- To compare the outcomes of patients with hypertension and non-insulin-dependent diabetes mellitus (NIDDM) who were cared for in three different systems of care and by generalist and subspecialist physicians.
- An observational study with follow-up at three periods :
(1) a 2-year study of 532 patients with hypertension and 170 patients with NIDDM who had entrance and exit histories, physical examinations, and laboratory tests ;
(2) a 4-year follow-up of 1044 patients with hypertension and 317 patients with NIDDM based on patient-reported functional status ;
and (3) 7-year mortality for 1296 patients with hypertension and 424 patients with NIDDM.
- Patients sampled from health maintenance organizations, large multispecialty groups, and solo or single-specialty group practices in Boston, Mass, Los Angeles, Calif, and Chicago, III.
Patients were designated as belonging to one of three systems of care :
fee for service ;
prepaid patients in solo or small single-specialty groups or in large multispecialty group practices, referred to as independent practice associations ;
and staff-model health maintenance organizations.
The principal providers were family practitioners, general internists, cardiologists, or endocrinologists.
- Physiological, functional, and mortality.
Mots-clés Pascal : Hypertension artérielle, Diabète non insulinodépendant, Pronostic, Système santé, Diversité, Etude comparative, Qualité, Soin, Corrélation, Homme, Appareil circulatoire pathologie, Endocrinopathie
Mots-clés Pascal anglais : Hypertension, Non insulin dependent diabetes, Prognosis, Health system, Diversity, Comparative study, Quality, Care, Correlation, Human, Cardiovascular disease, Endocrinopathy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0015510
Code Inist : 002B30A05. Création : 01/03/1996.