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dc.contributor.author
Gagliardino, Juan Jose
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dc.contributor.author
Chantelot, Jean Marc
dc.contributor.author
Domenger, Catherine
dc.contributor.author
Ilkova, Hasan
dc.contributor.author
Ramachandran, Ambady
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Kaddaha, Ghaida
dc.contributor.author
Mbanya, Jean Claude
dc.contributor.author
Chan, Juliana
dc.contributor.author
Aschner, Pablo
dc.date.available
2021-01-12T13:37:51Z
dc.date.issued
2019-01
dc.identifier.citation
Gagliardino, Juan Jose; Chantelot, Jean Marc; Domenger, Catherine; Ilkova, Hasan; Ramachandran, Ambady; et al.; Diabetes education and health insurance: How they affect the quality of care provided to peoplewith type 1 diabetes in Latin America. Data from the International Diabetes Mellitus Practices Study (IDMPS); Elsevier Ireland; Diabetes Research and Clinical Practice; 147; 1-2019; 47-54
dc.identifier.issn
0168-8227
dc.identifier.uri
http://hdl.handle.net/11336/122461
dc.description.abstract
Aims: This study aimed to evaluate the impact of diabetes education and access to healthcare coverage on disease management and outcomes in Latin America. Methods: Data were obtained from a sub-analysis of 2693 patients with type 1 diabetes mellitus recruited from 9 Latin American countries as part of the International Diabetes Mellitus Practices Study (IDMPS), a multinational, observational survey of diabetes treatment in developing regions. Results: Results from the Latin American cohort show that only 25% of participants met HbA1c target value (< 7% [53 mmol/mol]). Attainment of this target was significantly higher among participants who had received diabetes education than those who hadn´t (28% vs. 19%, p < 0.001), and among those who practiced self-management (27% vs. 21% no self-management, p = 0.001). Multivariate analysis showed that participants who had received diabetes education were more likely to manage their diabetes (OR: 1.65 [95% CI: 1.24, 2.19]; p = 0.001), and to attain HbA1c target values (OR: 1.48 [95% CI: 1.14, 1.93]; p = 0.003). Conclusions: Given the association between uncontrolled diabetes and long-term complications, health authorities and care providers should increase efforts to ensure widespread healthcare coverage and access to self-management education to reduce the socioeconomic and humanistic burden of type 1 diabetes.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Elsevier Ireland
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dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
dc.subject
DIABETES EDUCATION
dc.subject
MANAGEMENT
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OBSERVATIONAL STUDY
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TREATMENT
dc.subject
TYPE 1 DIABETES MELLITUS
dc.subject.classification
Endocrinología y Metabolismo
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dc.subject.classification
Medicina Clínica
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dc.subject.classification
CIENCIAS MÉDICAS Y DE LA SALUD
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dc.title
Diabetes education and health insurance: How they affect the quality of care provided to peoplewith type 1 diabetes in Latin America. Data from the International Diabetes Mellitus Practices Study (IDMPS)
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2020-11-20T17:17:35Z
dc.journal.volume
147
dc.journal.pagination
47-54
dc.journal.pais
Irlanda
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dc.description.fil
Fil: Gagliardino, Juan Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Centro de Endocrinología Experimental y Aplicada. Universidad Nacional de La Plata. Facultad de Ciencias Médicas. Centro de Endocrinología Experimental y Aplicada; Argentina
dc.description.fil
Fil: Chantelot, Jean Marc. Sanofi, Paris; Francia
dc.description.fil
Fil: Domenger, Catherine. Sanofi, Paris; Francia
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Fil: Ilkova, Hasan. Istanbul University; Turquía
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Fil: Ramachandran, Ambady. Dr. A. Ramachandran’s Diabetes Hospitals; India
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Fil: Kaddaha, Ghaida. Dubai Health Authority; Emiratos Arabes Unidos
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Fil: Mbanya, Jean Claude. University of Yaounde I; Camerún
dc.description.fil
Fil: Chan, Juliana. Chinese University of Hong Kong; Hong Kong
dc.description.fil
Fil: Aschner, Pablo. Pontificia Universidad Javeriana; Colombia
dc.journal.title
Diabetes Research and Clinical Practice
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dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1016/j.diabres.2018.08.007
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://www.diabetesresearchclinicalpractice.com/article/S0168-8227(18)30728-9/fulltext
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