Patterns of engagement with the health care system and risk of subsequent hospitalization amongst patients with diabetes

Abstract 【Background】Integrated health care provide patients with comprehensive and continuous care, but it still no consequence whether it could improve the illness condition of patients who suffer from chronic disease, such as hypertension and diabetes. The objective of this study is to evaluate the effect of the integrated health care system in patients with hypertension and diabetes. 【Methods】Randomised controlled trials testing the effect of integrated health care system in patients with hypertension and diabetes were be included. We search in GIN, NICE, Cochrane, JBI, CINAHL, EMBASE, PUBMED, Web of Science, SINOMED, CNKI (Chinese database), WANFANG (Chinese database) and VIP (Chinese database) databases from the building date of database to 31/Oct/2020. The articles must meet the following inclusion criteria: research objects are patients who have been clearly diagnosed with hypertension and diabetes, all of the articles should use Integrated Health Care as intervention, the study type of article is randomized clinical trials, the articles should be published in Chinese or English. Risk of bias were assessed regarding randomisation, allocation sequence concealment, blinding, incomplete outcome data, selective outcome reporting, and other biases. 【Results】. 16 randomized controlled trials (seven hypertension, nine diabetes) involving 5,231 patients (2,593 with diabetes and 2,638 with hypertension) with intervention duration ranging from 6 to 24 months. Meta-analysis showed that integrated health care significantly improved systolic and diastolic blood pressure in patients with hypertension, it also significantly declined the level of glycosylated hemoglobin in diabetes. After using the integrated health care for 12 months, glycosylated hemoglobin was significantly decreased which compared to the 6-month intervention in patients with diabetes. 【Discussion】In this study, we undertook a meta-analysis of the published work that systematically evaluated the effects of integrated health care. Integrated Health Care could be beneficial to reduce glycosylated hemoglobin, and control blood pressure in patients with diabetes and hypertension. The diabetes management based on integrated health care is a long-term care process, and it would be effective over time.

Download Full-text

Mobile personal health care system for patients with diabetes

10.31274/etd-180810-735 ◽

2011 ◽

Cited By ~ 1

Author(s):

Fuchao Zhou

Keyword(s):

Health Care ◽

Health Care System ◽

Personal Health ◽

Patients With Diabetes ◽

Care System

Download Full-text

Towards for Designing Intelligent Health Care System Based on Machine Learning

Iraqi Journal for Electrical And Electronic Engineering ◽

10.37917/ijeee.17.2.14 ◽

2021 ◽

Vol 17 (2) ◽

pp. 120-128

Author(s):

Nada Noori ◽

Ali Yassin

Keyword(s):

Diabetes Mellitus ◽

Machine Learning ◽

Health Care ◽

Health Care System ◽

Support Vector ◽

Care Providers ◽

Number Of Patients ◽

Increased Risk ◽

Patients With Diabetes ◽

Care System

Health Information Technology (HIT) provides many opportunities for transforming and improving health care systems. HIT enhances the quality of health care delivery, reduces medical errors, increases patient safety, facilitates care coordination, monitors the updated data over time, improves clinical outcomes, and strengthens the interaction between patients and health care providers. Living in modern large cities has a significant negative impact on people’s health, for instance, the increased risk of chronic diseases such as diabetes. According to the rising morbidity in the last decade, the number of patients with diabetes worldwide will exceed 642 million in 2040, meaning that one in every ten adults will be affected. All the previous research on diabetes mellitus indicates that early diagnoses can reduce death rates and overcome many problems. In this regard, machine learning (ML) techniques show promising results in using medical data to predict diabetes at an early stage to save people’s lives. In this paper, we propose an intelligent health care system based on ML methods as a real-time monitoring system to detect diabetes mellitus and examine other health issues such as food and drug allergies of patients. The proposed system uses five machine learning methods: K-Nearest Neighbors, Naïve Bayes, Logistic Regression, Random Forest, and Support Vector Machine (SVM). The system selects the best classification method with high accuracy to optimize the diagnosis of patients with diabetes. The experimental results show that in the proposed system, the SVM classifier has the highest accuracy of 83%.

