad
acceso abierto
Condiciones de uso
http://creativecommons.org/licenses/by-nc-sa/4.0/
Repositorio
SEDICI (UNLP)
Institución
Universidad Nacional de La Plata
OAI Identificador
oai:sedici.unlp.edu.ar:10915/103746
Acceder
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network_name_str SEDICI (UNLP)
spelling Improving diabetes care at primary care level with a multistrategic approach: results of the DIAPREM programmePrestes, MarianaGayarre, Maria A.Elgart, Jorge FedericoGonzález, LorenaRucci, EnzoPaganini, José MaríaGagliardino, Juan JoséCiencias MédicasSaludQuality of careTherapeutic educationMedical data registryDiabetes primary careTreatment adherenceDisease managementAim: 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.Centro de Endocrinología Experimental y AplicadaFacultad de Ciencias EconómicasInstituto de Investigación en InformáticaCentro Interdisciplinario Universitario para la Salud2017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArticulohttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdf853-861http://sedici.unlp.edu.ar/handle/10915/103746enginfo:eu-repo/semantics/altIdentifier/issn/1432-5233info:eu-repo/semantics/altIdentifier/doi/10.1007/s00592-017-1016-8info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by-nc-sa/4.0/Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0)reponame:SEDICI (UNLP)instname:Universidad Nacional de La Platainstacron:UNLP2025-10-15T11:14:29Zoai:sedici.unlp.edu.ar:10915/103746Institucionalhttp://sedici.unlp.edu.ar/Universidad públicaNo correspondehttp://sedici.unlp.edu.ar/oai/snrdalira@sedici.unlp.edu.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:13292025-10-15 11:14:29.591SEDICI (UNLP) - Universidad Nacional de La Platafalse
dc.title.none.fl_str_mv Improving diabetes care at primary care level with a multistrategic approach: results of the DIAPREM programme
title Improving diabetes care at primary care level with a multistrategic approach: results of the DIAPREM programme
spellingShingle Improving diabetes care at primary care level with a multistrategic approach: results of the DIAPREM programme
Prestes, Mariana
Ciencias Médicas
Salud
Quality of care
Therapeutic education
Medical data registry
Diabetes primary care
Treatment adherence
Disease management
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
dc.creator.none.fl_str_mv Prestes, Mariana
Gayarre, Maria A.
Elgart, Jorge Federico
González, Lorena
Rucci, Enzo
Paganini, José María
Gagliardino, Juan José
author Prestes, Mariana
author_facet Prestes, Mariana
Gayarre, Maria A.
Elgart, Jorge Federico
González, Lorena
Rucci, Enzo
Paganini, José María
Gagliardino, Juan José
author_role author
author2 Gayarre, Maria A.
Elgart, Jorge Federico
González, Lorena
Rucci, Enzo
Paganini, José María
Gagliardino, Juan José
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Ciencias Médicas
Salud
Quality of care
Therapeutic education
Medical data registry
Diabetes primary care
Treatment adherence
Disease management
topic Ciencias Médicas
Salud
Quality of care
Therapeutic education
Medical data registry
Diabetes primary care
Treatment adherence
Disease management
dc.description.none.fl_txt_mv 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.
Centro de Endocrinología Experimental y Aplicada
Facultad de Ciencias Económicas
Instituto de Investigación en Informática
Centro Interdisciplinario Universitario para la Salud
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.
publishDate 2017
dc.date.none.fl_str_mv 2017
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Articulo
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://sedici.unlp.edu.ar/handle/10915/103746
url http://sedici.unlp.edu.ar/handle/10915/103746
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/issn/1432-5233
info:eu-repo/semantics/altIdentifier/doi/10.1007/s00592-017-1016-8
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-sa/4.0/
Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0)
eu_rights_str_mv openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-sa/4.0/
Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0)
dc.format.none.fl_str_mv application/pdf
853-861
dc.source.none.fl_str_mv reponame:SEDICI (UNLP)
instname:Universidad Nacional de La Plata
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reponame_str SEDICI (UNLP)
collection SEDICI (UNLP)
instname_str Universidad Nacional de La Plata
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repository.name.fl_str_mv SEDICI (UNLP) - Universidad Nacional de La Plata
repository.mail.fl_str_mv alira@sedici.unlp.edu.ar
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