지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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Objectives: The goal of this study was to identify association between the continuity of ambulatory care of diabetes patients in South Korea (hereafter Korea) and the incidence of macrovascular complications of diabetes, using claims data compiled by the National Health Insurance Services of Korea.
Methods: This study was conducted retrospectively. The subjects of the study were 43 002 patients diagnosed with diabetes in 2007, who were over 30 years of age, and had insurance claim data from 2008. The macrovascular complications of diabetes mellitus were limited to ischemic heart disease and ischemic stroke. We compared the characteristics of the patients in whom macrovascular complications occurred from 2009 to 2012 to the characteristics of the patients who had no such complications. Multiple logistic regression was used to assess the effects of continuity of ambulatory care on diabetic macrovascular complications. The continuity of ambulatory diabetes care was estimated by metrics such as the medication possession ratio, the quarterly continuity of care and the number of clinics that were visited.
Results: Patients with macrovascular complications showed statistically significant differences regarding sex, age, comorbidities, hypertension, dyslipidemia and continuity of ambulatory diabetes care. Visiting a lower number of clinics reduced the odds ratio for macrovascular complications of diabetes. A medication possession ratio below 80% was associated with an increased odds ratio for macrovascular complications, but this result was of borderline statistical significance.
Conclusions: Diabetes care by regular health care providers was found to be associated with a lower occurrence of diabetic macrovascular complications. This result has policy implications for the Korean health care system, in which the delivery system does not work properly.
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Abu-Lebdeh HS / 2001 / Predictors of macrovascular disease in patients with type 2 diabetes mellitus / Mayo Clin Proc 76 (7) : 707 ~ 712
Brownlee M / 2005 / The pathobiology of diabetic complications: a unifying mechanism / Diabetes 54 (6) : 1615 ~ 1625
Cabana MD / 2004 / Does continuity of care improve patient outcomes? / J Fam Pract 53 (12) : 974 ~ 980
Chen CC / 2013 / Continuity of care, medication adherence, and health care outcomes among patients with newly diagnosed type 2 diabetes: a longitudinal analysis / Med Care 5
Demaerschalk BM / 2010 / US cost burden of ischemic stroke: a systematic literature review / Am J Manag Care 16 (7) : 525 ~ 533
Brownlee M / 2005 / The pathobiology of diabetic complications: a unifying mechanism / Diabetes 54 (6) : 1615 ~ 1625
Cabana MD / 2004 / Does continuity of care improve patient outcomes? / J Fam Pract 53 (12) : 974 ~ 980
Chen CC / 2013 / Continuity of care, medication adherence, and health care outcomes among patients with newly diagnosed type 2 diabetes: a longitudinal analysis / Med Care 5
Demaerschalk BM / 2010 / US cost burden of ischemic stroke: a systematic literature review / Am J Manag Care 16 (7) : 525 ~ 533
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