Disease Management in Diabetes Care: When Involving GPs Improves Patient Compliance and Health Outcomes

Quaderni - Working Paper DSE N° 1129 (2019)

29 Pages Posted: 9 May 2019

See all articles by Cristina Ugolini

Cristina Ugolini

University of Bologna - Department of Economics

Matteo Lippi Bruni

University of Bologna - Department of Economics

Anna Caterina Leucci

affiliation not provided to SSRN

Gianluca Fiorentini

University of Bologna - Department of Economics

Elena Berti

Agency for Health Care and Social Services of Emilia-Romagna

Lucia Nobilio

affiliation not provided to SSRN

Maria Luisa Moro

Agency for Health Care and Social Services of Emilia-Romagna

Date Written: January 31, 2019

Abstract

Although the study of the association between interventions in primary care and health outcomes continues to produce mixed findings, programs designed to promote the greater compliance of General Practitioners and their diabetic patients with treatment guidelines have been increasingly introduced worldwide, in an attempt to achieve better quality diabetes care through the enhanced standardisation of patient supervision. In this study we use clinical data taken from the Diabetes Register of one Local Health Authority (LHAs) in Italy’s Emilia-Romagna Region for the period 2014-2015. Firstly, we test to see whether the monitoring activities prescribed for diabetics by regional diabetes guidelines, actually have a positive impact on patients’ health outcomes and increase appropriateness in health care utilization. Secondly, we investigate whether GPs’ participation in the local Diabetes Management Program (DMP) leads to improved patient compliance with regional guidelines. Our results show that such a program, which aims to increase GPs’ involvement and cooperation in following regional guidelines for best practices, achieves its goal of improved patient compliance with the prescribed actions. In turn, through the implementation of the DMP and the greater involvement of physicians, regional policies have succeeded in promoting better health outcomes and the improved appropriateness of health care utilization.

Keywords: diabetes care, clinical guidelines, primary care, Diabetes Management Programs

JEL Classification: C21, I10, I18, H51

Suggested Citation

Ugolini, Cristina and Lippi Bruni, Matteo and Leucci, Anna Caterina and Fiorentini, Gianluca and Berti, Elena and Nobilio, Lucia and Moro, Maria Luisa, Disease Management in Diabetes Care: When Involving GPs Improves Patient Compliance and Health Outcomes (January 31, 2019). Quaderni - Working Paper DSE N° 1129 (2019). Available at SSRN: https://ssrn.com/abstract=3370288 or http://dx.doi.org/10.2139/ssrn.3370288

Cristina Ugolini (Contact Author)

University of Bologna - Department of Economics ( email )

Piazza Scaravilli 2
Bologna, 40126
Italy

Matteo Lippi Bruni

University of Bologna - Department of Economics ( email )

Piazza Scaravilli, 2
40126 Bologna, 40126
Italy

Anna Caterina Leucci

affiliation not provided to SSRN

Gianluca Fiorentini

University of Bologna - Department of Economics ( email )

Strada Maggiore 45
Bologna, 40125
Italy

Elena Berti

Agency for Health Care and Social Services of Emilia-Romagna ( email )

Italy

HOME PAGE: http://assr.regione.emilia-romagna.it/it/agenzia/chi-siamo/contatti

Lucia Nobilio

affiliation not provided to SSRN ( email )

No Address Available

Maria Luisa Moro

Agency for Health Care and Social Services of Emilia-Romagna ( email )

Italy

HOME PAGE: http://assr.regione.emilia-romagna.it/it/agenzia/chi-siamo/contatti

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