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dc.contributor.author Gagliardino, Juan Jose
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
dc.subject.classification Ciencias de la Salud
dc.subject.classification CIENCIAS MÉDICAS Y DE LA SALUD
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
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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info:eu-repo/semantics/openAccess Excepto donde se diga explícitamente, este item se publica bajo la siguiente descripción: Creative Commons Attribution-NonCommercial 2.5 Unported (CC BY-NC 2.5)