Quality of Life and quality of care in patients with diabetes experiencing different models of care
- Margaret M. Collins, PhD1,
- Tony O'Sullivan, MD2,
- Velma Harkins MV, MD3 and
- Ivan Perry, PhD (i.perry{at}ucc.ie)4
- 1University of California Cooperative Extension, Sonora, CA
- 2Irishtown Health Centre, Irishtown, Dublin 4, Ireland
- 3The Health Centre, Cuba Ave, Banagher, Co. Offaly, Ireland
- 4Dept of Epidemiology & Public Health UCC
Abstract
Objective: To study variation in quality of life and quality of care in patients with diabetes experiencing three different models of care: traditional hospital care, hospital/General Practitioner shared care and structured GP care.
Research Design and Methods: A cross-sectional study involving 1456 patients with diabetes (71% response rate). QoL was assessed with the ADDQoL instrument and quality of care with a ten point process of care report card.
Results: The adjusted odds ratio for a high (upper quartile) ADDQoL score was significantly increased in the structured care relative to the traditional hospital care group, OR 1.7 (95% C.I. 1.2 to 2.5). A significantly higher proportion of structured GP care patients reported compliance with ≥ 7 key process of care measures compared with the other models of care.
Conclusions: Diabetes quality of life may be enhanced when care is provided in a primary care setting without compromising quality of care.
Footnotes
-
- Received June 27, 2008.
- Accepted January 13, 2009.
- Copyright © American Diabetes Association
