https://scholars.lib.ntu.edu.tw/handle/123456789/540771
標題: | Team-based care improves quality of diabetes care -Family Practice Integrated Care Project in Taiwan | 作者: | CHE-JUI CHANG Hwang, Shinn-Jang Chen, Tzeng-Ji TAI-YUAN CHIU HSIAO-YU YANG Chen, Yu-Chun Huang, Cheng-Kuo CHYI-FENG JAN |
公開日期: | 2020 | 出版社: | BioMed Central Ltd | 卷: | 21 | 期: | 1 | 起(迄)頁: | 209 | 來源出版物: | BMC Family Practice | 摘要: | Background: The Family Practice Integrated Care Project (FPICP) is a team-based program in Taiwan initiated in 2003. This study investigates the influence of FPICP on the quality of diabetes care. Methods: This population-based cohort study used Taiwan’s National Health Insurance Administration data on FPICP (fiscal year 2015–2016, with follow-up duration of one year). Participants included diabetic patients aged ?30 in primary care clinics. We used conditional logistic regression modeling of patient characteristics and annual diabetes examinations and compared FPICP participants with non-participating candidates. Main outcome measures included completion of annual diabetes examinations, including glycated hemoglobin (A1c), low-density lipoprotein (LDL), urine microalbumin (MAU), routine urinalysis (UR), and fundus examination (FE). Results: The sample included 298,208 FPICP participants and 478,778 non-participating candidates. After 1:1 propensity score matching, the examination completion rates for FPICP participants and non-participants, respectively, were 94.4% versus 93.6% in A1c, 84.2% versus 83.8% in LDL, 61.9% versus 60.1% in MAU, 59.2% versus 58.0% in UR, and 30.1% versus 32.4% in FE. Conclusion: Our findings indicate that a program like FPICP helps improve the quality of diabetes care through regular examinations of Alc, LDL, MAU, and UR. ? 2020, The Author(s). |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85092693582&doi=10.1186%2fs12875-020-01284-w&partnerID=40&md5=0ce1899225a3a3b1ff4bfc7b0a36722d https://scholars.lib.ntu.edu.tw/handle/123456789/540771 |
ISSN: | 1471-2296 | DOI: | 10.1186/s12875-020-01284-w | SDG/關鍵字: | glycosylated hemoglobin; cohort analysis; diabetes mellitus; general practice; human; integrated health care system; non insulin dependent diabetes mellitus; Taiwan; Cohort Studies; Delivery of Health Care, Integrated; Diabetes Mellitus; Diabetes Mellitus, Type 2; Family Practice; Glycated Hemoglobin A; Humans; Taiwan |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。