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Salud Pública de México
Print version ISSN 0036-3634
Abstract
MARTINEZ, Yolanda V; CAMPBELL, Stephen M; HANN, Mark and BOWER, Peter. The individual contribution and relative importance of self-management and quality of care on glycaemic control in type 2 diabetes. Salud pública Méx [online]. 2016, vol.58, n.4, pp.404-411. ISSN 0036-3634. https://doi.org/10.21149/spm.v58i4.8020.
Objective:
To evaluate the relative importance of selfmanagement (SM) and quality of care (QoC) inpredicting glycaemic control in patients with type 2 diabetes.
Materials and methods:
A longitudinal cohort study was conducted in 204 adults diagnosed with type 2 diabetes. Self-management and quality of care were measured at baseline. HbA1c was measured at baseline and at six-month follow-up.
Results:
None of the measures of self-management were significantly associated with HbA1c.Treatment intensification (TI) (a proxy for quality of care) resulted in lower HbA1c at follow-up. Other variables were associated with HbA1c at follow-up: HbA1c at baseline, age, diabetes duration, and combination of oral glucose-lowering medications. An exploratory analysis showed that patients who did not receive treatment intensification but performed more self-management behaviours had lower HbA1c levels at follow-up.
Conclusion:
Treatment intensification might be more important for glycaemic control than self-management but the interaction between treatment intensification and self-management needs further research.
Keywords : diabetes mellitus, type 2; hemoglobin A; glycosylated; family practice; self care; quality of health care; Mexico.
