Fifteen years of continuous improvement of quality care of type 2 diabetes mellitus in primary care in Catalonia, Spain
Summary Aims: To assess the evolution of type 2 diabetes mellitus (T2DM) quality indicators in primary care centers (PCC) as part of the Group for the Study of Diabetes in Primary Care (GEDAPS) Continuous Quality Improvement (GCQI) programme in Catalonia. Methods: Sequential cross‐sectional studie...
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| Veröffentlicht in: | International journal of clinical practice (Esher) 2012-03, Vol.66 (3), p.289-298 |
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| creator | Mata-Cases, M. Roura-Olmeda, P. Berengué-Iglesias, M. Birulés-Pons, M. Mundet-Tuduri, X. Franch-Nadal, J. Benito-Badorrey, B. Cano-Pérez, J. F. |
| description | Summary
Aims: To assess the evolution of type 2 diabetes mellitus (T2DM) quality indicators in primary care centers (PCC) as part of the Group for the Study of Diabetes in Primary Care (GEDAPS) Continuous Quality Improvement (GCQI) programme in Catalonia.
Methods: Sequential cross‐sectional studies were performed during 1993–2007. Process and outcome indicators in random samples of patients from each centre were collected. The results of each evaluation were returned to each centre to encourage the implementation of correcting interventions. Sixty‐four different educational activities were performed during the study period with the participation of 2041 professionals.
Results: Clinical records of 23,501 patients were evaluated. A significant improvement was observed in the determination of some annual process indicators: HbA1c (51.7% vs. 88.9%); total cholesterol (75.9% vs. 90.9%); albuminuria screening (33.9% vs. 59.4%) and foot examination (48.9% vs. 64.2%). The intermediate outcome indicators also showed significant improvements: glycemic control [HbA1c ≤ 7% ( |
| doi_str_mv | 10.1111/j.1742-1241.2011.02872.x |
| format | Article |
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Aims: To assess the evolution of type 2 diabetes mellitus (T2DM) quality indicators in primary care centers (PCC) as part of the Group for the Study of Diabetes in Primary Care (GEDAPS) Continuous Quality Improvement (GCQI) programme in Catalonia.
Methods: Sequential cross‐sectional studies were performed during 1993–2007. Process and outcome indicators in random samples of patients from each centre were collected. The results of each evaluation were returned to each centre to encourage the implementation of correcting interventions. Sixty‐four different educational activities were performed during the study period with the participation of 2041 professionals.
Results: Clinical records of 23,501 patients were evaluated. A significant improvement was observed in the determination of some annual process indicators: HbA1c (51.7% vs. 88.9%); total cholesterol (75.9% vs. 90.9%); albuminuria screening (33.9% vs. 59.4%) and foot examination (48.9% vs. 64.2%). The intermediate outcome indicators also showed significant improvements: glycemic control [HbA1c ≤ 7% (< 57 mmol/mol); (41.5% vs. 64.2%)]; total cholesterol [≤ 200 mg/dl (5.17 mmol/l); (25.5% vs. 65.6%)]; blood pressure [≤ 140/90 mmHg; (45.4% vs. 66.1%)]. In addition, a significant improvement in some final outcome indicators such as prevalence of foot ulcers (7.6% vs. 2.6%); amputations (1.9% vs. 0.6%) and retinopathy (18.8% vs. 8.6%) was observed.
