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dc.contributor.author | González-Touya, Marta![]() |
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dc.contributor.author | Carmona, Rocío![]() |
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dc.contributor.author | Sarría-Santamera, Antonio![]() |
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dc.date.accessioned | 2022-01-20T11:45:53Z | |
dc.date.available | 2022-01-20T11:45:53Z | |
dc.date.issued | 2021-07-12 | |
dc.identifier.citation | González-Touya, M., Carmona, R., & Sarría-Santamera, A. (2021). Evaluating the Impact of the Diabetes Mellitus Strategy for the National Health System: An Interrupted Time Series Analysis. Healthcare, 9(7), 873. https://doi.org/10.3390/healthcare9070873 | en_US |
dc.identifier.uri | http://nur.nu.edu.kz/handle/123456789/5987 | |
dc.description.abstract | Diabetes mellitus is a significant public health problem. Macrovascular complications (stroke, acute myocardial infarction (AMI) and lower limb amputations (LLAs) represent the leading cause of morbi-mortality in DM. This work aims to evaluate the impact of the approval of the Diabetes Mellitus Strategy of the National Health System (SDM-NHS) on hospitalizations for those macrovascular complications related to DM; (2) Methods: Interrupted time series applying segmented regression models (Negative Binomial) adjusted for seasonality to data from hospital discharge records with a primary or secondary diagnosis of DM (code 250 ICD9MC); (3) Results: Between 2001 and 2015, there have been 7,302,750 hospital discharges with a primary or secondary diagnosis of DM. After the approval of the SDM-NHS, all the indicators showed a downward trend, modifying the previous trend in the indicators of AMI and LLA. The indicators of stroke and AMI also showed an immediate reduction in their rates; (4) Conclusions: After the approval of the SDM-NHS, an improvement has been observed in all the indicators of macrovascular complications of DM evaluated, although it is difficult to establish a causal relationship between the strategy and the effects observed. Interrupted time series is applicable for evaluating the impact of interventions in public health when experimental designs are not possible. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Healthcare | en_US |
dc.rights | Attribution-NonCommercial-ShareAlike 3.0 United States | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-sa/3.0/us/ | * |
dc.subject | Type of access: Open Access | en_US |
dc.subject | diabetes mellitus | en_US |
dc.subject | comorbidity | en_US |
dc.subject | health plan implementation | en_US |
dc.subject | public policies evaluation | en_US |
dc.subject | interrupted time series | en_US |
dc.subject | predictive and preventive strategies | en_US |
dc.title | EVALUATING THE IMPACT OF THE DIABETES MELLITUS STRATEGY FOR THE NATIONAL HEALTH SYSTEM: AN INTERRUPTED TIME SERIES ANALYSIS | en_US |
dc.type | Article | en_US |
workflow.import.source | science |
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