Adherence to diabetes care process indicators in migrants as compared to non-migrants with diabetes: a retrospective cohort study

Giuseppe Seghieri (), Chiara Seghieri, Laura Policardo, Elisa Gualdani, Paolo Francesconi and Fabio Voller
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Giuseppe Seghieri: Regione Toscana
Chiara Seghieri: Scuola Superiore Sant’Anna
Elisa Gualdani: Regione Toscana
Paolo Francesconi: Regione Toscana
Fabio Voller: Regione Toscana

International Journal of Public Health, 2019, vol. 64, issue 4, No 13, 595-601

Abstract: Abstract Objectives Prevalence rate of diabetes is high among migrants. Whether migrants are correctly addressed to a standard quality of care for diabetes and are properly followed up are the questions addressed by this retrospective cohort study. Methods Compliance to one or repeated Guideline Composite Indicator (GCI), a standard process indicator of care quality, was tested in migrants compared to non-migrant Italian residents with diabetes, living in Tuscany Region, Italy, in years 2011–2015. For those with no GCI, the analysis was repeated for the chance of being tested by at least one or more HbA1c measurements. Results GCI compliance, in a single or repeated manner over time, was significantly less likely by about 15–20% among migrants (n = 3992) compared to non-migrants (n = 130,874), even after fully matching both cohorts. For those with no GCI, being tested by HbA1c was still significantly less likely among migrants. Conclusions Being addressed to a standard quality of care is impaired among migrant patients with diabetes living in Tuscany compared to non-migrants. Migrants, moreover, have a significantly lower probability of adhering to guidelines or to be tested by HbA1c measurement over time.

Keywords: Migrants; Quality indicator of diabetes care; Matching analysis; Healthcare system (search for similar items in EconPapers)
Date: 2019
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DOI: 10.1007/s00038-019-01220-5

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