The impact upon patients’ quality of life of a community-based model of type 2 diabetes care

A pen ticking off a checklist

Health systems are under pressure to introduce new models of care, particularly less costly ones.  Often this means moving the locus of care into the community, away from specialist centres. But what is the impact on patients?  A new study looks at this question in the context of the UK health service.

The study assessed the impact on quality of life of  a new community-based model of care among people with type 2 diabetes.  Quality of life was assessed before and 18 months after introducing the new service.  The researchers found that it was largely unchanged.

The outcome measures used were Problems Areas In Diabetes (PAID) and SF-36 (general health-related quality of life).

Appraisal hints

Users of this research should consider

  • What was the perspective of the study?
  • Could the researchers have led participants towards particular conclusions?
  • What was the sampling strategy?
  • Did the full range of patient experience get a voice?
  • Were the authors’ conclusions reasonable in the light of the data they present?
  • Do the outcomes measured reflect your own objectives?
  • To what extent would you expect this kind of finding in your own setting.


Lindsay G, Inverarity K, McDowell JR. Quality of life in people with type 2 diabetes in relation to deprivation, gender, and age in a new community-based model of care. Nurs Res Pract. 2011;2011:613589. Epub 2011 Jun 21.

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I am an information scientist with an interest in making knowledge from systematic research more accessible to people who need it. This means you. I've been attempting this in the area of Evidence-Based Health Care since 1995. So far the results have been mixed. For some reason we expected busy clinicians to search databases and appraise papers instead of seeing patients. We also expected publishers to make the research freely available to the people who paid for it.. Ha! Hence The National Elf service.

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