Baseline data of a population-based cohort of patients with diabetes in Switzerland (CoDiab-VD)

QUESTIONS UNDER STUDY: To describe a population-based sample of patients with diabetes and the quality of their care in the canton of Vaud, Switzerland, as a baseline measure for the evaluation of the “Programme cantonal Diabète”. METHODS: We conducted a self-administered paper-based que...

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Main Authors: Emilie Zuercher, Alejandra Casillas, Isabelle Hagon-Traub, Julie Bordet, Bernard Burnand, Isabelle Peytremann-Bridevaux
Format: Article
Language:English
Published: SMW supporting association (Trägerverein Swiss Medical Weekly SMW) 2014-05-01
Series:Swiss Medical Weekly
Subjects:
Online Access:https://www.smw.ch/index.php/smw/article/view/1867
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author Emilie Zuercher
Alejandra Casillas
Isabelle Hagon-Traub
Julie Bordet
Bernard Burnand
Isabelle Peytremann-Bridevaux
author_facet Emilie Zuercher
Alejandra Casillas
Isabelle Hagon-Traub
Julie Bordet
Bernard Burnand
Isabelle Peytremann-Bridevaux
author_sort Emilie Zuercher
collection DOAJ
description QUESTIONS UNDER STUDY: To describe a population-based sample of patients with diabetes and the quality of their care in the canton of Vaud, Switzerland, as a baseline measure for the evaluation of the “Programme cantonal Diabète”. METHODS: We conducted a self-administered paper-based questionnaire survey. Noninstitutionalised adult (aged ≥18 years) patients with diabetes diagnosed for at least 1 year and residing in the canton of Vaud were recruited by community pharmacies. Women with gestational diabetes, people with obvious cognitive impairment or people not sufficiently fluent in French were excluded. Primary outcomes were recommended processes-of-care and outcomes of care (glycosylated haemoglobin [HbA1c], generic and disease-specific health-related quality of life (HRQoL), overall care score in relation to the Chronic Care Model). Other measures included diabetes education, self-management support and self-efficacy, health status, health behaviour and demographics. RESULTS: A total of 519 patients with diabetes were included. Whereas the mean HbA1c level was 7.3% (n = 177, 95% confidence interval 7.1–7.5), diabetes-specific processes-of-care and influenza vaccination were reported by less than two-thirds of the patients. Physical activity and diet recommendations results mirrored patients’ difficulties with their management in daily life and diabetes-specific HRQoL was worst in the dimensions relative to diet (eating and drinking) and sex life. A minority of patients reported ever having participated in diabetes education courses (32.8%). Overall, patients were satisfied with their care and the support they received. CONCLUSIONS: This study provides a broad picture of the experiences of people living with diabetes in the canton of Vaud. It shall guide the development of targeted interventions within the “Programme cantonal Diabète”. Trial registration number: ClinicalTrials.gov, identifier NCT01902043.
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spelling doaj.art-3409dc5f7945483bbedee2e0990998a82022-12-22T03:55:35ZengSMW supporting association (Trägerverein Swiss Medical Weekly SMW)Swiss Medical Weekly1424-39972014-05-01144212210.4414/smw.2014.13951Baseline data of a population-based cohort of patients with diabetes in Switzerland (CoDiab-VD)Emilie ZuercherAlejandra CasillasIsabelle Hagon-TraubJulie BordetBernard BurnandIsabelle Peytremann-Bridevaux QUESTIONS UNDER STUDY: To describe a population-based sample of patients with diabetes and the quality of their care in the canton of Vaud, Switzerland, as a baseline measure for the evaluation of the “Programme cantonal Diabète”. METHODS: We conducted a self-administered paper-based questionnaire survey. Noninstitutionalised adult (aged ≥18 years) patients with diabetes diagnosed for at least 1 year and residing in the canton of Vaud were recruited by community pharmacies. Women with gestational diabetes, people with obvious cognitive impairment or people not sufficiently fluent in French were excluded. Primary outcomes were recommended processes-of-care and outcomes of care (glycosylated haemoglobin [HbA1c], generic and disease-specific health-related quality of life (HRQoL), overall care score in relation to the Chronic Care Model). Other measures included diabetes education, self-management support and self-efficacy, health status, health behaviour and demographics. RESULTS: A total of 519 patients with diabetes were included. Whereas the mean HbA1c level was 7.3% (n = 177, 95% confidence interval 7.1–7.5), diabetes-specific processes-of-care and influenza vaccination were reported by less than two-thirds of the patients. Physical activity and diet recommendations results mirrored patients’ difficulties with their management in daily life and diabetes-specific HRQoL was worst in the dimensions relative to diet (eating and drinking) and sex life. A minority of patients reported ever having participated in diabetes education courses (32.8%). Overall, patients were satisfied with their care and the support they received. CONCLUSIONS: This study provides a broad picture of the experiences of people living with diabetes in the canton of Vaud. It shall guide the development of targeted interventions within the “Programme cantonal Diabète”. Trial registration number: ClinicalTrials.gov, identifier NCT01902043. https://www.smw.ch/index.php/smw/article/view/1867questionnairehealthcare qualityDiabetesCohort study
spellingShingle Emilie Zuercher
Alejandra Casillas
Isabelle Hagon-Traub
Julie Bordet
Bernard Burnand
Isabelle Peytremann-Bridevaux
Baseline data of a population-based cohort of patients with diabetes in Switzerland (CoDiab-VD)
Swiss Medical Weekly
questionnaire
healthcare quality
Diabetes
Cohort study
title Baseline data of a population-based cohort of patients with diabetes in Switzerland (CoDiab-VD)
title_full Baseline data of a population-based cohort of patients with diabetes in Switzerland (CoDiab-VD)
title_fullStr Baseline data of a population-based cohort of patients with diabetes in Switzerland (CoDiab-VD)
title_full_unstemmed Baseline data of a population-based cohort of patients with diabetes in Switzerland (CoDiab-VD)
title_short Baseline data of a population-based cohort of patients with diabetes in Switzerland (CoDiab-VD)
title_sort baseline data of a population based cohort of patients with diabetes in switzerland codiab vd
topic questionnaire
healthcare quality
Diabetes
Cohort study
url https://www.smw.ch/index.php/smw/article/view/1867
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