000 02371naa a2200289 a 4500
003 AR-LpUFIB
005 20250311171152.0
008 230201s2017 xx o 000 0 eng d
024 8 _aDIF-M7724
_b7943
_zDIF007058
040 _aAR-LpUFIB
_bspa
_cAR-LpUFIB
100 1 _aPrestes, Mariana
245 1 0 _aImproving diabetes care at primary care level with a multistrategic approach :
_bresults of the DIAPREM programme
300 _a1 archivo (515,2 kB)
500 _aFormato de archivo PDF. -- Este documento es producción intelectual de la Facultad de Informática - UNLP (Colección BIPA/Biblioteca)
520 _aAim 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.
534 _aActa Diabetológica, 54(9), pp. 853-861.
650 4 _aSALUD
_91798
653 _adiabetes
700 1 _aGayarre, María A.
700 1 _aElgart, Jorge F.
700 1 _aGonzalez, Lorena
700 1 _aRucci, Enzo
700 1 _aPaganini, José
700 1 _aGagliardino, Juan J.
856 4 0 _uhttps://doi.org/10.1007/s00592-017-1016-8
942 _cCP
999 _c56834
_d56834