Glycemic Control Outcomes by Gender in the Pay-for-Performance System: A Retrospective Database Analysis in Patients with Type 2 Diabetes Mellitus
Background. The purpose of this study was to investigate how the degree of glycemic control in patients with type 2 diabetes associated with lifestyle interventions as well as sociodemographic factors and further examine the differences by gender. Methods. This was a retrospective study using data c...
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| Language: | English |
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Wiley
2014-01-01
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| Series: | International Journal of Endocrinology |
| Online Access: | http://dx.doi.org/10.1155/2014/575124 |
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| author | Shao-Ping Yuan Chien-Ning Huang Hung-Chang Liao Yu-Tzu Lin Ya-huei Wang |
| author_facet | Shao-Ping Yuan Chien-Ning Huang Hung-Chang Liao Yu-Tzu Lin Ya-huei Wang |
| author_sort | Shao-Ping Yuan |
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| description | Background. The purpose of this study was to investigate how the degree of glycemic control in patients with type 2 diabetes associated with lifestyle interventions as well as sociodemographic factors and further examine the differences by gender. Methods. This was a retrospective study using data collected from a diabetes quality improvement plan that began in 2002 in a medical center in Taiwan. Statistic analysis was used to determine the associations of sociodemographic data, lifestyle intervention, and treatment regimens with changes in HbA1c levels (between the initial visit and the latest follow-up measured level), and the differences were then sorted by the sex of the patients. Results. Our results showed that HbA1c averaged 7.50% for males and 7.80% for females at the initial visit, compared to levels averaging 7.50% for males and 7.70% for females at the most recent follow-up visit. There was no significant change (P=0.541) in HbA1c in males, but there was a 0.10% (P=0.384) reduction in females. The duration of the diabetes and medication regimen was associated with the decrease seen in the females. Conclusions. The results of these analyses provide important insights for policy makers to formulate healthcare policies related to chronic diseases or illnesses. |
| format | Article |
| id | doaj-art-c3f2b454bee64ca69eaa813ff62d26fd |
| institution | DOAJ |
| issn | 1687-8337 1687-8345 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
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| series | International Journal of Endocrinology |
| spelling | doaj-art-c3f2b454bee64ca69eaa813ff62d26fd2025-08-20T03:23:11ZengWileyInternational Journal of Endocrinology1687-83371687-83452014-01-01201410.1155/2014/575124575124Glycemic Control Outcomes by Gender in the Pay-for-Performance System: A Retrospective Database Analysis in Patients with Type 2 Diabetes MellitusShao-Ping Yuan0Chien-Ning Huang1Hung-Chang Liao2Yu-Tzu Lin3Ya-huei Wang4Institute of Medicine, Chung Shan Medical University, Department of Medical Management, Chung Shan Medical University Hospital, No. 110, Section 1, Jianguo N. Road, Taichung City 40201, TaiwanInstitute of Medicine, Chung Shan Medical University, Department of Endocrinology & Metabolism, Chung Shan Medical University Hospital, No. 110, Section 1, Jianguo N. Road, Taichung City 40201, TaiwanDepartment of Health Services Administration, Chung Shan Medical University, Department of Medical Education, Chung Shan Medical University Hospital, No. 110, Section 1, Jianguo N. Road, Taichung City 40201, TaiwanDiabetes Education Center, Chung Shan Medical University Hospital, No. 110, Section 1, Jianguo N. Road, Taichung City 40201, TaiwanDepartment of Applied Foreign Languages, Chung Shan Medical University, Department of Medical Education, Chung Shan Medical University Hospital, No. 110, Section 1, Jianguo N. Road, Taichung City 40201, TaiwanBackground. The purpose of this study was to investigate how the degree of glycemic control in patients with type 2 diabetes associated with lifestyle interventions as well as sociodemographic factors and further examine the differences by gender. Methods. This was a retrospective study using data collected from a diabetes quality improvement plan that began in 2002 in a medical center in Taiwan. Statistic analysis was used to determine the associations of sociodemographic data, lifestyle intervention, and treatment regimens with changes in HbA1c levels (between the initial visit and the latest follow-up measured level), and the differences were then sorted by the sex of the patients. Results. Our results showed that HbA1c averaged 7.50% for males and 7.80% for females at the initial visit, compared to levels averaging 7.50% for males and 7.70% for females at the most recent follow-up visit. There was no significant change (P=0.541) in HbA1c in males, but there was a 0.10% (P=0.384) reduction in females. The duration of the diabetes and medication regimen was associated with the decrease seen in the females. Conclusions. The results of these analyses provide important insights for policy makers to formulate healthcare policies related to chronic diseases or illnesses.http://dx.doi.org/10.1155/2014/575124 |
| spellingShingle | Shao-Ping Yuan Chien-Ning Huang Hung-Chang Liao Yu-Tzu Lin Ya-huei Wang Glycemic Control Outcomes by Gender in the Pay-for-Performance System: A Retrospective Database Analysis in Patients with Type 2 Diabetes Mellitus International Journal of Endocrinology |
| title | Glycemic Control Outcomes by Gender in the Pay-for-Performance System: A Retrospective Database Analysis in Patients with Type 2 Diabetes Mellitus |
| title_full | Glycemic Control Outcomes by Gender in the Pay-for-Performance System: A Retrospective Database Analysis in Patients with Type 2 Diabetes Mellitus |
| title_fullStr | Glycemic Control Outcomes by Gender in the Pay-for-Performance System: A Retrospective Database Analysis in Patients with Type 2 Diabetes Mellitus |
| title_full_unstemmed | Glycemic Control Outcomes by Gender in the Pay-for-Performance System: A Retrospective Database Analysis in Patients with Type 2 Diabetes Mellitus |
| title_short | Glycemic Control Outcomes by Gender in the Pay-for-Performance System: A Retrospective Database Analysis in Patients with Type 2 Diabetes Mellitus |
| title_sort | glycemic control outcomes by gender in the pay for performance system a retrospective database analysis in patients with type 2 diabetes mellitus |
| url | http://dx.doi.org/10.1155/2014/575124 |
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