AIM: To assess the relationship between social status and quality of diabetes care in a tertiary care centre in Germany. METHODS: Social status was assessed in 940 consecutive patients in a university outpatient department by a questionnaire. The assessment comprised three components: education, highest professional position and household net income (total score 3-21). Quality of diabetes care was measured by HbA(1c) , blood pressure and BMI. The influence of social status on quality measures was analysed at entry and last visit by fitting linear mixed models. RESULTS: At the entry visit, patients with lower social status had a higher HbA(1c) compared with patients with higher status (0.06% per each point of social score difference). After a mean follow- up of 6.0 years (Type 2 diabetes) and 9.4 years (Type 1 diabetes) no significant differences in HbA(1c) could be found. However, difference in BMI (-0.41 kg/m² per each point of social score) persisted at last observation. Blood pressure was only negligibly affected by the care programme. CONCLUSIONS: Low social status is associated with worse quality of diabetes care at entry in a tertiary care centre. The differences in HbA(1c) disappeared after treatment and structured education, whereas the difference in BMI persisted. There was no significant influence of social status or treatment on blood pressure.
AIM: To assess the relationship between social status and quality of diabetes care in a tertiary care centre in Germany. METHODS: Social status was assessed in 940 consecutive patients in a university outpatient department by a questionnaire. The assessment comprised three components: education, highest professional position and household net income (total score 3-21). Quality of diabetes care was measured by HbA(1c) , blood pressure and BMI. The influence of social status on quality measures was analysed at entry and last visit by fitting linear mixed models. RESULTS: At the entry visit, patients with lower social status had a higher HbA(1c) compared with patients with higher status (0.06% per each point of social score difference). After a mean follow- up of 6.0 years (Type 2 diabetes) and 9.4 years (Type 1 diabetes) no significant differences in HbA(1c) could be found. However, difference in BMI (-0.41 kg/m² per each point of social score) persisted at last observation. Blood pressure was only negligibly affected by the care programme. CONCLUSIONS: Low social status is associated with worse quality of diabetes care at entry in a tertiary care centre. The differences in HbA(1c) disappeared after treatment and structured education, whereas the difference in BMI persisted. There was no significant influence of social status or treatment on blood pressure.
Authors: Aline Flatz; Alejandra Casillas; Silvia Stringhini; Emilie Zuercher; Bernard Burnand; Isabelle Peytremann-Bridevaux Journal: Int J Gen Med Date: 2015-02-25
Authors: Andreas Heltberg; John Sahl Andersen; Jakob Kragstrup; Volkert Siersma; Håkon Sandholdt; Christina Ellervik Journal: Scand J Prim Health Care Date: 2017-03-03 Impact factor: 2.581
Authors: So Hun Kim; Seung Youn Lee; Chei Won Kim; Young Ju Suh; Seongbin Hong; Seong Hee Ahn; Da Hae Seo; Moon Suk Nam; Suk Chon; Jeong Taek Woo; Sei Hyun Baik; Yongsoo Park; Kwan Woo Lee; Young Seol Kim Journal: Diabetes Metab J Date: 2018-06-29 Impact factor: 5.376
Authors: Andreas Heltberg; Volkert Siersma; John Sahl Andersen; Christina Ellervik; Henrik Brønnum-Hansen; Jakob Kragstrup; Niels de Fine Olivarius Journal: BMC Endocr Disord Date: 2017-12-08 Impact factor: 2.763