SPECIALISTS, PRIMARY CARE DOCTORS AND SYSTEMS IN THE TREATMENT OF DIABETES MELLITUS

In Canada it was found that consultation from endocrinologists or internists in concert with primary care doctors for people with newly diagnosed diabetes led to better disease-specific process measures but did not lead to improved survival. The authors carefully examine the methods, as well as their limitations, whereby this study concludes that “more is not necessarily better”. An accompanying commentary explores further the specialist/primary care issue for persons with diabetes and concludes by proposing an alternative argument for improving care by improving systems of care.
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