Ilona Mikkola, Simon Morgan, Klas Winell, Jari Jokelainen, Lucia Frittitta, Eveliina Heikkala & Maria Hagnäs (2022) Association of personalised care plans with monitoring and control of clinical outcomes, prescription of medication and utilisation of primary care services in patients with type 2 diabetes: an observational real-world study, Scandinavian Journal of Primary Health Care, 40:1, 39-47, DOI: 10.1080/02813432.2022.2036458
Association of personalised care plans with monitoring and control of clinical outcomes, prescription of medication and utilisation of primary care services in patients with type 2 diabetes : an observational real-world study
|Author:||Mikkola, Ilona1; Morgan, Simon2; Winell, Klas3;|
1Rovaniemi Health Centre, Rovaniemi, Finland
2Elermore Vael General Practice, Elermore Vale, Australia
3Conmedic, Espoo, Finland
4Infrastructure for Population Studies, Faculty of Medicine, University of Oulu, Oulu, Finland
5Unit of General Practice, Oulu University Hospital, Oulu, Finland
6Endocrinology, Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy
7Diabetes, Obesity and Dietetic Center, Garibaldi-Nesima Medical Center, Catania, Italy
8Center for Life Course Health Research, University of Oulu, Oulu, Finland
|Online Access:||PDF Full Text (PDF, 1.1 MB)|
|Persistent link:|| http://urn.fi/urn:nbn:fi-fe2022092159731
|Publish Date:|| 2022-09-21
Objective: To study the association of personalised care plans with monitoring and controlling clinical outcomes, prescription of cardiovascular and antihyperglycaemic medication and utilisation of primary care services in patients with type 2 diabetes (T2D).
Patients: Primary care T2D outpatients from the Rovaniemi Health Centre.
Setting: The municipal health centre, Rovaniemi, Finland.
Design: A cross-sectional, observational, retrospective register-based study. The patients were divided into three groups: ‘no care plan entries’ (usual care); ‘1–2 care plan entries’; and ‘3 or more care plan entries’.
Main outcome measures: Monitoring of clinical and biochemical measures, achievement of treatment targets, prescription of cardiovascular and antihyperglycemic medication, and use of primary care services.
Results: A total of 5104 patients with T2D (mean age 65.5 years (SD 12.4)), of which 67% had at least one care plan entry. Compared to usual care, the establishment of a care plan (either care plan group) was associated with better monitoring of glycosylated haemoglobin A1c, low-density-lipoprotein cholesterol, systolic blood pressure (sBP), and renal function, and there was more frequent prescription of all cardiovascular and antihyperglycemic medication. Patients in either care plan group were more likely to achieve sBP target (p < 0.05). Patients without a care plan had more unplanned primary care physician contacts compared to patients in care plan groups (p <0.001).
Conclusion: Establishment of a care plan is associated with more intensive and focussed care of patients with T2D. The appropriate use of primary care resources is essential and personalised care plans may contribute to the treatment of patients with T2D.
Scandinavian journal of primary health care
|Pages:||39 - 47|
|Type of Publication:||
A1 Journal article – refereed
|Field of Science:||
3121 General medicine, internal medicine and other clinical medicine
Authors acknowledge The Finnish Cultural Foundation, Lapland regional fund, The Finnish Medical Association, and The Finnish Medical Foundation for the financial support for the present study. We also thank FinnishAssociation for General Practice (SYLY) for financing this article.
© 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.