Type 2 diabetes and COPD: treatment in the right healthcare setting? An observational study.

2020 ◽  
Author(s):  
Rimke P Willink ◽  
Rimke C Vos ◽  
Ingrid Looijmans-van den Akker ◽  
Huberta E Hart
Keyword(s):  
Type 2 Diabetes ◽  
Primary Care ◽  
Medical Records ◽  
Secondary Care ◽  
Healthcare Setting ◽  
Health Condition ◽  
Treatment Allocation ◽  
Copd Patients ◽  
The Right

Abstract Background Type 2 diabetes (T2DM) and COPD are chronic conditions, for which patients need lifelong healthcare. The aim of the study is to examine in which healthcare setting patients with T2DM and COPD receive care, and if they are allocated to the correct setting.Method T2DM and COPD patients from five primary care centres were included. Data concerning treatment setting, patient- and clinical characteristics were extracted from electronic medical records. The profile of patients treated in primary care was compared with that of those treated in secondary care. For patients treated in secondary care we evaluated whether treatment allocation was according to guidelines and if back-referral to primary care could take place.Results Of the T2DM and COPD patients 7.6% and 29.6% were treated in secondary care of which 72.7% and 31.4% according to the guideline. T2DM patients treated in primary care were older (63 versus 57 years, p = 0.001), had a shorter diabetes duration (8 versus 11 years, p < 0.001) and lower HbA1c (53.0 versus 63.5 mmmol/l, p < 0.001) than those treated in secondary care. Those with COPD treated in primary care used less inhalation medication (75.2 versus 90.1%, p < 0.001) and had better spirometry results (67.39 versus 57.53 FEV1%pred, p < 0.001).Conclusion The majority of the patients with T2DM and COPD were treated in primary care correctly. Patients treated in primary care on average had a better health condition compared to those in secondary care. The majority of the T2DM patients and the minority of COPD patients were treated correctly in secondary care.

scholarly journals Type 2 diabetes and COPD: treatment in the right healthcare setting? An observational study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
R. P. Willink ◽  
Rimke C. Vos ◽  
I. Looijmans-van den Akker ◽  
Huberta E. Hart
Keyword(s):  
Type 2 Diabetes ◽  
Primary Care ◽  
Secondary Care ◽  
Healthcare Setting ◽  
Health Condition ◽  
Correct Treatment ◽  
Copd Patients ◽  
The Right ◽  
Primary Care Practices

Abstract Background Type 2 diabetes (T2DM) and COPD are chronic medical conditions, for which patients need lifelong healthcare. The aim of this study is to examine in which healthcare setting patients with T2DM and COPD receive their care, and if this is the correct healthcare setting according to guidelines. Method T2DM and COPD patients from five primary care practices were included. Data concerning healthcare setting and patient- and clinical characteristics were extracted from the electronic medical records. Patient profiles treated in primary care were compared with the profiles of those treated in secondary care. In patients treated in secondary care we evaluated whether treatment allocation was according to the guidelines and if back-referral to primary care should take place. Results Of the T2DM and COPD patients 7.6% and 29.6% respectively, were treated in secondary care, and 72.7% respectively 31.4% of these were according to the guideline. T2DM patients treated in primary care were older (63 versus 57 years, p < 0.01, had a shorter diabetes duration (8 versus 11 years, p < 0.01) and lower HbA1c (53.0 versus 63.5 mmol/l, p < 0.01) than those treated in secondary care. Those with COPD treated in primary care used less inhalation medication (75.2 versus 90.1%, p < 0.01) and had better spirometry results (67.39 versus 57.53 FEV1%pred, p < 0.01). Conclusion The majority of the patients with T2DM and COPD were correctly treated in primary care and on average patients with a better health condition were treated in primary care.. Also, those who were treated in secondary care were most of the time treated in the correct treatment setting according to the guidelines.

Abstract # P-1: Use of Type 2 Diabetes Screening Guidelines in Primary Care: Concordance Between Physician Survey and Medical Records

2016 ◽  
Vol 22 ◽  
pp. 14
Author(s):  
Michelle Mocarski ◽  
Sandhya Mehta ◽  
Karin Gillespie ◽  
Tami Wisniewski ◽  
K.M. Venkat Narayan ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Primary Care ◽  
Medical Records ◽  
Physician Survey ◽  
Diabetes Screening ◽  
Screening Guidelines

scholarly journals Reducing risk of type 2 diabetes after gestational diabetes: a qualitative study to explore the potential of technology in primary care

