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Resources and organ...
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Husdal, RebeckaUppsala universitet,Centrum för klinisk forskning, Västerås,Klinisk diabetologi och metabolism
(author)
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
- Article/chapterEnglish2018
Publisher, publication year, extent ...
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Elsevier,2018
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printrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:oru-64822
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https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-64822URI
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https://doi.org/10.1016/j.pcd.2017.09.003DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:du-26370URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-332689URI
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https://gup.ub.gu.se/publication/263867URI
Supplementary language notes
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
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Funding Agencies:Uppsala-Örebro Regional Research Council Region Västmanland
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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.
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Rosenblad, Andreas,1973-Uppsala universitet,Centrum för klinisk forskning, Västerås(Swepub:uu)ankar957
(author)
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Leksell, Janeth,1955-Högskolan Dalarna,Omvårdnad,Uppsala universitet,Klinisk diabetologi och metabolism(Swepub:uu)jalek424
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Eliasson, Björn,1959Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine(Swepub:gu)xelibj
(author)
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Jansson, Stefan P. O.,1959-Uppsala universitet,Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Allmänmedicin och preventivmedicin(Swepub:oru)sfjn
(author)
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Jerdén, LarsUppsala 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(Swepub:uu)lajer205
(author)
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Stålhammar, JanUppsala universitet,Allmänmedicin och preventivmedicin(Swepub:uu)janstalh
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Steen, LarsDrug and Therapeutics Committee, Sörmland County Council, Eskilstuna, Sweden
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Wallman, ThorneUppsala universitet,Centrum för klinisk forskning i Sörmland (CKFD),Allmänmedicin och preventivmedicin(Swepub:uu)thorwall
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Svensson, Ann-MarieNational Diabetes Register, Centre of Registers, Gothenburg, Sweden
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Thors Adolfsson, EvaUppsala universitet,Centrum för klinisk forskning, Västerås(Swepub:uu)evaad783
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Uppsala universitetCentrum för klinisk forskning, Västerås
(creator_code:org_t)
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In:Primary Care Diabetes: Elsevier12:1, s. 23-331751-99181878-0210
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Örebro University
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Högskolan Dalarna
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University of Gothenburg