Building the evidence for integrated care for type 2 diabetes: a pilot study

Browne, Jessica L., Speight, Jane, Martin, Carina and Gilfillan, Christopher 2016, Building the evidence for integrated care for type 2 diabetes: a pilot study, Australian journal of primary health, vol. 22, no. 5, pp. 409-415, doi: 10.1071/PY15020.

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Title Building the evidence for integrated care for type 2 diabetes: a pilot study
Author(s) Browne, Jessica L.ORCID iD for Browne, Jessica L.
Speight, JaneORCID iD for Speight, Jane
Martin, Carina
Gilfillan, Christopher
Journal name Australian journal of primary health
Volume number 22
Issue number 5
Start page 409
End page 415
Total pages 7
Publisher CSIRO Publishing
Place of publication Clayton, Vic.
Publication date 2016
ISSN 1448-7527
Keyword(s) patient satisfaction
quality of care
randomised controlled trial
Summary Integrated care models have the potential to reduce fragmentation in the health system and improve outcomes for people with type 2 diabetes. A pilot evaluation of an integrated care model for people with type 2 diabetes in Melbourne, Australia, is reported on. Two studies were conducted: (1) a 6-month pilot randomised controlled trial (n≤56) evaluating the impact of the integrated care model relative to hospital outpatient clinics; and (2) a cross-sectional study (n≤92) of patients attending the two services. The primary outcome was diabetes-specific distress; secondary outcomes were perceived quality of diabetes care, diabetes-specific self-efficacy and glycated haemoglobin (HbA1c). There was no effect of service setting on diabetes-specific distress. Participants from the integrated care setting perceived the quality of diabetes care to be higher than did participants from the hospital clinics. Significant HbA1c improvements were observed over time, but with no effect of service setting. The model holds promise for people with type 2 diabetes who need more specialist/multidisciplinary care than can be provided in primary care. Patients' evaluations of the quality of diabetes care received at the integrated care service are very positive, which is likely to be one of the key strengths of the integrated model.
Language eng
DOI 10.1071/PY15020
Field of Research 170106 Health, Clinical and Counselling Psychology
Socio Economic Objective 920104 Diabetes
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, La Trobe University
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Document type: Journal Article
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School of Psychology
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