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Medical Practice Variations in Diabetes Mellitus

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Medical Practice Variations

Part of the book series: Health Services Research ((HEALTHSR))

Abstract

Diabetes mellitus is a serious chronic health condition that has a global impact on both individuals and healthcare systems. In 2013, approximately 382 million people worldwide were living with diabetes, and it is expected that over 590 million people (∼10 % of the world’s population) will be living with diabetes by 2035. Most recently, an estimated US$548 billion were spent globally on diabetes care. Beyond the enormous financial burden of diabetes, individuals living with diabetes are prone to numerous health risks and complications. Diabetes not only reduces an individual’s life expectancy but also increases the risk of heart disease, kidney disease, eye disease, limb amputations, and other complications. There are cost-effective treatment approaches to help reduce the risk of these devastating complications; however, the uptake of these evidence-based treatments is not consistent across geographic regions. In this chapter, medical practice variation is reviewed within the context of access to and provision of high-quality diabetes care. This chapter briefly reviews the therapeutics of diabetes, including the epidemiology, diagnosis, pathogenesis, and management of diabetes. The bulk of the chapter then focuses on describing the current state of medical practice variation research in diabetes, and the systematic interventions have been put in place to increase the quality of care and potentially reduce unwarranted practice variation.

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Acknowledgments

Dr. Gamble is currently supported as a Canadian Institutes of Health Research New Investigator and a Canadian Diabetes Association Clinician Scientist.

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Authors and Affiliations

  1. School of Pharmacy, Memorial University of Newfoundland, 300 Prince Philip Drive, A1B 3V6, St. John’s, NL, Canada

    John-Michael Gamble

  2. Division of Endocrinology, University of Calgary, Alberta Health Services – Calgary Zone, T2N 1N4, Calgary, AB, Canada

    Sonia Butalia

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  1. John-Michael Gamble
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  2. Sonia Butalia
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Correspondence to John-Michael Gamble .

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  1. DptofPublHlthSci,InstfrClnclEvltSciQueen, CntrforHlthServs&PolicyRsrch,Queen'sUniv, Kingston, Canada

    Ana Johnson

  2. Institute forClinical EvaluativeSciences, Toronto, Ontario, Canada

    Thérèse A. Stukel

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Gamble, JM., Butalia, S. (2016). Medical Practice Variations in Diabetes Mellitus. In: Johnson, A., Stukel, T. (eds) Medical Practice Variations. Health Services Research. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7603-1_85

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