Relationship between GP visits and time spent in-hospital among insulin-dependent Canadians with type 2 diabetes.
Can Fam Physician
; 66(2): e69-e77, 2020 02.
Article
em En
| MEDLINE
| ID: mdl-32060207
ABSTRACT
OBJECTIVE:
To determine whether higher frequency of GP visits among insulin-dependent patients with type 2 diabetes is associated with reduced hospitalizations.DESIGN:
Nationally representative study using data from the 2013-2014 cycle of the Canadian Community Health Survey.SETTING:
Canada.PARTICIPANTS:
A study sample comprising 2203 insulin-dependent Canadians with type 2 diabetes. MAIN OUTCOMEMEASURES:
The relationship between GP visits (no visits, 1-5 visits, ≥ 6 visits) in the past year and the number of nights spent in-hospital. Zero-inflated negative binomial Poisson regression models were used to account for overdispersion and excess zeros.RESULTS:
Higher numbers of GP visits were associated with spending fewer nights in-hospital. Patients with 1 to 5 GP visits had a significantly lower number of nights spent in-hospital (rate ratio of 0.38, 95% CI 0.25 to 0.56), as did those with 6 or more GP visits (rate ratio of 0.57, 95% CI 0.38 to 0.84) despite having reduced odds of not being hospitalized (odds ratio of 0.62, 95% CI 0.39 to 0.95), compared with those who did not see a GP in the past year, after adjusting for confounders.CONCLUSION:
We found that insulin-dependent patients with diabetes who saw GPs more frequently were hospitalized less commonly compared with those who did not see a GP in the past year. Further research is needed to examine relationships with other types of follow-up, ideally using a longitudinal design.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Visita a Consultório Médico
/
Diabetes Mellitus Tipo 2
/
Hospitalização
/
Hipoglicemiantes
/
Insulina
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article