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Effect of a French experiment of team work between general practitioners and nurses on efficacy and cost of type 2 diabetes patients care

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  • Mousquès, Julien
  • Bourgueil, Yann
  • Le Fur, Philippe
  • Yilmaz, Engin

Abstract

Objectives To assess the efficacy and the cost of a French team work experiment between nurses and GPs for managing type 2 diabetes patients.Methods Based on a case control study design we compare the evolution of process (standard follow-up procedures) and final (glycemic control) outcomes, and of cost, between two consecutive periods between type 2 diabetes patients followed within the team work experiment (intervention group) or by "standard" GPs (controlled group).Results After a 11 months of follow-up, patients in the intervention group, compared with those in the controlled group, have more chances to remain or to become: correctly followed-up (with OR comprise between 2.1 and 6.8, pÂ

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  • Mousquès, Julien & Bourgueil, Yann & Le Fur, Philippe & Yilmaz, Engin, 2010. "Effect of a French experiment of team work between general practitioners and nurses on efficacy and cost of type 2 diabetes patients care," Health Policy, Elsevier, vol. 98(2-3), pages 131-143, December.
    • Handle: RePEc:eee:hepoli:v:98:y:2010:i:2-3:p:131-143
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    1. Dourgnon, Paul & Naiditch, Michel, 2010. "The preferred doctor scheme: A political reading of a French experiment of Gate-keeping," Health Policy, Elsevier, vol. 94(2), pages 129-134, February.
    2. Beaulieu Nancy & Cutler David M & Ho Katherine & Isham George & Lindquist Tammie & Nelson Andrew & O'Connor Patrick, 2006. "The Business Case for Diabetes Disease Management for Managed Care Organizations," Forum for Health Economics & Policy, De Gruyter, vol. 9(1), pages 1-38, December.
    3. James Buchan & Lynn Calman, 2005. "Skill-Mix and Policy Change in the Health Workforce: Nurses in Advanced Roles," OECD Health Working Papers 17, OECD Publishing.
    4. Maria M. Hofmarcher & Howard Oxley & Elena Rusticelli, 2007. "Improved Health System Performance through better Care Coordination," OECD Health Working Papers 30, OECD Publishing.
    5. Elizabeth Docteur & Howard Oxley, 2003. "Health-Care Systems: Lessons from the Reform Experience," OECD Health Working Papers 9, OECD Publishing.
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    Cited by:

    1. Catherine Pollak, 2012. "Employed and Happy despite Weak Health? Labour Market Participation and Job Quality of Older Workers with Disabilities," Working Papers DT45, IRDES institut for research and information in health economics, revised Mar 2012.
    2. Julie Gilles de la Londe & Anissa Afrite & Julien Mousquès, 2023. "How does the quality of care for type 2 diabetic patients benefit from GPs-nurses’ teamwork? A staggered difference-in-differences design based on a French pilot program," International Journal of Health Economics and Management, Springer, vol. 23(3), pages 433-466, September.
    3. Simon Jean-Baptiste Combes & Alain Paraponaris & Yann Videau, 2019. "French GPs’ Willingness to Delegate Tasks: May Financial Incentives Balance Risk Aversion?," Working Papers halshs-02071522, HAL.
    4. Caroline Berchet & Nicolas Sirven, 2012. "Cross-Country Performance in Social Integration of Older Migrants. A European Perspective," Working Papers DT46, IRDES institut for research and information in health economics, revised Mar 2012.
    5. Christophe Loussouarn & Carine Franc & Yann Videau & Julien Mousquès, 2019. "Coopérer plus pour travailler plus : évaluation de l’expérimentation d’infirmière de pratique avancée Asalée sur l’activité du médecin généraliste," Erudite Working Paper 2019-13, Erudite.
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    7. Catherine Pollak & Nicolas Sirven, 2012. "Active Ageing Beyond the Labour Market: Evidence on Work Environment Motivations," Working Papers DT48, IRDES institut for research and information in health economics, revised May 2012.
    8. Mehdi Ammi & Christine Peyron, 2016. "Heterogeneity in general practitioners’ preferences for quality improvement programs: a choice experiment and policy simulation in France," Health Economics Review, Springer, vol. 6(1), pages 1-11, December.
    9. Thierry Debrand & Christine Sorasith, 2010. "Out-of-Pocket Maximum Rules under a Compulsatory Health Care Insurance Scheme: A Choice between Equality and Equity," Working Papers DT34, IRDES institut for research and information in health economics, revised Nov 2010.

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    More about this item

    Keywords

    Primary health care Diabetes mellitus Health care team Comparative study Outcome and process assessment Cost analysis;

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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