ArticleInternational journal of integrated care2016
Bridging the Gap between Theory and Practice in Integrated Care: The Case of the Diabetic Foot Pathway in Tuscany.
Article in International journal of integrated care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health service organisation impact on lower extremity amputations in people with type 2 diabetes with foot ulcers: systematic review and meta-analysis.Acta diabetologica · 2021Pooled it
- Diabetic Foot Syndrome: A Paradigm of Complexity and a Call for Comprehensive Ownership by the Diabetologists.Diabetes/metabolism research and reviews · 2026Article
- The organization of diabetic foot care in a regional public health service: baseline data from the diabetic foot valley Tuscany project.Acta diabetologica · 2026Article
- Mapping and managing geographic variation in elective surgeries through user-friendly data presentation: insights from Tuscany region.Research in health services & regions · 2025Review
- Setting priorities in outpatient cardiovascular care to guarantee equitable access: the case of Tuscany region.Research in health services & regions · 2024Article
- Evidence-based interventions for identifying candidate quality indicators to assess quality of care in diabetic foot clinics: a scoping review.BMC public health · 2024Article
- Relying on the French territorial offer of thermal spa therapies to build a care pathway for long COVID-19 patients.PloS one · 2024Article
- Implementing an integrated diabetic foot care programme in Ireland: podiatrists' experience.BMC health services research · 2023Article
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- Healthcare costs of diabetic foot disease in Italy: estimates for event and state costs.The European journal of health economics : HEPAC : health economics in prevention and care · 2023Article
- Observational
- The Italian interregional performance evaluation system.Research in health services & regions · 2022Article
- Geographic and Ethnic Inequalities in Diabetes-Related Amputations.Frontiers in clinical diabetes and healthcare · 2022Review
- The Impact of New Surgical Techniques on Geographical Unwarranted Variation: The Case of Benign Hysterectomy.International journal of environmental research and public health · 2021Article
- Chronic polytherapy after myocardial infarction: the trade-off between hospital and community-based providers in determining adherence to medication.BMC cardiovascular disorders · 2021Article
- What is the performance in public hospitals? A longitudinal analysis of performance plans through topic modeling.BMC health services research · 2021Article
- The Challenges of Hospitals' Planning & Control Systems: The Path toward Public Value Management.International journal of environmental research and public health · 2021Review
- Learning from Excellence to Improve Healthcare Services: The Experience of the Maternal and Child Care Pathway.International journal of environmental research and public health · 2021Article
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Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
INTRODUCTION AND
backgroundAs diabetic foot (DF) care benefits from integration, monitoring geographic variations in lower limb Major Amputation rate enables to highlight potential lack of Integrated Care. In Tuscany (Italy), these DF outcomes were good on average but they varied within the region. In order to stimulate an improvement process towards integration, the project aimed to shift health professionals' focus on the geographic variation issue, promote the Population Medicine approach, and engage professionals in a community of practice.
methodThree strategies were thus carried out: the use of a transparent performance evaluation system based on benchmarking; the use of patient stories and benchmarking analyses on outcomes, service utilization and costs that cross-checked delivery- and population-based perspectives; the establishment of a stable community of professionals to discuss data and practices.
resultsThe project enabled professionals to shift their focus on geographic variation and to a joint accountability on outcomes and costs for the entire patient pathways. Organizational best practices and gaps in integration were identified and improvement actions towards Integrated Care were implemented. CONCLUSION AND DISCUSSION: For the specific category of care pathways whose geographic variation is related to a lack of Integrated Care, a comprehensive strategy to improve outcomes and reduce equity gaps by diffusing integration should be carried out.
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Registered trials
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