Diabetes as a tracer condition in international benchmarking of health systems

Diabetes Care
Ellen NolteMartin McKee

Abstract

To assess the performance of health systems using diabetes as a tracer condition. We generated a measure of "case-fatality" among young people with diabetes using the mortality-to-incidence ratio (M/I ratio) for 29 industrialized countries using published data on diabetes incidence and mortality. Standardized incidence rates for ages 0-14 years were extracted from the World Health Organization DiaMond study for the period 1990-1994; data on death from diabetes for ages 0-39 years were obtained from the World Health Organization mortality database and converted into age-standardized death rates for the period 1994-1998, using the European standard population. The M/I ratio varied >10-fold. These relative differences appear similar to those observed in cohort studies of mortality among young people with type 1 diabetes in five countries. A sensitivity analysis showed that using plausible assumptions about potential overestimation of diabetes as a cause of death and underestimation of incidence rates in the U.S. yields an M/I ratio that would still be twice as high as in the U.K. or Canada. The M/I ratio for diabetes provides a means of differentiating countries on quality of care for people with diabetes. It is solely an indicato...Continue Reading

Citations

Jan 10, 2012·Medical Care·Benjamin G DrussSteven C Marcus
Oct 22, 2011·BMC Family Practice·Willemijn L A SchäferPeter P Groenewegen
Mar 17, 2010·BMC Health Services Research·Dionne S KringosPeter P Groenewegen
Jun 16, 2011·Population Health Metrics·Sandeep C KulkarniChristopher Jl Murray
Jun 19, 2009·Social Cognitive and Affective Neuroscience·Liviu G CrişanAndrei C Miu
Aug 10, 2010·Social Cognitive and Affective Neuroscience·Katharina TabbertRudolf Stark
Mar 3, 2010·Cerebral Cortex·Michael RoseChristian Büchel
Jun 3, 2009·Gaceta sanitaria·Anna García-AltésUNKNOWN Grupo de Análisis del Desempeño de los Servicios Sanitarios de Cataluña
Nov 6, 2012·The International Journal of Health Planning and Management·David BeranJohn S Yudkin
Aug 31, 2014·Medicina·Santa PildavaGirts Briģis
May 20, 2016·Diabetic Medicine : a Journal of the British Diabetic Association·M K CardenasD Beran
Jul 6, 2011·Asia-Pacific Journal of Public Health·David Beran, Michiyo Higuchi
Aug 24, 2012·Israel Journal of Health Policy Research·Dena H JaffeOrly Manor

❮ Previous
Next ❯

Related Concepts

Related Feeds

American Diabetes Association Journals

Discover the latest diabetes research published by the journals from the American Diabetes Association.

Related Papers

Psychiatric Services : a Journal of the American Psychiatric Association
Gary LeungRobin E Clark
The Journal of the Royal Society for the Promotion of Health
Elie Scrivens
© 2022 Meta ULC. All rights reserved