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Article: Effects of Patient Empowerment Programme (PEP) on Clinical Outcomes and Health Service Utilization in Type 2 Diabetes Mellitus in Primary Care: An Observational Matched Cohort Study

TitleEffects of Patient Empowerment Programme (PEP) on Clinical Outcomes and Health Service Utilization in Type 2 Diabetes Mellitus in Primary Care: An Observational Matched Cohort Study
Authors
Issue Date2014
PublisherPublic Library of Science. The Journal's web site is located at http://www.plosone.org/home.action
Citation
PLoS ONE, 2014, v. 9 n. 5, article no. e95328 How to Cite?
AbstractBackground: To evaluate the effects of a large population-based patient empowerment programme (PEP) on clinical outcomes and health service utilization rates in type 2 diabetes mellitus (T2DM) patients in the primary care setting. Research Design and Subjects: A stratified random sample of 1,141 patients with T2DM enrolled to PEP between March and September 2010 were selected from general outpatient clinics (GOPC) across Hong Kong and compared with an equal number of T2DM patients who had not participated in the PEP (non-PEP group) matched by age, sex and HbA1C level group. Measures: Clinical outcomes of HbA1c, SBP, DBP and LDL-C levels, and health service utilization rates including numbers of visits to GOPC, specialist outpatient clinics (SOPC), emergency department (ED) and inpatient admissions, were measured at baseline and at 12-month post-recruitment. The effects of PEP on clinical outcomes and health service utilization rates were assessed by the difference-in-difference estimation, using the generalized estimating equation models. Results: Compared with non-PEP group, PEP group achieved additional improvements in clinical outcomes over the 12-month period. A significantly greater percentage of patients in the PEP group attained HbA1C≤7% or LDL-C≤2.6 mmol/L at 12-month follow-up compared with the non-PEP group. PEP group had a mean 0.813 fewer GOPC visits in comparison with the non-PEP group. Conclusions: PEP was effective in improving the clinical outcomes and reduced the general outpatient clinic utilization rate over a 12-month period. Empowering T2DM patients on self-management of their disease can enhance the quality of diabetes care in primary care.
Persistent Identifierhttp://hdl.handle.net/10722/197603
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorWong, CKHen_US
dc.contributor.authorWong, WCWen_US
dc.contributor.authorLam, CLKen_US
dc.contributor.authorWan, YFen_US
dc.contributor.authorWong, HTen_US
dc.contributor.authorChung, KLen_US
dc.contributor.authorDai, Den_US
dc.contributor.authorTsui, ELHen_US
dc.contributor.authorFong, DYTen_US
dc.date.accessioned2014-05-29T08:29:55Z-
dc.date.available2014-05-29T08:29:55Z-
dc.date.issued2014en_US
dc.identifier.citationPLoS ONE, 2014, v. 9 n. 5, article no. e95328en_US
dc.identifier.otherPMC4006782-
dc.identifier.urihttp://hdl.handle.net/10722/197603-
dc.description.abstractBackground: To evaluate the effects of a large population-based patient empowerment programme (PEP) on clinical outcomes and health service utilization rates in type 2 diabetes mellitus (T2DM) patients in the primary care setting. Research Design and Subjects: A stratified random sample of 1,141 patients with T2DM enrolled to PEP between March and September 2010 were selected from general outpatient clinics (GOPC) across Hong Kong and compared with an equal number of T2DM patients who had not participated in the PEP (non-PEP group) matched by age, sex and HbA1C level group. Measures: Clinical outcomes of HbA1c, SBP, DBP and LDL-C levels, and health service utilization rates including numbers of visits to GOPC, specialist outpatient clinics (SOPC), emergency department (ED) and inpatient admissions, were measured at baseline and at 12-month post-recruitment. The effects of PEP on clinical outcomes and health service utilization rates were assessed by the difference-in-difference estimation, using the generalized estimating equation models. Results: Compared with non-PEP group, PEP group achieved additional improvements in clinical outcomes over the 12-month period. A significantly greater percentage of patients in the PEP group attained HbA1C≤7% or LDL-C≤2.6 mmol/L at 12-month follow-up compared with the non-PEP group. PEP group had a mean 0.813 fewer GOPC visits in comparison with the non-PEP group. Conclusions: PEP was effective in improving the clinical outcomes and reduced the general outpatient clinic utilization rate over a 12-month period. Empowering T2DM patients on self-management of their disease can enhance the quality of diabetes care in primary care.en_US
dc.languageengen_US
dc.publisherPublic Library of Science. The Journal's web site is located at http://www.plosone.org/home.action-
dc.relation.ispartofPLoS ONEen_US
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.titleEffects of Patient Empowerment Programme (PEP) on Clinical Outcomes and Health Service Utilization in Type 2 Diabetes Mellitus in Primary Care: An Observational Matched Cohort Studyen_US
dc.typeArticleen_US
dc.identifier.emailWong, CKH: carlosho@hku.hken_US
dc.identifier.emailWong, WCW: wongwcw@hku.hken_US
dc.identifier.emailLam, CLK: clklam@hku.hken_US
dc.identifier.emailWan, YF: yfwan@hku.hken_US
dc.identifier.emailWong, HT: whtwong@hku.hken_US
dc.identifier.emailFong, DYT: dytfong@hku.hken_US
dc.identifier.authorityWong, WCW=rp01457en_US
dc.identifier.authorityLam, CLK=rp00350en_US
dc.identifier.authorityFong, DYT=rp00253en_US
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1371/journal.pone.0095328en_US
dc.identifier.pmid24788804-
dc.identifier.scopuseid_2-s2.0-84900442183-
dc.identifier.hkuros228764en_US
dc.identifier.volume9en_US
dc.identifier.issue5en_US
dc.identifier.isiWOS:000335510600033-

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