Organizational determinants of high-quality routine diabetes care.

ABSTRACT:

Objective

Randomized trials showed that changes in healthcare organization improved diabetes care. This study aimed to identify which organizational determinants were associated with patient outcomes in routine diabetes care.

Design

Observational study, in which multilevel regression analyses were applied to examine the impact of 12 organizational determinants on diabetes care as separate measures and as a composite score.

Setting

Primary care practices in the Netherlands.

Subjects

11,751 patients with diabetes in 354 practices.

Main outcome measures

Patients' recorded glycated hemoglobin (HbA1c), systolic blood pressure, and serum cholesterol levels.

Results

A higher score on the composite measure of organizational determinants was associated wit

SUBMITTER: van Doorn-Klomberg AL 

PROVIDER: S-EPMC4206557 | biostudies-literature | 2014 Sep

REPOSITORIES: biostudies-literature