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Resources and organ...
Resources and organisation in primary health care are associated with HbA(1c) level : A nationwide study of 230 958 people with Type 2 diabetes mellitus
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- Husdal, Rebecka (author)
- Uppsala universitet,Centrum för klinisk forskning, Västerås,Klinisk diabetologi och metabolism
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- Rosenblad, Andreas, 1973- (author)
- Uppsala universitet,Centrum för klinisk forskning, Västerås
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- Leksell, Janeth, 1955- (author)
- Högskolan Dalarna,Omvårdnad,Uppsala universitet,Klinisk diabetologi och metabolism
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- Eliasson, Björn, 1959 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine
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- Jansson, Stefan P. O., 1959- (author)
- Uppsala universitet,Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Allmänmedicin och preventivmedicin
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- Jerdén, Lars (author)
- Uppsala universitet,Högskolan Dalarna,Medicinsk vetenskap,Centre for Clinical Research Dalarna, Uppsala University, Falun,Centrum för klinisk forskning Dalarna,Dalarna Univ, Sch Educ Hlth & Social Studies, Falun, Sweden
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- Stålhammar, Jan (author)
- Uppsala universitet,Allmänmedicin och preventivmedicin
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- Steen, Lars (author)
- Drug and Therapeutics Committee, Sörmland County Council, Eskilstuna, Sweden
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- Wallman, Thorne (author)
- Uppsala universitet,Centrum för klinisk forskning i Sörmland (CKFD),Allmänmedicin och preventivmedicin
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- Svensson, Ann-Marie (author)
- National Diabetes Register, Centre of Registers, Gothenburg, Sweden
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- Thors Adolfsson, Eva (author)
- Uppsala universitet,Centrum för klinisk forskning, Västerås
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(creator_code:org_t)
- Elsevier, 2018
- 2018
- English.
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In: Primary Care Diabetes. - : Elsevier. - 1751-9918 .- 1878-0210. ; 12:1, s. 23-33
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https://doi.org/10.1...
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Abstract
Subject headings
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- Aims: To examine the association between personnel resources and organisational features of primary health care centres (PHCCs) and individual HbAic level in people with Type 2 diabetes mellitus (T2DM).Methods: People with T2DM attending 846 PHCCs (n =230 958) were included in this crosssectional study based on PHCC-level data from a questionnaire sent to PHCCs in 2013 and individual-level clinical data from 2013 for people with T2DM reported in the Swedish National Diabetes Register, linked to individual-level data on socio-economic status and comorbidities. Data were analysed using a generalized estimating equations linear regression models.Results: After adjusting for PHCC- and individual-level confounding factors, personnel resources associated with lower individual HbAi, level were mean credits of diabetes specific education among registered nurses (RNs) (-0.02 mmol/mol for each additional credit; P < 0.001) and length of regular visits to RNs (-0.19 mmol/mol for each additional 15 min; P < 0.001). Organisational features associated with HbAie level were having a diabetes team (-0.18 mmol/mol; P <0.01) and providing group education (-0.20 mmol/mol; P < 0.01).Conclusions: In this large sample, PHCC personnel resources and organisational features were associated with lower HbA(1c), level in people with T2DM.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
Keyword
- HbA(1c)
- Organisation
- Personnel resources
- Primary health care system
- Type 2 diabetes mellitus
- Health and Welfare
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Husdal, Rebecka
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Rosenblad, Andre ...
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Leksell, Janeth, ...
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Eliasson, Björn, ...
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Jansson, Stefan ...
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Jerdén, Lars
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Stålhammar, Jan
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Steen, Lars
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Wallman, Thorne
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Svensson, Ann-Ma ...
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Thors Adolfsson, ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Endocrinology an ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
- Articles in the publication
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Primary Care Dia ...
- By the university
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Örebro University
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Högskolan Dalarna
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Uppsala University
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University of Gothenburg