International Journal of Public Health
2019

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

Seghieri G.* , Seghieri C. , Policardo L. , Gualdani E. , Francesconi P. , Voller F.
  • a Agenzia Regionale Sanità, Regione Toscana, Via Pietro Dazzi, 1, Florence, 50141, Italy
  • b Institute of Management and Department EMbeDS, Scuola Superiore Sant’Anna, Pisa, Italy
  • c Agenzia Regionale Sanità, Regione Toscana, Via Pietro Dazzi, 1, Florence, 50141, Italy
  • d Agenzia Regionale Sanità, Regione Toscana, Via Pietro Dazzi, 1, Florence, 50141, Italy
  • e Agenzia Regionale Sanità, Regione Toscana, Via Pietro Dazzi, 1, Florence, 50141, Italy
  • f Agenzia Regionale Sanità, Regione Toscana, Via Pietro Dazzi, 1, Florence, 50141, Italy

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. © 2019, Swiss School of Public Health (SSPH+).

Author Keywords

Healthcare system Migrants Matching analysis Quality indicator of diabetes care

Index Keywords

human middle aged Cohort Studies statistics and numerical data diabetes mellitus comparative study Aged medication compliance Humans psychology male female Aged, 80 and over very elderly prevalence Retrospective Studies patient compliance adult migration cohort analysis Italy Transients and Migrants retrospective study Self Care Medication Adherence
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85062946812&doi=10.1007%2fs00038-019-01220-5&partnerID=40&md5=ac3b13fc7177977e99862fcd1e203753
DOI: 10.1007/s00038-019-01220-5
ISSN: 16618556
Original Language: English