Conclusions: Although those changes should not be strictly attributed to the GCQI programme, significant improvements in some process indicators, parameters of control and complications were observed in a network of primary care centres in Catalonia.</description><identifier>ISSN: 1368-5031</identifier><identifier>EISSN: 1742-1241</identifier><identifier>DOI: 10.1111/j.1742-1241.2011.02872.x</identifier><identifier>PMID: 22340449</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Blood Glucose - metabolism ; Clinical medicine ; Cross-Sectional Studies ; Diabetes ; Diabetes Mellitus, Type 2 - therapy ; Diabetes. Impaired glucose tolerance ; Endocrine pancreas. Apud cells (diseases) ; Endocrinology ; Endocrinopathies ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Female ; General aspects ; Glycated Hemoglobin - metabolism ; Humans ; Male ; Medical sciences ; Middle Aged ; Primary care ; Primary Health Care - standards ; Quality of care ; Quality of Health Care ; Spain</subject><ispartof>International journal of clinical practice (Esher), 2012-03, Vol.66 (3), p.289-298</ispartof><rights>2012 Blackwell Publishing Ltd</rights><rights>2015 INIST-CNRS</rights><rights>2012 Blackwell Publishing Ltd.</rights><rights>2012 Blackwell Publishing Ltd 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5692-19e6744752b1e89bd9cfbde65d4aaf1334e38142499c465556bd21d3422115d33</citedby><cites>FETCH-LOGICAL-c5692-19e6744752b1e89bd9cfbde65d4aaf1334e38142499c465556bd21d3422115d33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1742-1241.2011.02872.x$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1742-1241.2011.02872.x$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25631841$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22340449$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mata-Cases, M.</creatorcontrib><creatorcontrib>Roura-Olmeda, P.</creatorcontrib><creatorcontrib>Berengué-Iglesias, M.</creatorcontrib><creatorcontrib>Birulés-Pons, M.</creatorcontrib><creatorcontrib>Mundet-Tuduri, X.</creatorcontrib><creatorcontrib>Franch-Nadal, J.</creatorcontrib><creatorcontrib>Benito-Badorrey, B.</creatorcontrib><creatorcontrib>Cano-Pérez, J. F.</creatorcontrib><creatorcontrib>Diabetes Study Group in Primary Health Care (GEDAPS: Grup d’Estudi de la Diabetis a l’Atenció Primària de Salut, Catalonian Society of Family and Community Medicine)</creatorcontrib><creatorcontrib>on behalf of the Diabetes Study Group in Primary Health Care (GEDAPS: Grup d’Estudi de la Diabetis a l’Atenció Primària de Salut, Catalonian Society of Family and Community Medicine)</creatorcontrib><title>Fifteen years of continuous improvement of quality care of type 2 diabetes mellitus in primary care in Catalonia, Spain</title><title>International journal of clinical practice (Esher)</title><addtitle>Int J Clin Pract</addtitle><description>Summary
Aims: To assess the evolution of type 2 diabetes mellitus (T2DM) quality indicators in primary care centers (PCC) as part of the Group for the Study of Diabetes in Primary Care (GEDAPS) Continuous Quality Improvement (GCQI) programme in Catalonia.
Methods: Sequential cross‐sectional studies were performed during 1993–2007. Process and outcome indicators in random samples of patients from each centre were collected. The results of each evaluation were returned to each centre to encourage the implementation of correcting interventions. Sixty‐four different educational activities were performed during the study period with the participation of 2041 professionals.
Results: Clinical records of 23,501 patients were evaluated. A significant improvement was observed in the determination of some annual process indicators: HbA1c (51.7% vs. 88.9%); total cholesterol (75.9% vs. 90.9%); albuminuria screening (33.9% vs. 59.4%) and foot examination (48.9% vs. 64.2%). The intermediate outcome indicators also showed significant improvements: glycemic control [HbA1c ≤ 7% (< 57 mmol/mol); (41.5% vs. 64.2%)]; total cholesterol [≤ 200 mg/dl (5.17 mmol/l); (25.5% vs. 65.6%)]; blood pressure [≤ 140/90 mmHg; (45.4% vs. 66.1%)]. In addition, a significant improvement in some final outcome indicators such as prevalence of foot ulcers (7.6% vs. 2.6%); amputations (1.9% vs. 0.6%) and retinopathy (18.8% vs. 8.6%) was observed.
