Diabetes y consulta médica grupal en atención primaria: ¿Vale la pena el cambio?

Background: A better metabolic control is an important objective of health care in diabetes mellitus. This objective has been achieved elsewhere, incorporating group visits to the usual care of diabetic patients. Aim: To evaluate the effects of a primary care group visit model after 9 and 15 months...

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Autores principales:	Salinas-Martínez,Ana María, Garza-Sagástegui,María Guadalupe, Cobos-Cruz,Reynaldo, Núñez-Rocha,Georgina Mayela, Garza-Elizondo,María Eugenia, Peralta-Chávez,Diana Fabiola
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2009
Materias:	Delivery of health care Diabetes mellitus type 2 Primary health care
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009001000007
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spelling	oai:scielo:S0034-988720090010000072009-12-02Diabetes y consulta médica grupal en atención primaria: ¿Vale la pena el cambio?Salinas-Martínez,Ana MaríaGarza-Sagástegui,María GuadalupeCobos-Cruz,ReynaldoNúñez-Rocha,Georgina MayelaGarza-Elizondo,María EugeniaPeralta-Chávez,Diana Fabiola Delivery of health care Diabetes mellitus type 2 Primary health care Background: A better metabolic control is an important objective of health care in diabetes mellitus. This objective has been achieved elsewhere, incorporating group visits to the usual care of diabetic patients. Aim: To evaluate the effects of a primary care group visit model after 9 and 15 months of implementation, on the metabolic control of diabetic patients. Material and methods: Two cohorts of type 2 diabetic patients, matched by sex, age and fasting plasma glucose (FPG) were studied. Group visits (monthly medical consultation and one hour sessions with group interaction on the same day) were implemented in 600 patients and routine visits (monthly one-to-one medical consultation) were implemented in 601 patients. The evolution on FPG, cholesterol, systolic (SBP) and diastolic blood pressure (DBF) and body mass index (BMI) were compared. Results: At 15 months of follow up, mean FPG was lower in patients with group visits compared to those in usual individual care (155.3 ± 59.5 and 175.7 ± 67.7 mg/dL respectively, p <0.01). SBP and DBF were also lower in patients on group visits (123.6 ± 13.4 and 127.5 ±12.8 mmHg, respectively for systolic pressure, p <0.01 and 73.5 ±8.5 and 79.4 ±6.3 mmHg, respectively for diastolic pressure, p <0.01). No differences between groups were observed for blood cholesterol or BMI. Conclusions: Incorporation of group visits in type 2 diabetic patients improved metabolic control and blood pressure, compared to the usual individual care model.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.137 n.10 20092009-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009001000007es10.4067/S0034-98872009001000007
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Delivery of health care Diabetes mellitus type 2 Primary health care
spellingShingle	Delivery of health care Diabetes mellitus type 2 Primary health care Salinas-Martínez,Ana María Garza-Sagástegui,María Guadalupe Cobos-Cruz,Reynaldo Núñez-Rocha,Georgina Mayela Garza-Elizondo,María Eugenia Peralta-Chávez,Diana Fabiola Diabetes y consulta médica grupal en atención primaria: ¿Vale la pena el cambio?
description	Background: A better metabolic control is an important objective of health care in diabetes mellitus. This objective has been achieved elsewhere, incorporating group visits to the usual care of diabetic patients. Aim: To evaluate the effects of a primary care group visit model after 9 and 15 months of implementation, on the metabolic control of diabetic patients. Material and methods: Two cohorts of type 2 diabetic patients, matched by sex, age and fasting plasma glucose (FPG) were studied. Group visits (monthly medical consultation and one hour sessions with group interaction on the same day) were implemented in 600 patients and routine visits (monthly one-to-one medical consultation) were implemented in 601 patients. The evolution on FPG, cholesterol, systolic (SBP) and diastolic blood pressure (DBF) and body mass index (BMI) were compared. Results: At 15 months of follow up, mean FPG was lower in patients with group visits compared to those in usual individual care (155.3 ± 59.5 and 175.7 ± 67.7 mg/dL respectively, p <0.01). SBP and DBF were also lower in patients on group visits (123.6 ± 13.4 and 127.5 ±12.8 mmHg, respectively for systolic pressure, p <0.01 and 73.5 ±8.5 and 79.4 ±6.3 mmHg, respectively for diastolic pressure, p <0.01). No differences between groups were observed for blood cholesterol or BMI. Conclusions: Incorporation of group visits in type 2 diabetic patients improved metabolic control and blood pressure, compared to the usual individual care model.
author	Salinas-Martínez,Ana María Garza-Sagástegui,María Guadalupe Cobos-Cruz,Reynaldo Núñez-Rocha,Georgina Mayela Garza-Elizondo,María Eugenia Peralta-Chávez,Diana Fabiola
author_facet	Salinas-Martínez,Ana María Garza-Sagástegui,María Guadalupe Cobos-Cruz,Reynaldo Núñez-Rocha,Georgina Mayela Garza-Elizondo,María Eugenia Peralta-Chávez,Diana Fabiola
author_sort	Salinas-Martínez,Ana María
title	Diabetes y consulta médica grupal en atención primaria: ¿Vale la pena el cambio?
title_short	Diabetes y consulta médica grupal en atención primaria: ¿Vale la pena el cambio?
title_full	Diabetes y consulta médica grupal en atención primaria: ¿Vale la pena el cambio?
title_fullStr	Diabetes y consulta médica grupal en atención primaria: ¿Vale la pena el cambio?
title_full_unstemmed	Diabetes y consulta médica grupal en atención primaria: ¿Vale la pena el cambio?
title_sort	diabetes y consulta médica grupal en atención primaria: ¿vale la pena el cambio?
publisher	Sociedad Médica de Santiago
publishDate	2009
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009001000007
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Diabetes y consulta médica grupal en atención primaria: ¿Vale la pena el cambio?

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