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Enhanced diabetes service effective in preventing hospital admissions

Enhanced services provided by GP surgeries are just as effective as specialist services at keeping people with type 2 diabetes out of hospital, say researchers in Leicester.

Enhanced services provided by GP surgeries are just as effective as specialist services at keeping people with type 2 diabetes out of hospital, say researchers in Leicester.


The use of a structured diabetes shared care service redesign is unlikely to
increase hospitalisations, research showed. Picture: Alamy

The study compared eight surgeries in Leicester that offered a newer enhanced primary care diabetes service, with eight core practices served by intermediate specialist-community care diabetes services. 

Fact

Since 1996, the number of people diagnosed with diabetes in the UK has more than doubled from 1.4 million to almost 3.5 million. 

Source: Diabetes UK 

Data was available for 8,366 adult patients with type 2 diabetes. Of these, 6,054 (72.4%) were registered in the eight enhanced practices and 2,312 (27.6%) were registered with the eight matched core practices.

Unlikely to increase hospitalisations 

Over a 12-month period, the researchers found that the mean change in non-elective bed days was 1.29 per 100 patients in the core practices, suggesting an increase in non-elective admission after the follow up period. 

In the enhanced practices, the mean change in non-elective bed days was −0.91 per 100 patients, which the researchers said suggested a trend towards a decrease in non-elective bed days after the follow up period. 

Leicester GP Sam Seidu, who lead the research, said: ‘Our analysis indicated that the use of a structured diabetes shared care service redesign is unlikely to increase hospitalisations, outpatients’ attendance or admissions for diabetes-related complications any more than an integrated specialist-community care core diabetes service.’ 


Seidu S et al (2016) Evaluating the impact of an enhanced primary care diabetes service on diabetes outcomes: A before–after study. Primary Care Diabetes. http://dx.doi.org/10.1016/j.pcd.2016.09.005

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