Conclusions: Although those changes should not be strictly attributed to the GCQI programme, significant improvements in some process indicators, parameters of control and complications were observed in a network of primary care centres in Catalonia.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Blood Glucose - metabolism</subject><subject>Clinical medicine</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 2 - therapy</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinology</subject><subject>Endocrinopathies</subject><subject>Etiopathogenesis. Screening. Investigations. Target tissue resistance</subject><subject>Female</subject><subject>General aspects</subject><subject>Glycated Hemoglobin - metabolism</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Primary care</subject><subject>Primary Health Care - standards</subject><subject>Quality of care</subject><subject>Quality of Health Care</subject><subject>Spain</subject><issn>1368-5031</issn><issn>1742-1241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNqNUU1v1DAQjRCIlsJfQBYS4kKCv5NckNBCS6F8SECRuFhOMgFvEzu1k3b33-OwYQuc8MUzem-e5s1LEkRwRuJ7ts5IzmlKKCcZxYRkmBY5zTa3ksM9cDvWTBapwIwcJPdCWGNMhSjw3eSAUsYx5-Vhcn1s2hHAoi1oH5BrUe3saOzkpoBMP3h3BT3YcUYuJ92ZcYtq7WHux-0AiKLG6ApGCKiHLuLznEWDN732Czf2Kz3qzlmjn6JPgzb2fnKn1V2AB8t_lHw5fvV59To9-3ByunpxltZCltFICTLnPBe0IlCUVVPWbdWAFA3XuiWMcWAF4ZSXZc2lEEJWDSUN45QSIhrGjpLnO91hqnpo6mjF604t6ymnjfobseaH-u6uFBMFF2QWeLIIeHc5QRhVb0IdnWoL8Uaq5LhgnFEcmY_-Ya7d5G10p0pKckkknknFjlR7F4KHdr8KwWrOVq3VHKGaI1RztupXtmoTRx_-aWU_-DvMSHi8EHSoddd6bWsTbnhCMlJwcnOTa9PB9r8XUKdvVh_nMgqkOwETRtjsBbS_UDJnuVBf35-ob-_oy_NzSdVb9hP9m898</recordid><startdate>201203</startdate><enddate>201203</enddate><creator>Mata-Cases, M.</creator><creator>Roura-Olmeda, P.</creator><creator>Berengué-Iglesias, M.</creator><creator>Birulés-Pons, M.</creator><creator>Mundet-Tuduri, X.</creator><creator>Franch-Nadal, J.</creator><creator>Benito-Badorrey, B.</creator><creator>Cano-Pérez, J. F.</creator><general>Blackwell Publishing Ltd</general><general>Wiley-Blackwell</general><general>Hindawi Limited</general><scope>BSCLL</scope><scope>24P</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T5</scope><scope>7TK</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201203</creationdate><title>Fifteen years of continuous improvement of quality care of type 2 diabetes mellitus in primary care in Catalonia, Spain</title><author>Mata-Cases, M. ; Roura-Olmeda, P. ; Berengué-Iglesias, M. ; Birulés-Pons, M. ; Mundet-Tuduri, X. ; Franch-Nadal, J. ; Benito-Badorrey, B. ; Cano-Pérez, J. F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5692-19e6744752b1e89bd9cfbde65d4aaf1334e38142499c465556bd21d3422115d33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Blood Glucose - metabolism</topic><topic>Clinical medicine</topic><topic>Cross-Sectional Studies</topic><topic>Diabetes</topic><topic>Diabetes Mellitus, Type 2 - therapy</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinology</topic><topic>Endocrinopathies</topic><topic>Etiopathogenesis. Screening. Investigations. Target tissue resistance</topic><topic>Female</topic><topic>General aspects</topic><topic>Glycated Hemoglobin - metabolism</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Primary care</topic><topic>Primary Health Care - standards</topic><topic>Quality of care</topic><topic>Quality of Health Care</topic><topic>Spain</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mata-Cases, M.</creatorcontrib><creatorcontrib>Roura-Olmeda, P.</creatorcontrib><creatorcontrib>Berengué-Iglesias, M.</creatorcontrib><creatorcontrib>Birulés-Pons, M.</creatorcontrib><creatorcontrib>Mundet-Tuduri, X.</creatorcontrib><creatorcontrib>Franch-Nadal, J.</creatorcontrib><creatorcontrib>Benito-Badorrey, B.</creatorcontrib><creatorcontrib>Cano-Pérez, J. F.