Impact of Primary Care–Based Disease Management on the Health-Related Quality of Life in Patients With Type 2 Diabetes and Comorbidity-Reference-Cited by-同舟云学术

Impact of Primary Care–Based Disease Management on the Health-Related Quality of Life in Patients With Type 2 Diabetes and Comorbidity

Published:2009-06-09 Issue:9 Volume:32 Page:1594-1596
ISSN:0149-5992
Container-title:Diabetes Care
language:en
Short-container-title:

Author:

Ose Dominik¹,Wensing Michel¹²,Szecsenyi Joachim¹,Joos Stefanie¹,Hermann Katja¹,Miksch Antje¹

Affiliation:

1. Department of General Practice and Health Services Research, University Hospital of Heidelberg, Heidelberg, Germany;

2. Scientific Institute for Quality Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands.

Abstract

OBJECTIVE This study examined the effectiveness of the German diabetes disease management program (DMP) for patients with varying numbers of other medical conditions with respect to their health-related quality of life (HRQoL). RESEARCH DESIGN AND METHODS A questionnaire, including the HRQoL-measured EQ-5D, was mailed to a random sample of 3,546 patients with type 2 diabetes (59.3% female). The EQ-5D score was analyzed by grouping patients according to those on a DMP and those receiving routine care. RESULTS The analysis showed that participation in the DMP (P < 0.001), the number of other medical conditions (P < 0.001), and the interaction between the DMP and the number of other conditions (P < 0.05) had a significant impact on the EQ-5D score. CONCLUSIONS Our findings suggest that the number of other medical conditions may have a negative impact on the HRQoL of patients with type 2 diabetes. The results demonstrate that the German DMP for type 2 diabetes may help counterbalance this effect.

Publisher

American Diabetes Association

Subject

Advanced and Specialized Nursing,Endocrinology, Diabetes and Metabolism,Internal Medicine

Link

https://diabetesjournals.org/care/article-pdf/32/9/1594/664806/zdc00909001594.pdf

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