Team-based care improves quality of diabetes care -Family Practice Integrated Care Project in Taiwan
Journal
BMC Family Practice
Journal Volume
21
Journal Issue
1
Pages
209
Date Issued
2020
Author(s)
Hwang, Shinn-Jang
Chen, Tzeng-Ji
Chen, Yu-Chun
Huang, Cheng-Kuo
Abstract
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).
SDGs
Other Subjects
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
Publisher
BioMed Central Ltd
Type
journal article