</creatorcontrib><creatorcontrib>Diabetes Study Group in Primary Health Care (GEDAPS: Grup d’Estudi de la Diabetis a l’Atenció Primària de Salut, Catalonian Society of Family and Community Medicine)</creatorcontrib><creatorcontrib>on behalf of the Diabetes Study Group in Primary Health Care (GEDAPS: Grup d’Estudi de la Diabetis a l’Atenció Primària de Salut, Catalonian Society of Family and Community Medicine)</creatorcontrib><collection>Istex</collection><collection>Wiley Online Library Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of clinical practice (Esher)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mata-Cases, M.</au><au>Roura-Olmeda, P.</au><au>Berengué-Iglesias, M.</au><au>Birulés-Pons, M.</au><au>Mundet-Tuduri, X.</au><au>Franch-Nadal, J.</au><au>Benito-Badorrey, B.</au><au>Cano-Pérez, J. F.</au><aucorp>Diabetes Study Group in Primary Health Care (GEDAPS: Grup d’Estudi de la Diabetis a l’Atenció Primària de Salut, Catalonian Society of Family and Community Medicine)</aucorp><aucorp>on behalf of the Diabetes Study Group in Primary Health Care (GEDAPS: Grup d’Estudi de la Diabetis a l’Atenció Primària de Salut, Catalonian Society of Family and Community Medicine)</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fifteen years of continuous improvement of quality care of type 2 diabetes mellitus in primary care in Catalonia, Spain</atitle><jtitle>International journal of clinical practice (Esher)</jtitle><addtitle>Int J Clin Pract</addtitle><date>2012-03</date><risdate>2012</risdate><volume>66</volume><issue>3</issue><spage>289</spage><epage>298</epage><pages>289-298</pages><issn>1368-5031</issn><eissn>1742-1241</eissn><abstract>Summary
Aims: To assess the evolution of type 2 diabetes mellitus (T2DM) quality indicators in primary care centers (PCC) as part of the Group for the Study of Diabetes in Primary Care (GEDAPS) Continuous Quality Improvement (GCQI) programme in Catalonia.
Methods: Sequential cross‐sectional studies were performed during 1993–2007. Process and outcome indicators in random samples of patients from each centre were collected. The results of each evaluation were returned to each centre to encourage the implementation of correcting interventions. Sixty‐four different educational activities were performed during the study period with the participation of 2041 professionals.
Results: Clinical records of 23,501 patients were evaluated. A significant improvement was observed in the determination of some annual process indicators: HbA1c (51.7% vs. 88.9%); total cholesterol (75.9% vs. 90.9%); albuminuria screening (33.9% vs. 59.4%) and foot examination (48.9% vs. 64.2%). The intermediate outcome indicators also showed significant improvements: glycemic control [HbA1c ≤ 7% (< 57 mmol/mol); (41.5% vs. 64.2%)]; total cholesterol [≤ 200 mg/dl (5.17 mmol/l); (25.5% vs. 65.6%)]; blood pressure [≤ 140/90 mmHg; (45.4% vs. 66.1%)]. In addition, a significant improvement in some final outcome indicators such as prevalence of foot ulcers (7.6% vs. 2.6%); amputations (1.9% vs. 0.6%) and retinopathy (18.8% vs. 8.6%) was observed.
Conclusions: Although those changes should not be strictly attributed to the GCQI programme, significant improvements in some process indicators, parameters of control and complications were observed in a network of primary care centres in Catalonia.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>22340449</pmid><doi>10.1111/j.1742-1241.2011.02872.x</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | International journal of clinical practice (Esher), 2012-03, Vol.66 (3), p.289-298 |
| issn | 1368-5031 1742-1241 |
| language | eng |
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| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Blood Glucose - metabolism Clinical medicine Cross-Sectional Studies Diabetes Diabetes Mellitus, Type 2 - therapy Diabetes. Impaired glucose tolerance Endocrine pancreas. Apud cells (diseases) Endocrinology Endocrinopathies Etiopathogenesis. Screening. Investigations. Target tissue resistance Female General aspects Glycated Hemoglobin - metabolism Humans Male Medical sciences Middle Aged Primary care Primary Health Care - standards Quality of care Quality of Health Care Spain |
| title | Fifteen years of continuous improvement of quality care of type 2 diabetes mellitus in primary care in Catalonia, Spain |
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