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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


  • Julien Mousquès

    (IRDES Institute for research and information in health economics)

  • Yann Bourgueil

    (IRDES Institute for research and information in health economics)

  • Philippe Le Fur

    (IRDES Institute for research and information in health economics)

  • Engin Yilmaz

    (DREES Direction de la recherche des études de l'évaluation et des statistiques)


This study aims to assess the efficacy and the cost of a French team work experiment between nurses and GPs for the managing of type 2 diabetes patients. Our study was based on a case control study design in which we compare the evolution of process (standard follow-up procedures) and final outcomes (glycemic control), and the evolution of cost. The study is realized for two consecutive periods between type 2 diabetes patients followed within the team work experiment (intervention group) or by "standard" GPs (controlled group). After 11 months of follow-up, we showed that 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 to 6.8, p

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  • Julien Mousquès & Yann Bourgueil & Philippe Le Fur & Engin Yilmaz, 2010. "Effect of a French Experiment of Team Work between General Practitioners and Nurses on Efficacy and Cost of Type 2 Diabetes Patients Care," Working Papers DT29, IRDES institut for research and information in health economics, revised Jan 2010.
  • Handle: RePEc:irh:wpaper:dt29

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    References listed on IDEAS

    1. Nancy Beaulieu & David M. Cutler & Katherine Ho, 2006. "The Business Case for Diabetes Disease Management for Managed Care Organizations," NBER Chapters, in: Frontiers in Health Policy Research, Volume 9, National Bureau of Economic Research, Inc.
    2. 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.
    3. Elizabeth Docteur & Howard Oxley, 2003. "Health-Care Systems: Lessons from the Reform Experience," OECD Health Working Papers 9, OECD Publishing.
    4. 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.
    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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    Cited by:

    1. repec:dau:papers:123456789/14979 is not listed on IDEAS
    2. Catherine Pollak & Nicolas Sirven, 2012. "Active Ageing Beyond the Labour Market: Evidence on Work Environment Motivations," Working Papers DT48, IRDES institut for research and information in health economics, revised May 2012.
    3. Mehdi Ammi & Christine Peyron, 2016. "Heterogeneity in general practitioners’ preferences for quality improvement programs: a choice experiment and policy simulation in France," Health Economics Review, Springer, vol. 6(1), pages 1-11, December.
    4. Catherine Pollak, 2012. "Employed and Happy despite Weak Health? Labour Market Participation and Job Quality of Older Workers with Disabilities," Working Papers DT45, IRDES institut for research and information in health economics, revised Mar 2012.
    5. Thierry Debrand & Christine Sorasith, 2010. "Out-of-Pocket Maximum Rules under a Compulsatory Health Care Insurance Scheme: A Choice between Equality and Equity," Working Papers DT34, IRDES institut for research and information in health economics, revised Nov 2010.
    6. Jean-Baptiste Simon Combes & Alain Paraponaris & Yann Videau, 2019. "French GPs’ willingness to delegate tasks: may financial incentives balance risk aversion?," Erudite Working Paper 2019-09, Erudite.
    7. Julie Gilles de la Londe & Anissa Afrite & Julien Mousquès, 2023. "How does the quality of care for type 2 diabetic patients benefit from GPs-nurses’ teamwork? A staggered difference-in-differences design based on a French pilot program," International Journal of Health Economics and Management, Springer, vol. 23(3), pages 433-466, September.
    8. Caroline Berchet & Nicolas Sirven, 2012. "Cross-Country Performance in Social Integration of Older Migrants. A European Perspective," Working Papers DT46, IRDES institut for research and information in health economics, revised Mar 2012.
    9. Christophe Loussouarn & Carine Franc & Yann Videau & Julien Mousquès, 2019. "Coopérer plus pour travailler plus : évaluation de l’expérimentation d’infirmière de pratique avancée Asalée sur l’activité du médecin généraliste," Erudite Working Paper 2019-13, Erudite.

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    More about this item


    Primary health care; Diabetes mellitus; Health care team; Comparative study; Outcome and process assessment; Cost analysis;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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