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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 institut for research and information in health economics)

  • Yann Bourgueil

    ()

    (IRDES institut for research and information in health economics)

  • Philippe Le Fur

    ()

    (IRDES institut 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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File URL: http://www.irdes.fr/EspaceAnglais/Publications/WorkingPapers/DT29EffectExperGenePractiNursesDiabetPatientsCare.pdf
File Function: First version, 2010
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Paper provided by IRDES institut for research and information in health economics in its series Working Papers with number DT29.

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Length: 20 pages
Date of creation: Jan 2010
Date of revision: Jan 2010
Handle: RePEc:irh:wpaper:dt29
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  1. Michel Naiditch & Paul Dourgnon, 2009. "The preferred doctor scheme: A political reading of a French experiment of Gate-keeping," Working Papers DT22, IRDES institut for research and information in health economics, revised Mar 2009.
  2. 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.
  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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