Study Shows Effectiveness of Diabetes Management at Clinic-Level Medical Institutions
By Yang Young-gu, Medical Observer Reporter
Recent research has revealed the effectiveness of using clinic-level medical institutions designated as ‘good health institutions’ by the Health Insurance Review and Assessment Service to manage diabetes, a representative chronic disease. This study, led by Professor Daejung Kim of the Department of Endocrinology and Metabolism at Ajou University Hospital, followed 399,984 individuals who underwent diabetes adequacy evaluation in 2012 for approximately 7.6 years until May 2021.
Published in the international journal Diabetes Care, the study, titled ‘Long-Term Effectiveness of the National Diabetes Quality Assessment Program in South Korea,’ highlighted the significance of meeting specific indicators such as quarterly outpatient visits, continuation of prescriptions, glycated hemoglobin and lipid tests, and fundus examinations for diabetic patients.
The results showed that patients who met these indicators were less likely to experience proliferative diabetic retinopathy, end-stage renal failure, lower extremity amputation, myocardial infarction, stroke, and overall death. Continuation of prescriptions, in particular, was identified as the most significant indicator.
Notably, patients treated in clinics identified as good institutions had a significantly lower risk of various complications, including a 18% lower risk of proliferative diabetic retinopathy, 23% lower risk of end-stage renal failure, and a 25% lower risk of amputation. Professor Kim emphasized the importance of uninterrupted treatment and regular evaluations for preventing complications and detecting them early.
He stated, “The better the diabetes adequacy evaluation indicators implemented in primary medical institutions, the more likely it is to prevent complications and the risk of death. This underscores the role of diabetes adequacy assessment in improving diabetes management and preventing complications.”
This study serves as a testament to the crucial role of clinic-level medical institutions in the effective management of diabetes, ultimately contributing to better patient outcomes and reduced risks of complications. With the potential to guide future healthcare strategies, these findings shed light on the importance of regular monitoring and management for chronic diseases like diabetes.
Professor Daejung Kim (Department of Endocrinology and Metabolism), Ajou University Hospital
[메디칼업저버 양영구 기자] Research results have shown that it is effective to use clinic-level medical institutions designated as ‘good health institutions’ by the Health Insurance Review and Assessment Service to manage diabetes, a representative chronic disease.
At Ajou University Hospital, Professor Kim Dae-jung’s team (Department of Endocrinology and Metabolism) conducted a study in which 399,984 people who underwent diabetes adequacy evaluation in 2012 (re) were followed up for approximately 7.6 years until May 2021 to determined the causes of diabetes complications and death, was discharged on the 21st.
The results of this study were published in the international journal Diabetes Care (IF 16.2) in September under the title ‘Long-Term Effectiveness of the National Diabetes Quality Assessment Program in South Korea’.
According to the research results, diabetic patients who fulfilled indicators such as △ quarterly outpatient visits △ continuation of prescriptions △ glycated hemoglobin and lipid tests △ fundus examinations, etc., were more likely to suffer from proliferative diabetic retinopathy, end-stage renal failure, lower extremity amputation, myocardial infarction, and other diseases than patients who did not The risk of stroke and overall death was significantly reduced.
The research team found that the more these evaluation indicators were achieved, that is, the better the control of diabetes in various aspects, the lower the risk of developing diabetes complications and death.
In addition, among a number of indicators, it was found that the continuation of a prescription (medication) was the most important indicator.
In particular, patients treated in clinics evaluated as good institutions had an 18% lower risk of proliferative diabetic retinopathy, which can lead to blindness, a 23% lower risk of end-stage renal failure, and a 25% lower risk of of risk of amputation. , a 15% reduction in the risk of myocardial infarction, and 14% less risk of stroke, the risk of major diabetes complications was reduced, including the overall risk of death by 4%.
Professor Kim Dae-jung said, “The risk of complications must be prevented in advance, and for this purpose, the role of regular screening and management of diabetes patients in primary medical institutions is important.” He added, “Uninterrupted treatment and prescriptions are important. very important, and blood sugar, blood pressure, lipids, etc. He said, “You need to evaluate your health regularly and have regular check-ups to prevent complications such as kidney and eye problems and to detect them early.”
“In fact, through this study, we confirmed, the better the diabetes adequacy evaluation indicators that are implemented in primary medical institutions, the more likely it is to prevent complications and the risk of death,” he said. diabetes adequacy assessment will improve the quality of diabetes management and prevent complications.” “It shows that they are contributing to it.”
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