Association of personalised care plans with monitoring and control of clinical outcomes, prescription of medication and utilisation of primary care services in patients with type 2 diabetes: an observational real-world study
Objective To study the association of personalised care plans with monitoring and controlling clinical outcomes, prescription of cardiovascular and antihyperglycaemic medication and utilisation of primary care services in patients with type 2 diabetes (T2D). Patients Primary care T2D outpatients fro...
Published in: | Scandinavian Journal of Primary Health Care |
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Taylor & Francis Group
2022
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Online Access: | https://doi.org/10.1080/02813432.2022.2036458 https://doaj.org/article/4ed2e2ff18b44beb81996c80f80404f5 |
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ftdoajarticles:oai:doaj.org/article:4ed2e2ff18b44beb81996c80f80404f5 2023-05-15T18:07:40+02:00 Association of personalised care plans with monitoring and control of clinical outcomes, prescription of medication and utilisation of primary care services in patients with type 2 diabetes: an observational real-world study Ilona Mikkola Simon Morgan Klas Winell Jari Jokelainen Lucia Frittitta Eveliina Heikkala Maria Hagnäs 2022-02-01T00:00:00Z https://doi.org/10.1080/02813432.2022.2036458 https://doaj.org/article/4ed2e2ff18b44beb81996c80f80404f5 EN eng Taylor & Francis Group http://dx.doi.org/10.1080/02813432.2022.2036458 https://doaj.org/toc/0281-3432 https://doaj.org/toc/1502-7724 0281-3432 1502-7724 doi:10.1080/02813432.2022.2036458 https://doaj.org/article/4ed2e2ff18b44beb81996c80f80404f5 Scandinavian Journal of Primary Health Care, Vol 0, Iss 0, Pp 1-9 (2022) goal achievement patient-centric care general practice services care plan type 2 diabetes Public aspects of medicine RA1-1270 article 2022 ftdoajarticles https://doi.org/10.1080/02813432.2022.2036458 2022-12-31T16:31:58Z Objective To study the association of personalised care plans with monitoring and controlling clinical outcomes, prescription of cardiovascular and antihyperglycaemic medication and utilisation of primary care services in patients with type 2 diabetes (T2D). Patients Primary care T2D outpatients from the Rovaniemi Health Centre. Setting The municipal health centre, Rovaniemi, Finland. Design A cross-sectional, observational, retrospective register-based study. The patients were divided into three groups: ‘no care plan entries’ (usual care); ‘1–2 care plan entries’; and ‘3 or more care plan entries’. Main outcome measures Monitoring of clinical and biochemical measures, achievement of treatment targets, prescription of cardiovascular and antihyperglycemic medication, and use of primary care services. Results A total of 5104 patients with T2D (mean age 65.5 years (SD 12.4)), of which 67% had at least one care plan entry. Compared to usual care, the establishment of a care plan (either care plan group) was associated with better monitoring of glycosylated haemoglobin A1c, low-density-lipoprotein cholesterol, systolic blood pressure (sBP), and renal function, and there was more frequent prescription of all cardiovascular and antihyperglycemic medication. Patients in either care plan group were more likely to achieve sBP target (p < 0.05). Patients without a care plan had more unplanned primary care physician contacts compared to patients in care plan groups (p < 0.001). Conclusion Establishment of a care plan is associated with more intensive and focussed care of patients with T2D. The appropriate use of primary care resources is essential and personalised care plans may contribute to the treatment of patients with T2D.Key Points Care planning aims to empower patients with type 2 diabetes. This study demonstrates that personalised care planning is associated with more frequent monitoring for clinical outcomes, more frequent prescription of cardiovascular and antihyperglycemic medication and more frequent ... Article in Journal/Newspaper Rovaniemi Directory of Open Access Journals: DOAJ Articles Rovaniemi ENVELOPE(26.159,26.159,66.392,66.392) Scandinavian Journal of Primary Health Care 40 1 39 47 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
goal achievement patient-centric care general practice services care plan type 2 diabetes Public aspects of medicine RA1-1270 |
spellingShingle |
goal achievement patient-centric care general practice services care plan type 2 diabetes Public aspects of medicine RA1-1270 Ilona Mikkola Simon Morgan Klas Winell Jari Jokelainen Lucia Frittitta Eveliina Heikkala Maria Hagnäs Association of personalised care plans with monitoring and control of clinical outcomes, prescription of medication and utilisation of primary care services in patients with type 2 diabetes: an observational real-world study |
topic_facet |
