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Evaluating Effectiveness of Outpatient Monitoring in Type 2 Diabetes: The One-Year Experience in an Italian Group of Primary Care

Author

Listed:
  • Francesca Lazzarini

    (Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35131 Padua, Italy)

  • Luca Barbacane

    (Group of Primary Care of Martellago, Unità Locale Socio-Sanitaria ULSS 3 Serenissima, 30030 Martellago, Italy)

  • Giuseppe Scoleri

    (Group of Primary Care of Martellago, Unità Locale Socio-Sanitaria ULSS 3 Serenissima, 30030 Martellago, Italy)

  • Rosanna I. Comoretto

    (Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35131 Padua, Italy)

  • Gianni Cogno

    (Group of Primary Care of Martellago, Unità Locale Socio-Sanitaria ULSS 3 Serenissima, 30030 Martellago, Italy)

  • Benedetta Disarò

    (Group of Primary Care of Martellago, Unità Locale Socio-Sanitaria ULSS 3 Serenissima, 30030 Martellago, Italy)

  • Luigi Gomirato

    (Group of Primary Care of Martellago, Unità Locale Socio-Sanitaria ULSS 3 Serenissima, 30030 Martellago, Italy)

  • Francesca Stocco

    (Group of Primary Care of Martellago, Unità Locale Socio-Sanitaria ULSS 3 Serenissima, 30030 Martellago, Italy)

  • Alessandro Suppa

    (Group of Primary Care of Martellago, Unità Locale Socio-Sanitaria ULSS 3 Serenissima, 30030 Martellago, Italy)

  • Gianluca Toninato

    (Group of Primary Care of Martellago, Unità Locale Socio-Sanitaria ULSS 3 Serenissima, 30030 Martellago, Italy)

  • Clara Minto

    (Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35131 Padua, Italy)

  • Danila Azzolina

    (Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35131 Padua, Italy)

  • Sabino Iliceto

    (Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35131 Padua, Italy)

  • Dario Gregori

    (Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35131 Padua, Italy)

Abstract

Nowadays, chronic disease management is the primary challenge of the healthcare system. From 2015, in the Veneto region (Italy), patients with a diagnosis of type 2 diabetes mellitus (T2DM) have been included in the diagnostic-therapeutic pathway (PDTA) program, and their clinical condition has been continuously monitored. The aim of this retrospective study is to determine the effectiveness of PDTA intervention, alone or in combination with a specialized one, in subjects with diagnosis of T2DM. Clinical and behavioral characteristics were collected at baseline and after 1 year of follow-up. Two subgroups were considered: subjects enrolled in PDTA only and subjects enrolled in both the PDTA program and in the care plan proposed by the specialized medical center (CAD group). Longitudinal analysis showed a relevant positive effect of time on diastolic blood pressure, while CAD enrollment appears to be related to higher levels of glycated hemoglobin. When included together in the same model, interaction between time and CAD covariates results in completely nonsignificant effects. As long-term management of chronic disorders, such as T2DM, is often difficult due to disease characteristics and problems in healthcare organization, monitoring programs, such as PDTA, and specialized care programs, such as CAD, do not show a clinically relevant effect in the first year of follow-up. Therefore, they should be analyzed over a longer period. However, they should also carefully consider the need for adequate tools for data collection and sharing, in addition to the context of application, patient expectations and the need for a long-term educational program.

Suggested Citation

  • Francesca Lazzarini & Luca Barbacane & Giuseppe Scoleri & Rosanna I. Comoretto & Gianni Cogno & Benedetta Disarò & Luigi Gomirato & Francesca Stocco & Alessandro Suppa & Gianluca Toninato & Clara Mint, 2021. "Evaluating Effectiveness of Outpatient Monitoring in Type 2 Diabetes: The One-Year Experience in an Italian Group of Primary Care," IJERPH, MDPI, vol. 18(21), pages 1-10, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11540-:d:671025
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    References listed on IDEAS

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    1. A. Marcellusi & R. Viti & A. Mecozzi & F. Mennini, 2016. "The direct and indirect cost of diabetes in Italy: a prevalence probabilistic approach," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 17(2), pages 139-147, March.
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