Improved care of type 2 diabetes patients as a result of the introduction of a practice nurse: 2003-2007.

C. den Engelsen, S.S. Soedamah-Muthu, N.J. Oosterheert, M.J. Ballieux, G. Rutten

Research output: Contribution to journalArticleAcademicpeer-review

20 Citations (Scopus)

Abstract

OBJECTIVE: The main objective is to examine the effect of the introduction of a practice nurse (PN) on the quality of type 2 diabetes care. METHODS: Retrospective cohort study in 397 type 2 diabetes patients recruited from five general practices in the Netherlands. Measurements were performed in 2003, 2005 and 2007, to estimate the effects before (2003) and after the introduction of the PN (2005) as well as the changed diabetes guidelines (2007). Process measures indicated whether measurements of HbA(1c), systolic blood pressure, lipid profile, funduscopy, foot examination and annual check-ups were carried out. Outcome measures comprised actual levels of HbA(1c), systolic blood pressure, lipid levels and BMI. RESULTS: All process measures - except performance of funduscopy - improved significantly. Mean HbA(1c) decreased from 6.8% to 6.5% (2003-2007: ns, 2005-2007: p
Original languageEnglish
Pages (from-to)165-171
JournalPrimary Care Diabetes
Volume3
Issue number3
DOIs
Publication statusPublished - 2009

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