2006, Number 1
Family Physician Care for Patients with Diabetes: Cost Effectiveness, Efficient Prevention, and Patient Satisfaction
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ABSTRACTObjective: Our aim was to appraise the impact of the Family Medicine model in care for patients with diabetes in a triple assessment: cost effectiveness; preventive scores achieved, and patient satisfaction. Design: We conducted multimethod research as follows: transversal for cost and preventive analysis, and qualitative design to appraise patient satisfaction. Materials and Methods: A total of 1,288 assured patient customers at a private health insurance company were included. Costs were measured 12 months after and compared with 12 months before patients were included in the Family Medicine preventive program. For preventive scores, HbcA1 levels were measured in 475 patients and LDL-cholesterol in 349. Focal group discussion with 17 patients and 10 relatives was conducted for qualitative analysis. Results: Cost impact resulted in a 10.62% reduction after 1 year of running the program. Preventive index showed 50.55% patients with HbcA1 had ‹7.0 and 21.9%, respectively, with LDLcholesterol ‹100 mg/dl. The qualitative study showed that for the physician, an integrative approach and continuity are important points for patient satisfaction. Conclusions: Diabetes care incorporated into Family Medicine model perspectives could lead to patient satisfaction, standard prevention, and cost effectiveness.
National Cholesterol Education Program Expert Panel on Detection, Evaluation and Treatment of Hight Blood Cholesterol in Adults. Executive summary of the Third Report of the National Cholesterol Educational Program(NCEP) Expert Panel on Detection, Evaluation and Treatment of Hight Blood Cholesterol in Adults( Adult Tretament Panel III), JAMA.2001;285:2486-2497.