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dc.contributor.author
Gagliardino, Juan Jose
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dc.contributor.author
Calvo, Héctor
dc.contributor.author
Elgart, Jorge
dc.contributor.author
Gonzalez, Lorena
dc.date.available
2017-01-12T20:44:06Z
dc.date.issued
2013-07
dc.identifier.citation
Gagliardino, Juan Jose; Calvo, Héctor; Elgart, Jorge; Gonzalez, Lorena; Changes in quality of care and costs induced by implementation of a diabetes program in a social security entity of Argentina; Dove Press; ClinicoEconomics and Outcomes Research; 58; 7-2013; 337-345
dc.identifier.issn
1178-6981
dc.identifier.uri
http://hdl.handle.net/11336/11251
dc.description.abstract
Purpose: To measure the impact of a Diabetes and Cardiovascular Risk Factors Program implemented in a social security institution (OSPERYH) upon short- and long-term clinical/metabolic outcomes and costs of care. Methods: Observational longitudinal cohort analysis of clinical/metabolic data and resource use of 300 adult male and female OSPERYH affiliates with diabetes before (Baseline) and one and three years after implementation of the program. Data were obtained from clinical records (Qualidiab) and the administration´s database. Results: The implementation of the program in "real world" conditions resulted in an immediate and sustainable improvement of the quality of care provided to people with diabetes incorporated therein. We also recorded a more appropriate oral therapy prescription for hyperglycemia and cardiovascular risk factors (CVRF) as well as a decrease of events related to chronic complications. This improvement was associated to an increased use of diagnostic and therapeutic resources, particularly those related to pharmacy prescriptions, not specifically used for the control of hyperglycemia and other CVRF. Conclusion: The implementation of a diabetes program in "real world" conditions results in a significant short- and long-term improvement of the quality of care provided to people with diabetes and other CVRF, but simultaneously increased the use of resources and the cost of diagnostic and therapeutic practices. Since controlled studies have shown improvement in quality of care without increasing its costs, our results suggest the need to include management control strategies in these programs for an appropriate medical and administrative feedback to ensure the simultaneous improvement of clinical outcomes and optimization of the use of resources.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Dove Press
dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc/2.5/ar/
dc.subject
Chronic Diseases
dc.subject
Diabetes
dc.subject
Management
dc.subject
Program Evaluation
dc.subject.classification
Políticas y Servicios de Salud
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dc.subject.classification
Ciencias de la Salud
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dc.subject.classification
CIENCIAS MÉDICAS Y DE LA SALUD
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dc.title
Changes in quality of care and costs induced by implementation of a diabetes program in a social security entity of Argentina
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2016-01-06T17:34:49Z
dc.journal.volume
58
dc.journal.pagination
337-345
dc.journal.pais
Estados Unidos
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dc.journal.ciudad
Princeton
dc.description.fil
Fil: Gagliardino, Juan Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Cientifico Tecnológico La Plata. Centro de Endocrinologia Experimental y Aplicada (i); Argentina. Universidad Nacional de la Plata; Argentina
dc.description.fil
Fil: Calvo, Héctor. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Cientifico Tecnológico La Plata. Centro de Endocrinologia Experimental y Aplicada (i); Argentina. Universidad Nacional de la Plata; Argentina
dc.description.fil
Fil: Elgart, Jorge. Universidad Nacional de la Plata; Argentina
dc.description.fil
Fil: Gonzalez, Lorena. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Cientifico Tecnológico La Plata. Centro de Endocrinologia Experimental y Aplicada (i); Argentina. Universidad Nacional de la Plata; Argentina
dc.journal.title
ClinicoEconomics and Outcomes Research
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/https://doi.org/10.2147/CEOR.S40949
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://www.dovepress.com/changes-in-quality-of-care-and-costs-induced-by-implementation-of-a-di-peer-reviewed-article-CEOR
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23869172/
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