Type II diabetes patients in primary care: profiles of healthcare utilization obtained from observational data
<p>Abstract</p> <p>Background</p> <p>The high burden of diabetes for healthcare costs and their impact on quality of life and management of the disease have triggered the design and introduction of disease management programmes (DMPs) in many countries. The extent to wh...
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| Format: | Article |
| Language: | English |
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BMC
2013-01-01
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| Series: | BMC Health Services Research |
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| Online Access: | http://www.biomedcentral.com/1472-6963/13/7 |
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| author | van Dijk Christel E Hoekstra Trynke Verheij Robert A Twisk Jos WR Groenewegen Peter P Schellevis François G de Bakker Dinny H |
| author_facet | van Dijk Christel E Hoekstra Trynke Verheij Robert A Twisk Jos WR Groenewegen Peter P Schellevis François G de Bakker Dinny H |
| author_sort | van Dijk Christel E |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>The high burden of diabetes for healthcare costs and their impact on quality of life and management of the disease have triggered the design and introduction of disease management programmes (DMPs) in many countries. The extent to which diabetes patients vary with regard to their healthcare utilisation and costs is largely unknown and could impact on the design of DMPs. The objectives of this study are to develop profiles based on both the diabetes-related healthcare utilisation and total healthcare utilisation in primary care, to investigate which patient and disease characteristics determine ‘membership’ of each profile, and to investigate the association between these profiles.</p> <p>Methods</p> <p>Data were used from electronic medical records of 6721 known type II diabetes patients listed in 48 Dutch general practices. Latent Class Analyses were conducted to identify profiles of healthcare and regression analyses were used to analyse the characteristics of the profiles.</p> <p>Results</p> <p>For both diabetes-related healthcare utilisation and total healthcare utilisation three profiles could be distinguished: for the diabetes-related healthcare utilisation these were characterised as ‘<it>high utilisation and frequent home visits</it>’ (n=393), ‘<it>low utilisation, GP only</it>’ (n=3231) and ‘<it>high utilisation, GP and nurse</it>’ (n=3097). Profiles differed with respect to the patients’ age and type of medication; the oldest patients using insulin were dominant in the ‘high utilisation, GP and nurse’ profile. High total healthcare utilisation was not associated with high diabetes-related healthcare utilisation.</p> <p>Conclusions</p> <p>Healthcare utilisation of diabetes patients is heterogeneous. This challenges the development of distinguishable DMPs.</p> |
| first_indexed | 2024-12-18T06:56:26Z |
| format | Article |
| id | doaj.art-dbc1a593af1d4bb6924de00a142c268f |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-18T06:56:26Z |
| publishDate | 2013-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-dbc1a593af1d4bb6924de00a142c268f2022-12-21T21:17:10ZengBMCBMC Health Services Research1472-69632013-01-01131710.1186/1472-6963-13-7Type II diabetes patients in primary care: profiles of healthcare utilization obtained from observational datavan Dijk Christel EHoekstra TrynkeVerheij Robert ATwisk Jos WRGroenewegen Peter PSchellevis François Gde Bakker Dinny H<p>Abstract</p> <p>Background</p> <p>The high burden of diabetes for healthcare costs and their impact on quality of life and management of the disease have triggered the design and introduction of disease management programmes (DMPs) in many countries. The extent to which diabetes patients vary with regard to their healthcare utilisation and costs is largely unknown and could impact on the design of DMPs. The objectives of this study are to develop profiles based on both the diabetes-related healthcare utilisation and total healthcare utilisation in primary care, to investigate which patient and disease characteristics determine ‘membership’ of each profile, and to investigate the association between these profiles.</p> <p>Methods</p> <p>Data were used from electronic medical records of 6721 known type II diabetes patients listed in 48 Dutch general practices. Latent Class Analyses were conducted to identify profiles of healthcare and regression analyses were used to analyse the characteristics of the profiles.</p> <p>Results</p> <p>For both diabetes-related healthcare utilisation and total healthcare utilisation three profiles could be distinguished: for the diabetes-related healthcare utilisation these were characterised as ‘<it>high utilisation and frequent home visits</it>’ (n=393), ‘<it>low utilisation, GP only</it>’ (n=3231) and ‘<it>high utilisation, GP and nurse</it>’ (n=3097). Profiles differed with respect to the patients’ age and type of medication; the oldest patients using insulin were dominant in the ‘high utilisation, GP and nurse’ profile. High total healthcare utilisation was not associated with high diabetes-related healthcare utilisation.</p> <p>Conclusions</p> <p>Healthcare utilisation of diabetes patients is heterogeneous. This challenges the development of distinguishable DMPs.</p>http://www.biomedcentral.com/1472-6963/13/7Type II diabetes mellitusHealthcare utilisation profilesPrimary careLatent Class Analyses |
| spellingShingle | van Dijk Christel E Hoekstra Trynke Verheij Robert A Twisk Jos WR Groenewegen Peter P Schellevis François G de Bakker Dinny H Type II diabetes patients in primary care: profiles of healthcare utilization obtained from observational data BMC Health Services Research Type II diabetes mellitus Healthcare utilisation profiles Primary care Latent Class Analyses |
| title | Type II diabetes patients in primary care: profiles of healthcare utilization obtained from observational data |
| title_full | Type II diabetes patients in primary care: profiles of healthcare utilization obtained from observational data |
| title_fullStr | Type II diabetes patients in primary care: profiles of healthcare utilization obtained from observational data |
| title_full_unstemmed | Type II diabetes patients in primary care: profiles of healthcare utilization obtained from observational data |
| title_short | Type II diabetes patients in primary care: profiles of healthcare utilization obtained from observational data |
| title_sort | type ii diabetes patients in primary care profiles of healthcare utilization obtained from observational data |
| topic | Type II diabetes mellitus Healthcare utilisation profiles Primary care Latent Class Analyses |
| url | http://www.biomedcentral.com/1472-6963/13/7 |
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