连续性护理与糖尿病控制之间的关系：来自第三次全国健康和营养检查调查的证据。
Relationship between continuity of care and diabetes control: evidence from the Third National Health and Nutrition Examination Survey.
作者信息
Mainous Arch G, Koopman Richelle J, Gill James M, Baker Richard, Pearson William S
机构信息
Department of Family Medicine, Medical University of South Carolina, Charleston 29245, USA.
出版信息
Am J Public Health. 2004 Jan;94(1):66-70. doi: 10.2105/ajph.94.1.66.
Abstract
OBJECTIVES
We examined the relationship between continuity of care and diabetes control.
METHODS
We analyzed data on 1400 adults with diabetes who took part in the Third National Health and Nutrition Examination Survey. We examined the relationship of continuity of care with glycemic, blood pressure, and lipid control.
RESULTS
Continuity of care was associated with both acceptable and optimal levels of glycemic control. Continuity was not associated with blood pressure or lipid control. There was no difference between having a usual site but no usual provider and having a usual provider in any of the investigated outcomes.
CONCLUSIONS
Continuity of care is associated with better glycemic control among people with diabetes. Our results do not support a benefit of having a usual provider above having a usual site of care.
摘要
目的
我们研究了医疗连续性与糖尿病控制之间的关系。
方法
我们分析了参与第三次全国健康与营养检查调查的1400名成年糖尿病患者的数据。我们研究了医疗连续性与血糖、血压和血脂控制之间的关系。
结果
医疗连续性与血糖控制的可接受水平和最佳水平均相关。连续性与血压或血脂控制无关。在任何调查结果中，有固定就诊地点但没有固定医疗服务提供者与有固定医疗服务提供者之间没有差异。
结论
医疗连续性与糖尿病患者更好的血糖控制相关。我们的结果不支持有固定医疗服务提供者比有固定就诊地点更有益的观点。
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本文引用的文献
1
Standards of medical care for patients with diabetes mellitus.糖尿病患者的医疗护理标准。
Diabetes Care. 2003 Jan;26 Suppl 1:S33-50. doi: 10.2337/diacare.26.2007.s33.
2
A diabetes report card for the United States: quality of care in the 1990s.美国糖尿病报告卡：20世纪90年代的护理质量
Ann Intern Med. 2002 Apr 16;136(8):565-74. doi: 10.7326/0003-4819-136-8-200204160-00005.
3
Continuity of care, self-management behaviors, and glucose control in patients with type 2 diabetes.2型糖尿病患者的连续性护理、自我管理行为与血糖控制
Med Care. 2002 Feb;40(2):137-44. doi: 10.1097/00005650-200202000-00008.
4
Features of primary care associated with variations in process and outcome of care of people with diabetes.与糖尿病患者护理过程和结果差异相关的初级保健特征。
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5
The lack of screening for diabetic nephropathy: evidence from a privately insured population.糖尿病肾病筛查的缺失：来自私人医保人群的证据。
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6
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Diabetes Res Clin Pract. 2001 Apr;52(1):55-61. doi: 10.1016/s0168-8227(00)00240-0.
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10
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