2018 ◽  
Vol 68 (669) ◽  
pp. e260-e267 ◽  
Author(s):  
Brian McMillan ◽  
Katherine Easton ◽  
Elizabeth Goyder ◽  
Brigitte Delaney ◽  
Priya Madhuvrata ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Primary Care ◽  
Qualitative Study ◽  
Gestational Diabetes ◽  
Secondary Care ◽  
Future Research ◽  
Increased Risk ◽  
Risk Of Progression

BackgroundDespite the seven-fold increased risk of type 2 diabetes mellitus (T2DM) among females previously diagnosed with gestational diabetes (GD), annual rates of follow-up in primary care are low. There is a need to consider how to reduce the incidence of progression to T2DM among this high-risk group.AimTo examine the views of females diagnosed with GD to ascertain how to improve primary care support postnatally, and the potential role of technology in reducing the risk of progression to T2DM.Design and settingA qualitative study of a purposive sample of 27 postnatal females leaving secondary care with a recent diagnosis of GD.MethodSemi-structured interviews were conducted with 27 females, who had been previously diagnosed with GD, at around 6–12 weeks postnatally. Interviews were audiotaped, transcribed, and analysed thematically.ResultsFacilitators and barriers to engaging in a healthy postnatal lifestyle were identified, the most dominant being competing demands on time. Although females were generally satisfied with the secondary care they received antenatally, they felt abandoned postnatally and were uncertain what to expect from their GP in terms of follow-up and support. Females felt postnatal care could be improved by greater clarity regarding this, and enhanced by peer support, multidisciplinary input, and subsidised facilities. Technology was seen as a potential adjunct by providing information, enabling flexible and personalised self-management, and facilitating social support.ConclusionA more tailored approach for females previously diagnosed with GD may help reduce the risk of progression to T2DM. A need for future research to test the efficacy of using technology as an adjunct to current care was identified.

scholarly journals Temporal Trend in Young-Onset Type 2 Diabetes—Macrovascular and Mortality Risk: Study of U.K. Primary Care Electronic Medical Records

Diabetes Care ◽  
2020 ◽  
Vol 43 (9) ◽  
pp. 2208-2216 ◽  
Author(s):  
Digsu N. Koye ◽  
Joanna Ling ◽  
John Dibato ◽  
Kamlesh Khunti ◽  
Olga Montvida ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Primary Care ◽  
Electronic Medical Records ◽  
Mortality Risk ◽  
Medical Records ◽  
Temporal Trend ◽  
Young Onset ◽  
Onset Type

Health communication method and primary care seeking after screening for early type 2 diabetes in a Japanese healthcare setting

2013 ◽  
Vol 5 (2) ◽  
pp. 122-128 ◽  
Author(s):  
Rie Ueki ◽  
Masao Ichikawa ◽  
Yuri Hiranuma ◽  
Takashi Naito ◽  
Takami Maeno ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Primary Care ◽  
Health Communication ◽  
Healthcare Setting ◽  
Care Seeking ◽  
Early Type ◽  
Communication Method

scholarly journals Sosiodemografi dan Pemantauan Klinik Secara Mandiri Penyandang Diabetes Mellitus Tipe II di RSUD dr. Doris Sylvanus Palangkaraya

2020 ◽  
Vol 2 (2) ◽  
pp. 141-147
Author(s):  
Nurhalina Nurhalina ◽  
Dwi Purbayanti ◽  
Suratno Suratno ◽  
Syahrida Dian Ardhany
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Type 2 Diabetes ◽  
Health Monitoring ◽  
Medical Records ◽  
Health Condition ◽  
Clinical Monitoring ◽  
Central Kalimantan ◽  
Descriptive Approach

In Central Kalimantan province efforts to manage type 2 diabetes millitus have been undertaken to reduce the prevalence of case and risk factors. Based on the results of Riskesdas 2013.Medical records of Doris Sylvanus Hospital in 2015, the number of diabetes millitus patients has increased from 375 cases in 2014 and 514 cases in 2015. The purpose of this study was to determine the sociodemographic and clinical monitoring independently by people with type 2 diabetes mellitus. Design studyis ovbservasional with descriptive approach were population is people with type 2 diabetes millitus who visited Dr.Doris Sylvanus Palangka Raya hospitaland had been diagnosed for more than 1 year. Data were collected through direct interviews with respondents and medical records of respondents.The results showed thatthe majority of respondents were more than 50 years old (76%), female (59%), were married (91.8%), worked as civil servants / police / military (37.2%) and did not work (27.9%). based on the length of diagnosis, the majority have been diagnosed for more than 3 years (63.4%).The average independent clinical monitoring of respondents for their health condition was 41.05% and there were 57.65% of respondents who did not conduct routine health monitoring. The results also showed that 100% of respondents did not monitor neuropathy and monitor erectile dysfunction. Whereas respondents who monitor HbA1c are only around 1.1%

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