Download Full-text

Looking at the Russian health care system: through the eyes of patients with diabetes and their physicians

The British Journal of Diabetes ◽

10.1177/1474651412454923 ◽

2012 ◽

Vol 12 (4) ◽

pp. 181-184 ◽

Cited By ~ 2

Author(s):

Charlotte Kühlbrandt ◽

Sanjay Basu ◽

Martin Mckee ◽

David Stuckler

Keyword(s):

Health Care ◽

Health Care System ◽

Patients With Diabetes ◽

Care System

Download Full-text

Mobile Personal Health Care System for Patients with Diabetes

Lecture Notes in Computer Science - Aging Friendly Technology for Health and Independence ◽

10.1007/978-3-642-13778-5_12 ◽

2010 ◽

pp. 94-101 ◽

Cited By ~ 15

Author(s):

Fuchao Zhou ◽

Hen-I Yang ◽

José M. Reyes Álamo ◽

Johnny S. Wong ◽

Carl K. Chang

Keyword(s):

Health Care ◽

Health Care System ◽

Personal Health ◽

Patients With Diabetes ◽

Care System

Download Full-text

The Provision of Health Care by Family Physicians in Taiwan as Illustrated With Population Pyramids

INQUIRY The Journal of Health Care Organization Provision and Financing ◽

10.1177/0046958019834830 ◽

2019 ◽

Vol 56 ◽

pp. 004695801983483 ◽

Cited By ~ 1

Author(s):

Yi-Jen Wang ◽

Hao-Yen Liu ◽

Tzeng-Ji Chen ◽

Shinn-Jang Hwang ◽

Li-Fang Chou ◽

...

Keyword(s):

Health Care ◽

Health Care System ◽

Family Physicians ◽

Cross Sectional Study ◽

Data Sets ◽

Cross Sectional ◽

Care Recipients ◽

Present Cross Sectional Study ◽

Patients With Diabetes ◽

Care System

Family physicians serve as personal doctors for individuals and their families and also act as gatekeepers of the health care system. If no special status is accorded to family physicians, however, then the rates at which health care recipients utilize their service might be affected. In the present cross-sectional study, representative claims data sets for 2010 from Taiwan’s National Health Insurance program, a health care system in which beneficiaries are not required to register with a family physician, were used to investigate the provision of health care to the population by family physicians. Among 919 206 beneficiaries with a total of 13 713 199 ambulatory visits, 49.1% had visited family physicians, 34.1% had visited internists, 24.3% had visited pediatricians, and 38.9% had visited otolaryngologists. Women (χ2(1) = 538, P < .001) and patients aged 65 and above (χ2(1) = 16 000, P < .001) had a higher proportion of visiting family physicians rather than visiting other specialties. The onion-shaped population pyramid with family medicine visits was compatible with the general population, and the proportion of visiting family physicians increased with increasing age. Among 112 289 patients with essential hypertension, 63 379 patients with diabetes mellitus, and 80 090 patients with hyperlipidemia, only 35.3%, 32.0%, and 31.1%, respectively, had visited family physicians. The age and sex distributions of these patients were illustrated with population pyramids for data visualization and direct comparisons. Taken together, the results of this study indicate that the utilization of family physicians in Taiwan and the effectiveness of their associated role in chronic disease management still have room for improvement.

Download Full-text

Teletinnitus Program at the VA Gulf Coast Veterans Health Care System

Perspectives on Telepractice ◽

10.1044/teles4.1.23 ◽

2014 ◽

Vol 4 (1) ◽

pp. 23-29

Author(s):

Constance Hilory Tomberlin

Keyword(s):

Health Care ◽

Patient Satisfaction ◽

Patient Care ◽

Health Care System ◽

Gulf Coast ◽

New Technology ◽

Cost Effective ◽

Veterans Health ◽

Potential Benefits ◽

Care System

There are a multitude of reasons that a teletinnitus program can be beneficial, not only to the patients, but also within the hospital and audiology department. The ability to use technology for the purpose of tinnitus management allows for improved appointment access for all patients, especially those who live at a distance, has been shown to be more cost effective when the patients travel is otherwise monetarily compensated, and allows for multiple patient's to be seen in the same time slots, allowing for greater access to the clinic for the patients wishing to be seen in-house. There is also the patient's excitement in being part of a new technology-based program. The Gulf Coast Veterans Health Care System (GCVHCS) saw the potential benefits of incorporating a teletinnitus program and began implementation in 2013. There were a few hurdles to work through during the beginning organizational process and the initial execution of the program. Since the establishment of the Teletinnitus program, the GCVHCS has seen an enhancement in patient care, reduction in travel compensation, improvement in clinic utilization, clinic availability, the genuine excitement of the use of a new healthcare media amongst staff and patients, and overall patient satisfaction.

Download Full-text