Relationships between the Structural Characteristics of General Medical Practices and the Socioeconomic Status of Patients with Diabetes-Related Performance Indicators in Primary Care
The implementation of monitoring for general medical practice (GMP) can contribute to improving the quality of diabetes mellitus (DM) care. Our study aimed to describe the associations of DM care performance indicators with the structural characteristics of GMPs and the socioeconomic status (SES) of...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-03-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/12/7/704 |
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| author | Undraa Jargalsaikhan Feras Kasabji Ferenc Vincze Anita Pálinkás László Kőrösi János Sándor |
| author_facet | Undraa Jargalsaikhan Feras Kasabji Ferenc Vincze Anita Pálinkás László Kőrösi János Sándor |
| author_sort | Undraa Jargalsaikhan |
| collection | DOAJ |
| description | The implementation of monitoring for general medical practice (GMP) can contribute to improving the quality of diabetes mellitus (DM) care. Our study aimed to describe the associations of DM care performance indicators with the structural characteristics of GMPs and the socioeconomic status (SES) of patients. Using data from 2018 covering the whole country, GMP-specific indicators standardized by patient age, sex, and eligibility for exemption certificates were computed for adults. Linear regression models were applied to evaluate the relationships between GMP-specific parameters (list size, residence type, geographical location, general practitioner (GP) vacancy and their age) and patient SES (education, employment, proportion of Roma adults, housing density) and DM care indicators. Patients received 58.64% of the required medical interventions. A lower level of education (hemoglobin A1c test: <i>β</i> = −0.108; ophthalmic examination: <i>β</i> = −0.100; serum creatinine test: <i>β =</i> −0.103; and serum lipid status test: <i>β</i> = −0.108) and large GMP size (hemoglobin A1c test: <i>β =</i> −0.068; ophthalmological examination <i>β</i> = −0.031; serum creatinine measurement <i>β</i> = −0.053; influenza immunization <i>β</i> = −0.040; and serum lipid status test <i>β</i> = −0.068) were associated with poor indicators. A GP age older than 65 years was associated with lower indicators (hemoglobin A1c test: <i>β</i> = −0.082; serum creatinine measurement: <i>β</i> = −0.086; serum lipid status test: <i>β</i> = −0.082; and influenza immunization: <i>β</i> = −0.032). Overall, the GMP-level DM care indicators were significantly influenced by GMP characteristics and patient SES. Therefore, proper diabetes care monitoring for the personal achievements of GPs should involve the application of adjusted performance indicators. |
| first_indexed | 2024-04-24T10:44:39Z |
| format | Article |
| id | doaj.art-8ec761679b1f44b4a5d87af5c46e3f9f |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-04-24T10:44:39Z |
| publishDate | 2024-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-8ec761679b1f44b4a5d87af5c46e3f9f2024-04-12T13:18:46ZengMDPI AGHealthcare2227-90322024-03-0112770410.3390/healthcare12070704Relationships between the Structural Characteristics of General Medical Practices and the Socioeconomic Status of Patients with Diabetes-Related Performance Indicators in Primary CareUndraa Jargalsaikhan0Feras Kasabji1Ferenc Vincze2Anita Pálinkás3László Kőrösi4János Sándor5Department of Public Health and Epidemiology, Faculty of Medicine, University of Debrecen, H-4012 Debrecen, HungaryDepartment of Public Health and Epidemiology, Faculty of Medicine, University of Debrecen, H-4012 Debrecen, HungaryDepartment of Public Health and Epidemiology, Faculty of Medicine, University of Debrecen, H-4012 Debrecen, HungaryDepartment of Public Health and Epidemiology, Faculty of Medicine, University of Debrecen, H-4012 Debrecen, HungaryDepartment of Financing, National Health Insurance Fund, H-1139 Budapest, HungaryDepartment of Public Health and Epidemiology, Faculty of Medicine, University of Debrecen, H-4012 Debrecen, HungaryThe implementation of monitoring for general medical practice (GMP) can contribute to improving the quality of diabetes mellitus (DM) care. Our study aimed to describe the associations of DM care performance indicators with the structural characteristics of GMPs and the socioeconomic status (SES) of patients. Using data from 2018 covering the whole country, GMP-specific indicators standardized by patient age, sex, and eligibility for exemption certificates were computed for adults. Linear regression models were applied to evaluate the relationships between GMP-specific parameters (list size, residence type, geographical location, general practitioner (GP) vacancy and their age) and patient SES (education, employment, proportion of Roma adults, housing density) and DM care indicators. Patients received 58.64% of the required medical interventions. A lower level of education (hemoglobin A1c test: <i>β</i> = −0.108; ophthalmic examination: <i>β</i> = −0.100; serum creatinine test: <i>β =</i> −0.103; and serum lipid status test: <i>β</i> = −0.108) and large GMP size (hemoglobin A1c test: <i>β =</i> −0.068; ophthalmological examination <i>β</i> = −0.031; serum creatinine measurement <i>β</i> = −0.053; influenza immunization <i>β</i> = −0.040; and serum lipid status test <i>β</i> = −0.068) were associated with poor indicators. A GP age older than 65 years was associated with lower indicators (hemoglobin A1c test: <i>β</i> = −0.082; serum creatinine measurement: <i>β</i> = −0.086; serum lipid status test: <i>β</i> = −0.082; and influenza immunization: <i>β</i> = −0.032). Overall, the GMP-level DM care indicators were significantly influenced by GMP characteristics and patient SES. Therefore, proper diabetes care monitoring for the personal achievements of GPs should involve the application of adjusted performance indicators.https://www.mdpi.com/2227-9032/12/7/704primary carediabetes mellitusperformance indicatorspatient characteristicsgeneral medical practice characteristicsmonitoring |
| spellingShingle | Undraa Jargalsaikhan Feras Kasabji Ferenc Vincze Anita Pálinkás László Kőrösi János Sándor Relationships between the Structural Characteristics of General Medical Practices and the Socioeconomic Status of Patients with Diabetes-Related Performance Indicators in Primary Care Healthcare primary care diabetes mellitus performance indicators patient characteristics general medical practice characteristics monitoring |
| title | Relationships between the Structural Characteristics of General Medical Practices and the Socioeconomic Status of Patients with Diabetes-Related Performance Indicators in Primary Care |
| title_full | Relationships between the Structural Characteristics of General Medical Practices and the Socioeconomic Status of Patients with Diabetes-Related Performance Indicators in Primary Care |
| title_fullStr | Relationships between the Structural Characteristics of General Medical Practices and the Socioeconomic Status of Patients with Diabetes-Related Performance Indicators in Primary Care |
| title_full_unstemmed | Relationships between the Structural Characteristics of General Medical Practices and the Socioeconomic Status of Patients with Diabetes-Related Performance Indicators in Primary Care |
| title_short | Relationships between the Structural Characteristics of General Medical Practices and the Socioeconomic Status of Patients with Diabetes-Related Performance Indicators in Primary Care |
| title_sort | relationships between the structural characteristics of general medical practices and the socioeconomic status of patients with diabetes related performance indicators in primary care |
| topic | primary care diabetes mellitus performance indicators patient characteristics general medical practice characteristics monitoring |
| url | https://www.mdpi.com/2227-9032/12/7/704 |
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