by Colin Kenny, GP, Dromore, County Down
This hospital-based Dutch study involved over 500 people with type 2 diabetes, randomising them to two groups – patient-centered or usual care. The people running the study looked at HbA1c levels and quality-of-life measures.
Patient-centred care was most effective and cost-effective in those with baseline HbA1c >69 mmol/mol (8.5%) and less so where baseline HbA1c was 53–69 mmol/mol (7.0–8.5%); care was not adjudged to be cost-effective for people at a baseline HbA1c <53 mmol/mol (7.0%). Please do not abandon patient-centred care; just consider who benefits from it most in the time-constrained setting of a GP surgery visit.
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