Use of telephone care in a cardiovascular disease management programme for type 2 diabetes patients in Santiago, Chile

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dc.catalogadorgjm
dc.contributor.authorPiette, John D.
dc.contributor.authorLange Haensgen, Ilta Anita H.
dc.contributor.authorIssel, Michelle
dc.contributor.authorCampos Romero, Solange
dc.contributor.authorBustamante Troncoso, Claudia Raquel
dc.contributor.authorSapag Muñoz de la Peña, Jaime
dc.contributor.authorPoblete A., Fernando
dc.contributor.authorTugwell, Peter
dc.contributor.authorO'Connor, Annette M.
dc.date.accessioned2023-05-19T20:25:32Z
dc.date.available2023-05-19T20:25:32Z
dc.date.issued2006
dc.description.abstractObjectives: In 2004, the Chilean National Ministry of Health instituted a cardiovascular disease (CVD) management programme aimed at improving diabetes care among patients treated in the public healthcare system. We sought to identify the characteristics of patients participating in the CVD programme and the feasibility of extending its reach through structured nurse telephone contacts between outpatient encounters. Methods: We surveyed 569 low-income adults with type 2 diabetes treated in public clinics of Santiago, to assess patients’ participation in the CVD programme and willingness to use telephone care services. Surveys were linked to information from medical records. Results: One-third of patients met the target of two visits to the CVD programme in the previous 6 months, and an additional 32% made more than three visits. Use of the CVD programme was associated with greater patient satisfaction, even after controlling for potential confounders. However, 27% of patients had inadequate programme contact, and many of these patients were in poor health. Many CVD programme participants reported difficulties with lifestyle changes, and greater contact with the CVD programme was not associated with healthier behaviours. Most patients (95%) reported telephone access and 37% had used the telephone to contact their clinic. The majority of patients would be willing to use telephone care for additional behaviour change and emotional support. Patients with fewer CVD programme visits were particularly likely to report willingness to use telephone care. Discussion: Clinic-based CVD disease management services reach a large number of socio-economically vulnerable Chileans with diabetes. However, barriers to access remain, and planned telephone care services may increase the reach of self-management support.
dc.fechaingreso.objetodigital2023-07-14
dc.fuente.origenORCID
dc.identifier.doi10.1177/17423953060020020401
dc.identifier.eissn1745-9206
dc.identifier.issn1742-3953
dc.identifier.pubmedidPMID: 17175652
dc.identifier.urihttps://doi.org/10.1177/17423953060020020401
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/67434
dc.information.autorucEscuela de Enfermería; Lange Haensgen, Ilta Anita H.; S/I; 98190
dc.information.autorucEscuela de Enfermería; Campos Romero, Solange; 0000-0002-8838-7697; 638
dc.information.autorucEscuela de Enfermería; Bustamante Troncoso, Claudia Raquel; 0000-0002-7204-2571; 92348
dc.information.autorucEscuela de Medicina; Sapag Muñoz de la Peña, Jaime; 0000-0003-2227-8233; 3511
dc.information.autorucEscuela de Medicina; Poblete A., Fernando; S/I; 5451
dc.issue.numero2
dc.language.isoen
dc.nota.accesoContenido parcial
dc.pagina.final96
dc.pagina.inicio87
dc.revistaChronic Illness
dc.rightsacceso restringido
dc.subjectTelephone carees_ES
dc.subjectCare managementes_ES
dc.subjectAccess to carees_ES
dc.subjectDiabeteses_ES
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.titleUse of telephone care in a cardiovascular disease management programme for type 2 diabetes patients in Santiago, Chilees_ES
dc.typeartículo
dc.volumen2
sipa.codpersvinculados98190
sipa.codpersvinculados638
sipa.codpersvinculados92348
sipa.codpersvinculados3511
sipa.codpersvinculados5451
sipa.indexPubmed
sipa.trazabilidadORCID;14-07-2023
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