Point-of-care testing of HbA1c in diabetes care and preventable hospital admissions: Conference proceeding

Publikation: Konferencebidrag uden forlag/tidsskriftPaperForskning

Resumé

Background: Point-of-care testing (POCT) of HbA1c may result in improved diabetic control, better patient outcomes and enhanced clinical efficiency with fewer patient visits and subsequent reductions in hospitalizations and costs. In 2008, the Danish regulators agreed to create a new tariff for the remuneration of POCT of HbA1c in primary care.

Aim: The aim of this study is to assess whether there is an association between the use of POCT of HbA1c and preventable hospital admissions among diabetes patients in general practice.

Method: We apply logistic regression analyses to examine whether there is a link between preventable hospital admissions and POCT of HbA1c in general practice. Preventable hospital admissions were assessed through the ambulatory care sensitive conditions (ACSCs) classification of hospital admissions. We include independent variables such as gender, age, ethnicity, socioeconomic covariates, municipality classifications and case mix measure in terms of the charlson index and costs of care in primary care and secondary care.

Results: There was a significant link between POCT of HbA1c among diabetes patients in general practice and an ACSC-measure of preventable out- and inpatient hospital treatment after adjusting for individual-level patient characteristics. However, the link was not significant when the measure of hospital treatment for ACSCs was restricted to inpatient treatment.

Conclusion: Our preliminary results indicate that more POCT of HbA1c may result in fewer preventable hospital treatments for ACSCs among diabetes patients in general practice.
OriginalsprogEngelsk
Publikationsdato25. jan. 2016
Antal sider13
StatusUdgivet - 25. jan. 2016
BegivenhedDet 38. symposium i anvendt statistik - CBS, Frederiksberg, København, Danmark
Varighed: 25. jan. 201627. jan. 2016

Konference

KonferenceDet 38. symposium i anvendt statistik
LokationCBS, Frederiksberg
LandDanmark
ByKøbenhavn
Periode25/01/201627/01/2016

Fingeraftryk

General Practice
Inpatients
Primary Health Care
Remuneration
Point-of-Care Testing
Outpatients
Logistic Models
Regression Analysis

Emneord

  • POCT
  • HbA1c
  • ACSC

Citer dette

Kristensen, T., & Rose Olsen, K. (2016). Point-of-care testing of HbA1c in diabetes care and preventable hospital admissions: Conference proceeding. Paper præsenteret på Det 38. symposium i anvendt statistik, København, Danmark.
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abstract = "Background: Point-of-care testing (POCT) of HbA1c may result in improved diabetic control, better patient outcomes and enhanced clinical efficiency with fewer patient visits and subsequent reductions in hospitalizations and costs. In 2008, the Danish regulators agreed to create a new tariff for the remuneration of POCT of HbA1c in primary care. Aim: The aim of this study is to assess whether there is an association between the use of POCT of HbA1c and preventable hospital admissions among diabetes patients in general practice.Method: We apply logistic regression analyses to examine whether there is a link between preventable hospital admissions and POCT of HbA1c in general practice. Preventable hospital admissions were assessed through the ambulatory care sensitive conditions (ACSCs) classification of hospital admissions. We include independent variables such as gender, age, ethnicity, socioeconomic covariates, municipality classifications and case mix measure in terms of the charlson index and costs of care in primary care and secondary care.Results: There was a significant link between POCT of HbA1c among diabetes patients in general practice and an ACSC-measure of preventable out- and inpatient hospital treatment after adjusting for individual-level patient characteristics. However, the link was not significant when the measure of hospital treatment for ACSCs was restricted to inpatient treatment.Conclusion: Our preliminary results indicate that more POCT of HbA1c may result in fewer preventable hospital treatments for ACSCs among diabetes patients in general practice.",
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Kristensen, T & Rose Olsen, K 2016, 'Point-of-care testing of HbA1c in diabetes care and preventable hospital admissions: Conference proceeding', Paper fremlagt ved Det 38. symposium i anvendt statistik, København, Danmark, 25/01/2016 - 27/01/2016.

Point-of-care testing of HbA1c in diabetes care and preventable hospital admissions : Conference proceeding. / Kristensen, Troels; Rose Olsen, Kim.

2016. Paper præsenteret på Det 38. symposium i anvendt statistik, København, Danmark.

Publikation: Konferencebidrag uden forlag/tidsskriftPaperForskning

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N2 - Background: Point-of-care testing (POCT) of HbA1c may result in improved diabetic control, better patient outcomes and enhanced clinical efficiency with fewer patient visits and subsequent reductions in hospitalizations and costs. In 2008, the Danish regulators agreed to create a new tariff for the remuneration of POCT of HbA1c in primary care. Aim: The aim of this study is to assess whether there is an association between the use of POCT of HbA1c and preventable hospital admissions among diabetes patients in general practice.Method: We apply logistic regression analyses to examine whether there is a link between preventable hospital admissions and POCT of HbA1c in general practice. Preventable hospital admissions were assessed through the ambulatory care sensitive conditions (ACSCs) classification of hospital admissions. We include independent variables such as gender, age, ethnicity, socioeconomic covariates, municipality classifications and case mix measure in terms of the charlson index and costs of care in primary care and secondary care.Results: There was a significant link between POCT of HbA1c among diabetes patients in general practice and an ACSC-measure of preventable out- and inpatient hospital treatment after adjusting for individual-level patient characteristics. However, the link was not significant when the measure of hospital treatment for ACSCs was restricted to inpatient treatment.Conclusion: Our preliminary results indicate that more POCT of HbA1c may result in fewer preventable hospital treatments for ACSCs among diabetes patients in general practice.

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Kristensen T, Rose Olsen K. Point-of-care testing of HbA1c in diabetes care and preventable hospital admissions: Conference proceeding. 2016. Paper præsenteret på Det 38. symposium i anvendt statistik, København, Danmark.