A Personalized Care Plan Is Positively Associated With Better Clinical Outcomes in the Care of Patients With Type 2 Diabetes: A Cross-Sectional Real-Life Study

Mikkola, Ilona; Hagnäs, Maria; Hartšenko, Jelena; Kaila, Minna; Winell, Klas

doi:10.1016/j.jcjd.2019.05.003

Cited by 12 publications

(16 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The impact of the care plan was found to be greater with more care plan rounds, more frequent patient contacts with health care, and if there was continuity with the same physician in the care plan process. In a Finnish cross-sectional study, a personalized care plan was positively associated with better clinical outcomes in type 2 diabetes patients such that patients who had a copy of their care plan were significantly more likely to achieve the systolic blood pressure target and low-density lipoprotein target and to use statins [12]. Our study did not find any significant changes of HRQOL.…”

Section: Discussioncontrasting

confidence: 46%

Section: Backroundmentioning

confidence: 99%

“…Although various care plans have been used in Finland and elsewhere for decades, there is still little research on their effectiveness [8,[10][11][12][13][14][15]. Earlier Finnish care plan projects have reported a decrease in the number of health care visits in the long run and improvements in blood lipid levels, blood pressure levels and body mass index (BMI) [12,16,17]. In Australia (2009), the use of a care plan improved the treatment of depressed patients, reduced their 10-year risk of cardiovascular disease, and increased their physical activity [10,18].…”

Section: Backroundmentioning

confidence: 99%

See 2 more Smart Citations

Randomized controlled study of the impact of a participatory patient care plan among primary care patients with common chronic diseases: a one-year follow-up study

Tusa

Kautiainen

Elfving

et al. 2021

BMC Health Serv Res

View full text Add to dashboard Cite

Backround Chronic diseases and multimorbidity are common in the ageing population and affect the health related quality of life. Health care resources are limited and the continuity of care has to be assured. Therefore it is essential to find demonstrable tools for best treatment practices for patients with chronic diseases. Our aim was to study the influence of a participatory patient care plan on the health-related quality of life and disease specific outcomes related to diabetes, ischemic heart disease and hypertension. Methods The data of the present study were based on the Participatory Patient Care Planning in Primary Care. A total of 605 patients were recruited in the Siilinjärvi Health Center in the years 2017–2018 from those patients who were followed up due to the treatment of hypertension, ischemic heart disease or diabetes. Patients were randomized into usual care and intervention groups. The intervention consisted of a participatory patient care plan, which was formulated in collaboration with the patient and the nurse and the physician during the first health care visit. Health-related quality of life with the 15D instrument and the disease-specific outcomes of body mass index (BMI), low density lipoprotein cholesterol (LDL-C), hemoglobin A1c (HbA1C) and blood pressure were assessed at the baseline and after a one-year follow-up. Results A total of 587 patients with a mean age of 69 years were followed for 12 months. In the intervention group there were 289 patients (54% women) and in the usual care group there were 298 patients (50% women). During the follow-up there were no significant changes between the groups in health-related quality and disease-specific outcomes. Conclusions During the 12-month follow-up, no significant differences between the intervention and the usual care groups were detected, as the intervention and the usual care groups were already in good therapeutic equilibrium at the baseline. Trial registration ClinicalTrials.gov Identifier: NCT02992431. Registered 14/12/2016

show abstract

Section: Discussioncontrasting

confidence: 46%

Section: Backroundmentioning

confidence: 99%

Section: Backroundmentioning

confidence: 99%

See 1 more Smart Citation

Randomized controlled study of the impact of a participatory patient care plan among primary care patients with common chronic diseases: a one-year follow-up study

Tusa

Kautiainen

Elfving

et al. 2021

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…It includes personalized goal setting and an action plan for treatment. 2 Although legislative frameworks encourage the preparation of care plans for patients with chronic disease, 5,6 only 3.3% of primary care patients in Great Britain 5 and 16% of T2D patients in Finland 7 have been reported to have a care plan in place. Limited availability of resources and other factors may prevent the implementation and utilization of care plans in clinical practice.…”

Section: Introductionmentioning

confidence: 99%

“…In a study among primary care T2D patients, those who had a care plan were observed to have better control in sBP and LDL, and were more likely to use statins than T2D patients without a care plan. 7 The present study aimed to evaluate the clinical outcomes (HbA1c, LDL, blood pressure [BP], and BMI) among T2D patients before, and during 14 months of follow-up after the commissioning of a care plan established according to national care plan instructions in a primary health care setting. The proportion of patients who achieved the recommended treatment targets for blood glucose and cardiovascular risk factors at baseline and follow-up were also examined.…”

Section: Introductionmentioning

confidence: 99%

Implementation of a Personalized Care Plan for Patients With Type 2 Diabetes Is Associated With Improvements in Clinical Outcomes: An Observational Real-World Study

Vuohijoki

Mikkola²,

Jokelainen

et al. 2020

J Prim Care Community Health

Self Cite

View full text Add to dashboard Cite

Objective: To analyze the clinical outcomes of patients with type 2 diabetes (T2D) before and after implementation of a personalized care plan in the primary health care setting. Design: Observational, retrospective, real-world study. Setting: All T2D patients with a care plan in Rovaniemi Health Center, Rovaniemi, Finland, for whom data were available from a baseline visit (in 2013-2015 during which the care plan was written) and from a follow-up visit, including an updated care plan by the year 2017. Subjects: In total, 447 patients were included. Mean age was 66.9 (SD 10.1) years, 58.8% were male, 15.4% were smokers, 33.1% had vascular disease, and 17.0% were receiving insulin treatment. The mean follow-up time was 14.4 months. Main Outcome Measures: Glycosylated hemoglobin A1 (HbA1c), low-density lipoprotein (LDL), blood pressure (BP), and body mass index (BMI). Clinical values were taken at both baseline and follow-up. Results: LDL decreased by 0.2 mmol/L, systolic blood pressure by 2.2 mm Hg, diastolic blood pressure by 1.5 mm Hg, and BMI by 0.5 kg/m2 ( P < .05 for each). The decrease in HbA1c was 0.8 mmol/mol ( P = .07). Conclusion: We observed statistically significant decreases in LDL, BP, and BMI. Our results indicate that, over 14 months of follow-up, implementation of a written care plan was associated with small improvements in the clinical outcomes of T2D patients in a primary health care study population in a real-world setting.

show abstract

Impact of the Support, Educate, Empower Personalized Glaucoma Coaching Program Pilot Study on Eye Drop Instillation Technique and Self-Efficacy

Schneider

Hollenhorst

Valicevic

et al. 2021

Ophthalmology Glaucoma

View full text Add to dashboard Cite

A Personalized Care Plan Is Positively Associated With Better Clinical Outcomes in the Care of Patients With Type 2 Diabetes: A Cross-Sectional Real-Life Study

Abstract: Running head Personalized care plan study Key message A personalized care plan is a promising tool to improve cardiovascular risk factors and clinical outcomes of type 2 diabetes patients in the real world.

Cited by 12 publications

References 32 publications

Randomized controlled study of the impact of a participatory patient care plan among primary care patients with common chronic diseases: a one-year follow-up study

Randomized controlled study of the impact of a participatory patient care plan among primary care patients with common chronic diseases: a one-year follow-up study

Implementation of a Personalized Care Plan for Patients With Type 2 Diabetes Is Associated With Improvements in Clinical Outcomes: An Observational Real-World Study

Impact of the Support, Educate, Empower Personalized Glaucoma Coaching Program Pilot Study on Eye Drop Instillation Technique and Self-Efficacy

Contact Info

Product

Resources

About