Disease management in diabetes care: when involving GPs improves patient compliance and health outcomes

Ugolini, Cristina ; Lippi Bruni, Matteo ; Leucci, Anna Caterina ; Fiorentini, Gianluca ; Berti, Elena ; Nobilio, Lucia ; Moro, Maria Luisa (2019) Disease management in diabetes care: when involving GPs improves patient compliance and health outcomes. Bologna: Dipartimento di Scienze economiche, p. 27. DOI 10.6092/unibo/amsacta/6149. In: Quaderni - Working Paper DSE (1129). ISSN 2282-6483.
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Although the study of the association between interventions in primary care and health outcomes continues to produce mixed findings, programs designed to promote the greater compliance of General Practitioners and their diabetic patients with treatment guidelines have been increasingly introduced worldwide, in an attempt to achieve better quality diabetes care through the enhanced standardisation of patient supervision. In this study we use clinical data taken from the Diabetes Register of one Local Health Authority (LHAs) in Italy’s Emilia-Romagna Region for the period 2014-2015. Firstly, we test to see whether the monitoring activities prescribed for diabetics by regional diabetes guidelines, actually have a positive impact on patients’ health outcomes and increase appropriateness in health care utilization. Secondly, we investigate whether GPs’ participation in the local Diabetes Management Program (DMP) leads to improved patient compliance with regional guidelines. Our results show that such a program, which aims to increase GPs’ involvement and cooperation in following regional guidelines for best practices, achieves its goal of improved patient compliance with the prescribed actions. In turn, through the implementation of the DMP and the greater involvement of physicians, regional policies have succeeded in promoting better health outcomes and the improved appropriateness of health care utilization.

Document type
Monograph (Working Paper)
Ugolini, CristinaUniversità di Bologna0000-0001-8453-674X
Lippi Bruni, MatteoUniversità di Bologna0000-0002-1575-0352
Leucci, Anna CaterinaUniversità di Bologna0000-0003-3562-6524
Fiorentini, GianlucaUniversità di Bologna0000-0003-4197-9924
Berti, ElenaRegione Emilia Romagna0000-0001-6164-3550
Nobilio, LuciaRegione Emilia Romagna
Moro, Maria LuisaRegione Emilia Romagna0000-0003-3586-977X
diabetes care, clinical guidelines, primary care, Diabetes Management Programs
Deposit date
15 Apr 2019 08:58
Last modified
22 May 2019 15:43

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