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dc.contributor.author
Gagliardino, Juan Jose
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dc.contributor.author
Kleinebreil, Line
dc.contributor.author
Colagiuri, Stephen
dc.contributor.author
Flack, Jeff
dc.contributor.author
Caporale, Joaquín E.
dc.contributor.author
Siri, Fernando
dc.contributor.author
Clark Jr., Charles
dc.date.available
2020-01-22T15:10:40Z
dc.date.issued
2010-04
dc.identifier.citation
Gagliardino, Juan Jose; Kleinebreil, Line; Colagiuri, Stephen; Flack, Jeff; Caporale, Joaquín E.; et al.; Comparison of clinical-metabolic monitoring and outcomes and coronary risk status in people with type 2 diabetes from Australia, France and Latin America; Elsevier Ireland; Diabetes Research and Clinical Practice; 88; 1; 4-2010; 7-13
dc.identifier.issn
0168-8227
dc.identifier.uri
http://hdl.handle.net/11336/95544
dc.description.abstract
Aim: To compare clinical-metabolic monitoring and coronary risk status in people with type 2 diabetes from Australia, France and Latin America. Methods: Retrospective analysis of data collected at primary care (4540 participants from each population) matched for age, gender and disease duration. Measurements included participants' characteristics, performance frequency of clinical-metabolic process indicators, and percentage of clinical-metabolic outcomes at recommended target values. Results: The weighted mean of the percentage of process performance was within 68 to 81%; that of outcomes at target dropped to 29 to 45%. Although statistically significant, differences among groups were far from those in healthcare budgets, and probably only of marginal clinical impact. The percentage of patients with low, slight or high coronary risk was similar in the three groups, with most people at high or very high risk. Conclusions: Despite the high difference in health per capita investment and system characteristics among countries, the study populations had striking similarities regarding the low percentage of participants who achieved cardiovascular risk factor and diabetes treatment goals. Therefore, differences in health budget and system characteristics would not be the main drivers in care quality. Diabetes education at every level and quality care registries would contribute to improve this situation and assess such improvement.
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-sa/2.5/ar/
dc.subject
ACCESS AND EVALUATION
dc.subject
DIABETES MELLITUS
dc.subject
HEALTH CARE QUALITY
dc.subject
MONITORING
dc.subject
RISK ASSESSMENT
dc.subject
RISK FACTORS
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
Comparison of clinical-metabolic monitoring and outcomes and coronary risk status in people with type 2 diabetes from Australia, France and Latin America
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2019-11-25T18:44:27Z
dc.journal.volume
88
dc.journal.number
1
dc.journal.pagination
7-13
dc.journal.pais
Irlanda
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dc.journal.ciudad
Dublin
dc.description.fil
Fil: Gagliardino, Juan Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico La Plata. Centro de Endocrinología Experimental y Aplicada (i); Argentina
dc.description.fil
Fil: Kleinebreil, Line. Hopital Europeen Georges Pompidou; Francia
dc.description.fil
Fil: Colagiuri, Stephen. Prince Of Wales Hospital; Australia
dc.description.fil
Fil: Flack, Jeff. Prince Of Wales Hospital; Australia
dc.description.fil
Fil: Caporale, Joaquín E.. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico La Plata. Centro de Endocrinología Experimental y Aplicada (i); Argentina
dc.description.fil
Fil: Siri, Fernando. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico La Plata. Centro de Endocrinología Experimental y Aplicada (i); Argentina
dc.description.fil
Fil: Clark Jr., Charles. Indiana University School of Medicine; Estados Unidos
dc.journal.title
Diabetes Research and Clinical Practice
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dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/pii/S016882270900549X
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1016/j.diabres.2009.12.024
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