Abstract: This is an observational study in remote Indigenous communities, examining relations between primary and hospital care for diabetes management. The level of hospitalisation for diabetes patients was minimised when the frequency of primary care visits was around 7.9 times per person per year. Females, those aged over 40 years and those with ischaemic heart disease and renal diseases required more frequent primary care visits. The relations between primary and hospital care seem U-shaped functions with optimal levels of primary care, after adjusting for confounders. A lack of balance between primary, secondary and tertiary care in management of diabetes has pervasive cost consequences.
Zhao, Yuejen, Connors, Christine, Lee, Andy H., Liang, Wenbin, 2015, Relationship between primary care visits and hospital admissions in remote Indigenous patients with diabetes: A multivariate spline regression model, Volume:108, Journal Article, viewed 03 April 2020, https://www.nintione.com.au/?p=13591.