info:eu-repo/semantics/article
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)
Fecha
2019-01Registro en:
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
0168-8227
CONICET Digital
CONICET
Autor
Gagliardino, Juan Jose
Chantelot, Jean Marc
Domenger, Catherine
Ilkova, Hasan
Ramachandran, Ambady
Kaddaha, Ghaida
Mbanya, Jean Claude
Chan, Juliana
Aschner, Pablo
Resumen
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.
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