European comparison of costs and quality in the prevention of secondary complications in Type 2 diabetes mellitus (2000–2001)

Gandjour, Afschin; Kleinschmit, F; Lauterbach, Karl W.

doi:10.1046/j.1464-5491.2002.00763.x

Cited by 13 publications

(8 citation statements)

References 20 publications

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“…On the other hand, studies have shown that there is a correlation between the assessment of hypothetical patients and actual practice. 8,9,12 In this study, we provide additional evidence by showing that the country ranking as inferred from the patient charts was well confirmed by estimates on hypothetical patients.…”

Section: Discussionsupporting

confidence: 52%

“…This retrospective multicenter observational study assessed the costs and quality of treatment of acute BP in England, Germany, the Netherlands, and Switzerland. The study was part of the INTERCARE (International Comparison of Costs and Quality in Health Care) study, a series of international investigations of the costs and quality of treatment of a number of diagnoses including acute myocardial infarction, 7 type 2 diabetes, 8 and depression. 9 Within each country, we assessed care for BP in several geographic areas.…”

Section: Methodsmentioning

confidence: 99%

“…A vignette provides a compromise between the requirements of efficient data collection and valid data and has been shown to provide an accurate estimate for actual care. 8,9,12 The methodology of this study is the same as that used to evaluate the costs and quality of treatment for acute myocardial infarction, 7 type 2 diabetes mellitus, 8 and depression. 9…”

mentioning

confidence: 99%

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European Comparison of Costs and Quality in the Treatment of Acute Back Pain

Gandjour

Telzerow²,

Lauterbach³

2005

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Section: Discussionsupporting

confidence: 52%

Section: Methodsmentioning

confidence: 99%

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European Comparison of Costs and Quality in the Treatment of Acute Back Pain

Gandjour

Telzerow²,

Lauterbach³

2005

Spine

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“…A landmark study reported that Americans receive only 55% of recommended care during a 2-year period (McGlynn et al, 2003). Surveys conducted by the INTERCARE study in Europe show similar deficits in the provision of care (Gandjour et al, 2002a(Gandjour et al, , 2002b.…”

Section: Introductionmentioning

confidence: 94%

Investment in quality improvement: how to maximize the return

Gandjour

2009

Health Economics

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Today, one of the most pressing concerns of health-care policymakers in industrialized countries are deficits in the quality of health care. This paper presents a decision program that addresses the question in which disease areas and at what intensity to invest in quality improvement (QI) in order to maximize population health. The decision program considers both a budget constraint as well as time constraints of educators and health professionals to participate in educational activities. The calculations of the model are based on a single assumption which is that more intense quality efforts lead to larger QIs, but with diminishing returns. This assumption has been validated by previous studies. All other relationships described by the model are deduced from this assumption. The model uses data from QI trials published in the literature. Thus, it is able to assess how the vast number of published QI strategies compare in terms of their value.

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“…Although insufficient financial resources can significantly impair access to diabetes care, Grandjour et al have reported that the level of investment is not closely related to the quality of care (12). Furthermore, whilst a certain level of funding is critical, education can enhance the quality of care even if resources are scarce.…”

Section: Factors Affecting Quality Of Carementioning

confidence: 99%

Resourcing issues

Gagliardino

2004

Eur J Endocrinol

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Diabetes is a chronic, progressive disease and achieving appropriate control of glycaemia and the other associated cardiovascular risk factors is essential to prevent its long-term complications. Currently, recovery and rehabilitation from the cardiovascular complications of diabetes are the major focus of diabetes care rather than primary and secondary prevention of diabetes and its complications. This focus, coupled with limited funding and other resource issues, means that diabetes care and outcomes are generally suboptimal. More efficient and effective management strategies, primarily based upon a broad educational approach including both those with diabetes and their care-givers will be essential in reducing the cost of diabetes and diabetes-related complications. Continuous education of patients and providers increases the quality of care and improves clinical and metabolic outcomes as well as reducing the cost of care and optimising human and financial resources. Thus, education will be a key strategy in minimising the growing burden of diabetes on society. Making these changes will require the co-operation of patients, their families, the community, healthcare policy makers, national governments and the pharmaceutical industry. Medical schools must also place more emphasis on educating doctors about chronic disease management using not only recovery and rehabilitation, but also prevention strategies, emphasising the importance of helping patients to participate in the control of their disease. European Journal of Endocrinology 151 T9-T11

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European comparison of costs and quality in the prevention of secondary complications in Type 2 diabetes mellitus (2000–2001)

Abstract: The overall quality of preventive services documented was found to be poor in the seven European countries studied. The UK rated as both the most effective and the most efficient country in providing secondary prevention in Type 2 diabetes.

Cited by 13 publications

References 20 publications

European Comparison of Costs and Quality in the Treatment of Acute Back Pain

European Comparison of Costs and Quality in the Treatment of Acute Back Pain

Investment in quality improvement: how to maximize the return

Resourcing issues

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