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

      Affiliations

    • 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 InformationCorresponding author. Tel.: +54 221 423 67 12; fax: +54 221 422 20 81.
    • ,
  • E. Olivera

      Affiliations

    • 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

      Affiliations

    • 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

      Affiliations

    • 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

      Affiliations

    • 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

      Affiliations

    • Department of Medical Services, IOMA, La Plata, Argentina
    • ,
  • M. De La Hera

      Affiliations

    • 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

      Affiliations

    • 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

      Affiliations

    • Department of Medical Services, IOMA, La Plata, Argentina

Received 18 April 2005 ,Revised 21 June 2005 ,Accepted 7 February 2006.

References 

  1. In:  Gruber W,  Lander T,  Leese B,  Songer T,  Williams R editor. The Economics of Diabetes and Diabetes Care. A Report of the Diabetes Health Economics Study Group. Brussels: International Diabetes Federation/World Health Organization; 1997;
  2. Jonsson B. The economic impact of diabetes. Diab. Care. 1998;21(Suppl. 3):C7–C10
  3. Gagliardino JJ, Olivera E. The regions and their health care systems: Latin America. In:  Gruber W,  Lander T,  Leese B,  Songer T,  Williams R editor. The Economics of Diabetes and Diabetes Care. A Report of the Diabetes Health Economics Study Group. Brussels: International Diabetes Federation/World Health Organization; 1997;p. 51–59
  4. Gagliardino JJ, Olivera EM, Barragán HL, Hernández RE. Diabetes mellitus e hipertensión arterial: aspectos clínicos y epidemiológicos en la población de La Plata. Medicina (Buenos Aires). 1995;55:421–430
  5. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus . The Diabetes Control and Complications Trial Research Group. N. Engl. J. Med. 1993;329:977–986
  6. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33) . UK Prospective Diabetes Study (UKPDS) Group. Lancet. 1998;352:837–853
  7. Beckles GL, Engelgau MM, Narayan KM, Herman WH, Aubert RE, Williamson DF. Population-based assessment of the level of care among adults with diabetes in the US. Diab. Care. 1998;21:1432–1438
  8. American Diabetes Association: clinical practice recommendations 1999 . Diab. Care. 1999;Suppl. 1:S1–114
  9. Gagliardino JJ, De La Hera M, Siri F y Grupo de Investigación de la Red QUALIDIAB. Evaluación de la calidad de la asistencia al paciente diabético en América Latina. Rev. Panam. Salud Pública/Pan Am. J. Public Health. 2001;10:309–317
  10. King H, Gruber W, Lander T. Implementing National Diabetes Programmes. Report of a WHO Meeting, WHO/DBO/DM95.2. Geneva: World Health Organization, Division of Non communicable Diseases; 1995;
  11. Gagliardino JJ, Olivera EM, Etchegoyen GS, Guidi ML, Martella A, Caporale JE, et al. Control y prevención secundaria para personas con diabetes: impacto de la implementación de un programa de atención (PROPAT). Rev. Soc. Argent. de Diab. 2001;35:77–86
  12. Gagliardino JJ, Olivera EM, Etchegoyen GS, González C, Guidi ML. Evaluación y costos del proceso de atención de pacientes diabéticos. Medicina (Buenos Aires). 2000;60:880–888
  13. Sociedad Argentina de Diabetes: Programa de Capacitación Diabetológica para Médicos Generalistas (PROCAMEG) . Rev. Soc. Argent. de Diab. 1998;32:205–210
  14. Oxman AD, Thomson M, Davis DA, Haynes RB. No magic bullets: a systematic review of 102 trials of interventions to improve professional practice. Can. Med. Assoc. 1995;153:1423–1430
