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See 1 citation in Diabetes Care 2008:

Diabetes Care. 2008 Nov;31(11):2166-8. doi: 10.2337/dc08-0469. Epub 2008 Aug 11.

Baseline quality-of-care data from a quality-improvement program implemented by a network of diabetes outpatient clinics.

Author information

1
Department of Clinical Pharmacology and Epidemiology, Consorzio Mario Negri Sud, S Maria Imbaro CH, Italy. mrossi@negrisud.it

Abstract

OBJECTIVE:

To describe patterns of diabetes care and implement benchmarking activities at the national level.

RESEARCH DESIGN AND METHODS:

A total of 86 clinics participated, all using electronic medical records. Quality indicators were identified, and software was developed, enabling the extraction of the information needed for quality-of-care profiling.

RESULTS:

Overall, 114,249 patients with type 2 diabetes were seen during 2004. A1C was measured at least once in 88.0% of the patients, lipid profile in 64.6%, blood pressure in 77.2%, and microalbuminuria in 48.1%. Overall, 43.1% of individuals had A1C <or=7.0%, 36.6% had blood pressure <or=130/85 mmHg, and 29.8% had LDL cholesterol <100 mg/dl. Only 5.5% of the patients had achieved all the favorable outcomes. Wide between-center variation was documented for all indicators.

CONCLUSIONS:

This study is the first step of a nationwide quality-improvement effort and documents the possibility of obtaining standardized information to be used for diabetes care profiling and benchmarking activities.

PMID:
18694979
PMCID:
PMC2571068
DOI:
10.2337/dc08-0469
[Indexed for MEDLINE]
Free PMC Article

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