goal achievement patient-centric care general practice services care plan type 2 diabetes Public aspects of medicine RA1-1270 |
description |
Objective To study the association of personalised care plans with monitoring and controlling clinical outcomes, prescription of cardiovascular and antihyperglycaemic medication and utilisation of primary care services in patients with type 2 diabetes (T2D). Patients Primary care T2D outpatients from the Rovaniemi Health Centre. Setting The municipal health centre, Rovaniemi, Finland. Design A cross-sectional, observational, retrospective register-based study. The patients were divided into three groups: ‘no care plan entries’ (usual care); ‘1–2 care plan entries’; and ‘3 or more care plan entries’. Main outcome measures Monitoring of clinical and biochemical measures, achievement of treatment targets, prescription of cardiovascular and antihyperglycemic medication, and use of primary care services. Results A total of 5104 patients with T2D (mean age 65.5 years (SD 12.4)), of which 67% had at least one care plan entry. Compared to usual care, the establishment of a care plan (either care plan group) was associated with better monitoring of glycosylated haemoglobin A1c, low-density-lipoprotein cholesterol, systolic blood pressure (sBP), and renal function, and there was more frequent prescription of all cardiovascular and antihyperglycemic medication. Patients in either care plan group were more likely to achieve sBP target (p < 0.05). Patients without a care plan had more unplanned primary care physician contacts compared to patients in care plan groups (p < 0.001). Conclusion Establishment of a care plan is associated with more intensive and focussed care of patients with T2D. The appropriate use of primary care resources is essential and personalised care plans may contribute to the treatment of patients with T2D.Key Points Care planning aims to empower patients with type 2 diabetes. This study demonstrates that personalised care planning is associated with more frequent monitoring for clinical outcomes, more frequent prescription of cardiovascular and antihyperglycemic medication and more frequent ... |
format |
Article in Journal/Newspaper |
author |
Ilona Mikkola Simon Morgan Klas Winell Jari Jokelainen Lucia Frittitta Eveliina Heikkala Maria Hagnäs |
author_facet |
Ilona Mikkola Simon Morgan Klas Winell Jari Jokelainen Lucia Frittitta Eveliina Heikkala Maria Hagnäs |
author_sort |
Ilona Mikkola |
title |
Association of personalised care plans with monitoring and control of clinical outcomes, prescription of medication and utilisation of primary care services in patients with type 2 diabetes: an observational real-world study |
title_short |
Association of personalised care plans with monitoring and control of clinical outcomes, prescription of medication and utilisation of primary care services in patients with type 2 diabetes: an observational real-world study |
title_full |
Association of personalised care plans with monitoring and control of clinical outcomes, prescription of medication and utilisation of primary care services in patients with type 2 diabetes: an observational real-world study |
title_fullStr |
Association of personalised care plans with monitoring and control of clinical outcomes, prescription of medication and utilisation of primary care services in patients with type 2 diabetes: an observational real-world study |
title_full_unstemmed |
Association of personalised care plans with monitoring and control of clinical outcomes, prescription of medication and utilisation of primary care services in patients with type 2 diabetes: an observational real-world study |
title_sort |
association of personalised care plans with monitoring and control of clinical outcomes, prescription of medication and utilisation of primary care services in patients with type 2 diabetes: an observational real-world study |
publisher |
Taylor & Francis Group |
publishDate |
2022 |
url |
https://doi.org/10.1080/02813432.2022.2036458 https://doaj.org/article/4ed2e2ff18b44beb81996c80f80404f5 |
long_lat |
ENVELOPE(26.159,26.159,66.392,66.392) |
geographic |
Rovaniemi |
geographic_facet |
Rovaniemi |
genre |
Rovaniemi |
genre_facet |
Rovaniemi |
op_source |
Scandinavian Journal of Primary Health Care, Vol 0, Iss 0, Pp 1-9 (2022) |
op_relation |
http://dx.doi.org/10.1080/02813432.2022.2036458 https://doaj.org/toc/0281-3432 https://doaj.org/toc/1502-7724 0281-3432 1502-7724 doi:10.1080/02813432.2022.2036458 https://doaj.org/article/4ed2e2ff18b44beb81996c80f80404f5 |
op_doi |
https://doi.org/10.1080/02813432.2022.2036458 |
container_title |
Scandinavian Journal of Primary Health Care |
container_volume |
40 |
container_issue |
1 |
container_start_page |
39 |
op_container_end_page |
47 |
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1766179893757870080 |