PROPAT: A study to improve the quality and reduce the cost of diabetes care

Gagliardino, J.J.; Olivera, E.; Etchegoyen, G.S.; Guidi, M.L.; Caporale, J.E.; Martella, A.; Hera, M. De La; Siri, F.; Bonelli, P.

doi:10.1016/j.diabres.2006.02.004

« Previous Next »Diabetes Research and Clinical Practice
Volume 72, Issue 3 , Pages 284-291, June 2006

PROPAT: A study to improve the quality and reduce the cost of diabetes care

J.J. Gagliardino
- CENEXA—Center of Experimental and Applied Endocrinology (UNLP-CONICET, National University of La Plata-National Research Council, PAHO/WHO Collaborating Center), School of Medical Sciences, 1900 La Plata, Argentina
- Corresponding author. Tel.: +54 221 423 67 12; fax: +54 221 422 20 81.
E. Olivera
- CENEXA—Center of Experimental and Applied Endocrinology (UNLP-CONICET, National University of La Plata-National Research Council, PAHO/WHO Collaborating Center), School of Medical Sciences, 1900 La Plata, Argentina
G.S. Etchegoyen
- CENEXA—Center of Experimental and Applied Endocrinology (UNLP-CONICET, National University of La Plata-National Research Council, PAHO/WHO Collaborating Center), School of Medical Sciences, 1900 La Plata, Argentina
M.L. Guidi
- CENEXA—Center of Experimental and Applied Endocrinology (UNLP-CONICET, National University of La Plata-National Research Council, PAHO/WHO Collaborating Center), School of Medical Sciences, 1900 La Plata, Argentina
J.E. Caporale
- CENEXA—Center of Experimental and Applied Endocrinology (UNLP-CONICET, National University of La Plata-National Research Council, PAHO/WHO Collaborating Center), School of Medical Sciences, 1900 La Plata, Argentina
A. Martella
- Department of Medical Services, IOMA, La Plata, Argentina
M. De La Hera
- CENEXA—Center of Experimental and Applied Endocrinology (UNLP-CONICET, National University of La Plata-National Research Council, PAHO/WHO Collaborating Center), School of Medical Sciences, 1900 La Plata, Argentina
F. Siri
- CENEXA—Center of Experimental and Applied Endocrinology (UNLP-CONICET, National University of La Plata-National Research Council, PAHO/WHO Collaborating Center), School of Medical Sciences, 1900 La Plata, Argentina
P. Bonelli
- Department of Medical Services, IOMA, La Plata, Argentina

Received 18 April 2005; received in revised form 21 June 2005; accepted 7 February 2006. published online 27 March 2006.

Abstract

Objective

In PROPAT we implemented an integrated approach to diabetes care designed to improve the quality and reduce the cost of care.

Study design and methods

PROPAT was a case-control study matching patients by age and gender (diabetes:control ratio 1:2) within IOMA, a public employment-based health maintenance organization (HMO) of the Province of Buenos Aires, Argentina. Costs were evaluated using prevalence data from an HMO perspective. We currently report clinical and biochemical data and costs from the first 297 patients enrolled who completed 1 year in PROPAT, and compare them with those derived from control patients.

Results

All recommended practices recorded as care provided at baseline increased significantly 1 year after implementing PROPAT, with a parallel significant improvement in several clinical and biochemical parameters, and markedly lower total annual per capita costs.