  15. Gagliardino JJ, Etchegoyen G. A model educational program for people with type 2 diabetes: a cooperative Latin American implementation study (PEDNID-LA). Diab. Care. 2001;24:1001–1007
  16. Alberti KGMM, Gries FA, Jervell J, Krans HMJ For the European NIDDM Policy Group. A Desktop Guide for the Management of Non-Insulin-Dependent Diabetes Mellitus (NIDDM). second ed.. Brussels: International Diabetes Federation; 1993;
  17. European Diabetes Policy Group 1998. A desktop guide to type 1 (Insulin-dependent) diabetes mellitus. Brussels: International Diabetes Federation European Region; 1998;
  18. Gagliardino JJ, Olivera E. Economics of diabetes in low-income populations: overview of Latin America and the Caribbean. In:  Williams R,  Tuomiletho J,  Bjork S editor. The Economics of Diabetes Care. An International Perspective. Oxford: Blackwell Science; 2000;p. 41–60
  19. Clark CM, Snyder JW, Meek RL, Stutz LM, Parkin CG. A systematic approach to risk stratification and intervention within a managed care environment improves diabetes outcomes and patient satisfaction. Diab. Care. 2001;24:1079–1086
  20. Vinicor F. The public health burden of diabetes and the reality of limits. Diab. Care. 1998;21(Suppl. 3):C15–C18
  21. Ho M, Marger M, Beart J, Yip I, Shekelle P. Is the quality of diabetes care better in a diabetic clinic or in a general medicine clinic?. Diab. Care. 1997;20:472–475
  22. Gilmer T, O’Connor P, Rush W. Does baseline HbA1c predict subsequent HMO disenrollment?. Diabetes. 1998;47(Suppl. 1):A190
  23. Vijan S, Hofer TP, Hayward RA. Estimated benefits of glycemic control in microvascular complications in type 2 diabetes. Ann. Int. Med. 1997;127:788–795
  24. Gagliardino JJ, Martella A, Etchegoyen GS, Caporale JE, Guidi ML, Olivera EM, et al. Hospitalization and re-hospitalization of people with and without diabetes in La Plata, Argentina: comparison of their clinical characteristics and costs. Diab. Res. Clin. Pract. 2004;65:51–59
  25. Menzin J, Langley-Hawthorne C, Friedman M, Boulanger I, Cavanaugh R. Potential short-term economic benefits of improved glycemic control: a managed care perspective. Diab. Care. 2001;24:51–55
  26. Wagner EH, Sandhu N, Newton KM, McCulloch DK, Ramsey SD, Grothaus LC. Effect of improved glycemic control on health care costs and utilization. JAMA. 2001;285:182–189
  27. Pronk NP, Goodman MJ, O’Connor PJ, Martinson BC. Relationship between modifiable health risks and short-term health care charges. JAMA. 1999;282:2235–2239
  28. Engelgau MM, Geiss LS, Manninen DL, Orians CE, Wagner EH, Friedman NM, et al. Use of services by diabetes patients in managed care organizations. Development of a diabetes surveillance system. CDC Diabetes in Managed Care Work Group. Diab. Care. 1998;21:2062–2068
  29. Mayfield JA, Rith-Najarian SJ, Acton KJ, Schraer CD, Stahn RM, Johnson MH, et al. Assessment of diabetes care by medical record review. The Indian Health Service model. Diab. Care. 1994;17:918–923
  30. Nicolucci A, Scorpiglione N, Belfiglio M, Carinci F, Cavaliere D, el-Shazly M, et al. Patterns of care of an Italian diabetic population. The Italian Study Group for the Implementation of the St Vincent Declaration, Societa Italiana di Diabetologia, Associazione Medici Diabetologi. Diab. Med. 1997;14:158–166
  31. Jonsson PM, Nyström L, Rosenqvist U, Sterky G, Wall S, Östman J. Diabetes mellitus and health service utilization: a case-control study of outpatient visits 8 years after diagnosis. Diab. Med. 1996;13:1056–1063

PII: S0168-8227(06)00060-X

doi: 10.1016/j.diabres.2006.02.004

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

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