The impact of an assisted diabetes care programme on a private practice.

作者: G. R. Pishdad , R. Pishdad , P. Pishdad

DOI: 10.1111/J.1742-1241.2008.01752.X

关键词: Private practiceHba1c levelCommunity healthLdl cholesterolDiabetes mellitusMedicineSerum triglyceridesUsual carePhysical therapyInternal medicineDiabetes clinic

摘要: Summary Aims:  Specially trained nurses who follow detailed protocols and algorithms under the supervision of a diabetologist can markedly improve diabetes outcomes in community health centres. We aimed to study impact nurse-assisted care (NADC) model on clinic’s financial private practice setting. Methods:  Nurse-assisted was provided diabetic patients referring Monday clinic Shiraz. 107 had received such were hierarchically matched with receiving usual endocrinologist same during rest week. At end 6 months follow-up, [glycosylated haemoglobin (HbA1c), serum triglycerides, low-density lipoprotein (LDL) cholesterol, duration patient’s visit net income] for NADC compared those also derived from before NADC. Results:  Under NADC, HbA1c levels more significant fall (p   1.69 mmol/l (150 mg/dl) LDL cholesterol > 2.58 mmol/l (100 mg/dl) (both p < 0.05), time one decreased by an average 9.3 min (p = 0.000) while income increased 21.25%. Conclusion:  care, improving significantly, spares physician allows be seen per hours. The excess extra visits much outweighs expenditures including nurses’ wages. is profitable clinics or offices.

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