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Effect of a French experiment of team work between general practitioners and nurses on efficacy and cost of type 2 diabetes patients care

  • Mousquès, Julien
  • Bourgueil, Yann
  • Le Fur, Philippe
  • Yilmaz, Engin

Objectives To assess the efficacy and the cost of a French team work experiment between nurses and GPs for managing type 2 diabetes patients.Methods Based on a case control study design we compare the evolution of process (standard follow-up procedures) and final (glycemic control) outcomes, and of cost, between two consecutive periods between type 2 diabetes patients followed within the team work experiment (intervention group) or by "standard" GPs (controlled group).Results After a 11 months of follow-up, patients in the intervention group, compared with those in the controlled group, have more chances to remain or to become: correctly followed-up (with OR comprise between 2.1 and 6.8, pÂ

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Article provided by Elsevier in its journal Health Policy.

Volume (Year): 98 (2010)
Issue (Month): 2-3 (December)
Pages: 131-143

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Handle: RePEc:eee:hepoli:v:98:y:2010:i:2-3:p:131-143
Contact details of provider: Web page: http://www.elsevier.com/locate/healthpol

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  1. Dourgnon, Paul & Naiditch, Michel, 2010. "The preferred doctor scheme: A political reading of a French experiment of Gate-keeping," Health Policy, Elsevier, vol. 94(2), pages 129-134, February.
  2. James Buchan & Lynn Calman, 2005. "Skill-Mix and Policy Change in the Health Workforce: Nurses in Advanced Roles," OECD Health Working Papers 17, OECD Publishing.
  3. Beaulieu Nancy & Cutler David M & Ho Katherine & Isham George & Lindquist Tammie & Nelson Andrew & O'Connor Patrick, 2006. "The Business Case for Diabetes Disease Management for Managed Care Organizations," Forum for Health Economics & Policy, De Gruyter, vol. 9(1), pages 1-38, December.
  4. Elizabeth Docteur & Howard Oxley, 2003. "Health-Care Systems: Lessons from the Reform Experience," OECD Economics Department Working Papers 374, OECD Publishing.
  5. Maria M. Hofmarcher & Howard Oxley & Elena Rusticelli, 2007. "Improved Health System Performance through better Care Coordination," OECD Health Working Papers 30, OECD Publishing.
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