title: Quality of life and quality of care in patients with diabetes experiencing different models of care.
abstract: OBJECTIVE
  To study variation in quality of life and quality of care in patients with diabetes experiencing three different models of care: traditional hospital care, hospital/general practitioner (GP) shared care, and structured GP care.
  
  
  METHODS
  A cross-sectional study involving 1,456 patients with diabetes (71% response rate) was conducted. Quality of life was assessed with the Audit of Diabetes-Dependent Quality of Life (ADDQoL) instrument and quality of care with a 10-point process-of-care report card.
  
  
  RESULTS
  The adjusted odds ratio (OR) for a high (upper quartile) ADDQoL score was significantly increased in the structured care relative to the traditional hospital care group (OR 1.7 [95% CI 1.2-2.5]). A significantly higher proportion of structured GP care patients reported compliance with seven or more key process-of-care measures compared with the other models of care.
  
  
  CONCLUSIONS
  Diabetes quality of life may be enhanced when care is provided in a primary care setting without compromising quality of care.
authors.affiliation: University of California Cooperative Extension, Sonora, California, USA.
authors.forename: Margaret M
authors.initials: MM
authors.lastname: Collins
authors.forename: Tony
authors.initials: T
authors.lastname: O'Sullivan
authors.forename: Velma
authors.initials: V
authors.lastname: Harkins
authors.forename: Ivan J
authors.initials: IJ
authors.lastname: Perry
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000503:physiopathology* / Q000523:psychology / Q000628:therapy*; D003922:Diabetes Mellitus, Type 1 / Q000503:physiopathology / Q000523:psychology / Q000628:therapy; D003924:Diabetes Mellitus, Type 2 / Q000503:physiopathology / Q000523:psychology / Q000628:therapy; D004651:Employment; D005194:Family Practice / Q000592:standards; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D017533:Marital Status; D008875:Middle Aged; D011320:Primary Health Care / Q000592:standards; D011785:Quality Assurance, Health Care; D011788:Quality of Life; D011795:Surveys and Questionnaires; D055815:Young Adult