[Evaluation of the pilot project for the gradual area-wide outpatient medical care of patients with diabetes mellitus in Southern Wuerttemberg].
The aim of the diabetes pilot project of the AOK Baden-Wuerttemberg and the KV Southern Wuerttemberg was to prevent diabetes-related complications or to delay their progress by attaining predefined, short-term therapy goals (e.g., stabilization of HbA1c and blood pressure levels). Besides the observation of the short-term therapy aims, the scientific monitoring also included the development of the healthcare structure and the changes of the healthcare processes. Measured against the HbA1c value of the 13.902 patients suffering from type-2 diabetes included in the first 6 months of the year 2000, an improvement of the outcome quality (HbA1c < or = 7.5%) could be observed with an increased goal attaihment degree of 66.6% (IV/2002) compared to the initial value of 60.3% (p < 0.001). The predefined blood pressure levels (< or = 140/90 mmHg) were achieved by 55.8% of the patients at the beginning and by 64.6% at the end of the evaluation period (p < 0.001). In terms of healthcare processes, an intensification of the medicinal therapy is remarkable.
Blumenstock
Gunnar
G
Institut für Medizinische Informationsverarbeitung der Universität Tübingen. Gunnar.Blumenstock@med.uni-tuebingen.de
Selbmann
Hans-Konrad
HK
D000553:Ambulatory Care / Q000592:standards*; D001794:Blood Pressure; D003920:Diabetes Mellitus / Q000628:therapy*; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology / Q000628:therapy; D005858:Germany / Q000453:epidemiology; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D010865:Pilot Projects; D011785:Quality Assurance, Health Care
D006442:Glycated Hemoglobin