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.creator | Gagliardino, Juan Jose | |
dc.creator | Chantelot, Jean Marc | |
dc.creator | Domenger, Catherine | |
dc.creator | Ilkova, Hasan | |
dc.creator | Ramachandran, Ambady | |
dc.creator | Kaddaha, Ghaida | |
dc.creator | Mbanya, Jean Claude | |
dc.creator | Chan, Juliana | |
dc.creator | Aschner, Pablo | |
dc.date.accessioned | 2021-01-12T13:37:51Z | |
dc.date.accessioned | 2022-10-15T11:54:10Z | |
dc.date.available | 2021-01-12T13:37:51Z | |
dc.date.available | 2022-10-15T11:54:10Z | |
dc.date.created | 2021-01-12T13:37:51Z | |
dc.date.issued | 2019-01 | |
dc.identifier | 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 | 0168-8227 | |
dc.identifier | http://hdl.handle.net/11336/122461 | |
dc.identifier | CONICET Digital | |
dc.identifier | CONICET | |
dc.identifier.uri | https://repositorioslatinoamericanos.uchile.cl/handle/2250/4383127 | |
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.language | eng | |
dc.publisher | Elsevier Ireland | |
dc.relation | info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1016/j.diabres.2018.08.007 | |
dc.relation | info:eu-repo/semantics/altIdentifier/url/https://www.diabetesresearchclinicalpractice.com/article/S0168-8227(18)30728-9/fulltext | |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.5/ar/ | |
dc.rights | info:eu-repo/semantics/openAccess | |
dc.subject | DIABETES EDUCATION | |
dc.subject | MANAGEMENT | |
dc.subject | OBSERVATIONAL STUDY | |
dc.subject | TREATMENT | |
dc.subject | TYPE 1 DIABETES MELLITUS | |
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 |