Management of diabetes in primary care: a structured-care approach.

Hdl Handle:
http://hdl.handle.net/10147/266294
Title:
Management of diabetes in primary care: a structured-care approach.
Authors:
Brennan, Carmel; Harkins, Velma; Perry, Ivan J
Affiliation:
Health Service Executive - Dublin/Mid-Leinster Area, Ireland.
Citation:
Management of diabetes in primary care: a structured-care approach. 2008, 14 (3-4):117-22 Eur J Gen Pract
Journal:
The European journal of general practice
Issue Date:
2008
URI:
http://hdl.handle.net/10147/266294
DOI:
10.1080/13814780802689154
PubMed ID:
22548297
Abstract:
In the Irish Midland Health Service Executive (HSE) Diabetes Structured Care Project, additional resources were targeted at general practice in the absence of a local hospital-based specialized diabetes unit.; We assessed the performance of the Midland HSE Diabetes Structured Care programme in 2003, bench-marked against Primary Care Trust (PCT) data from the 2003/2004 National Diabetes Audit for England.; Data on 947 patients (72% of eligible patients) from all 20 general practices participating in the structured-care programme were collected retrospectively over a 12-month period. The data included demographic and clinical variables as well as key process-of-care and intermediate outcome indicators used in the National Diabetes Audit for England.; The level of recording of process-of-care measures was near or above the upper quartile for PCTs in England. The proportion of patients with HbA(1c) concentrations at target levels (<6.5%) in the Midlands HSE project (26.8%) was virtually identical to the upper quartile level for PCTs in England (27.4%). The proportion of patients reaching target total cholesterol levels (<5.0 mmol/l) (54.6%) was close to the mean for PCTs in England (56.6%), and performance with regard to target blood pressure levels was equally poor in both the Midlands HSE (18.0%) and in PCTs in England (20.8%).; Primary-care-led structured care, with relatively limited but well-focused investment, can achieve quality of care for patients with diabetes, comparable to international best practice.
Item Type:
Article
Language:
en
MeSH:
Adolescent; Adult; Aged; Aged, 80 and over; Benchmarking; Blood Pressure; Cholesterol; Diabetes Mellitus, Type 1; Diabetes Mellitus, Type 2; Female; Hemoglobin A, Glycosylated; Humans; Ireland; Male; Middle Aged; Outcome Assessment (Health Care); Primary Health Care; Quality of Health Care; Retrospective Studies; Young Adult
ISSN:
1751-1402

Full metadata record

DC FieldValue Language
dc.contributor.authorBrennan, Carmelen_GB
dc.contributor.authorHarkins, Velmaen_GB
dc.contributor.authorPerry, Ivan Jen_GB
dc.date.accessioned2013-01-21T11:31:35Z-
dc.date.available2013-01-21T11:31:35Z-
dc.date.issued2008-
dc.identifier.citationManagement of diabetes in primary care: a structured-care approach. 2008, 14 (3-4):117-22 Eur J Gen Practen_GB
dc.identifier.issn1751-1402-
dc.identifier.pmid22548297-
dc.identifier.doi10.1080/13814780802689154-
dc.identifier.urihttp://hdl.handle.net/10147/266294-
dc.description.abstractIn the Irish Midland Health Service Executive (HSE) Diabetes Structured Care Project, additional resources were targeted at general practice in the absence of a local hospital-based specialized diabetes unit.-
dc.description.abstractWe assessed the performance of the Midland HSE Diabetes Structured Care programme in 2003, bench-marked against Primary Care Trust (PCT) data from the 2003/2004 National Diabetes Audit for England.-
dc.description.abstractData on 947 patients (72% of eligible patients) from all 20 general practices participating in the structured-care programme were collected retrospectively over a 12-month period. The data included demographic and clinical variables as well as key process-of-care and intermediate outcome indicators used in the National Diabetes Audit for England.-
dc.description.abstractThe level of recording of process-of-care measures was near or above the upper quartile for PCTs in England. The proportion of patients with HbA(1c) concentrations at target levels (<6.5%) in the Midlands HSE project (26.8%) was virtually identical to the upper quartile level for PCTs in England (27.4%). The proportion of patients reaching target total cholesterol levels (<5.0 mmol/l) (54.6%) was close to the mean for PCTs in England (56.6%), and performance with regard to target blood pressure levels was equally poor in both the Midlands HSE (18.0%) and in PCTs in England (20.8%).-
dc.description.abstractPrimary-care-led structured care, with relatively limited but well-focused investment, can achieve quality of care for patients with diabetes, comparable to international best practice.-
dc.language.isoenen
dc.rightsArchived with thanks to The European journal of general practiceen_GB
dc.subject.meshAdolescent-
dc.subject.meshAdult-
dc.subject.meshAged-
dc.subject.meshAged, 80 and over-
dc.subject.meshBenchmarking-
dc.subject.meshBlood Pressure-
dc.subject.meshCholesterol-
dc.subject.meshDiabetes Mellitus, Type 1-
dc.subject.meshDiabetes Mellitus, Type 2-
dc.subject.meshFemale-
dc.subject.meshHemoglobin A, Glycosylated-
dc.subject.meshHumans-
dc.subject.meshIreland-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshOutcome Assessment (Health Care)-
dc.subject.meshPrimary Health Care-
dc.subject.meshQuality of Health Care-
dc.subject.meshRetrospective Studies-
dc.subject.meshYoung Adult-
dc.titleManagement of diabetes in primary care: a structured-care approach.en_GB
dc.typeArticleen
dc.contributor.departmentHealth Service Executive - Dublin/Mid-Leinster Area, Ireland.en_GB
dc.identifier.journalThe European journal of general practiceen_GB

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