Fifteen years of continuous improvement of quality care of type 2 diabetes mellitus in primary care in Catalonia, Spain.

International Journal of Clinical Practice
M Mata-CasesDiabetes Study Group in Primary Health Care (GEDAPS: Grup d’Estudi de la Diabetis a l’Atenció Primària de Salut, Catalonian

Abstract

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. 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. Clinical records of 23,501 patients were evaluated. A significant improvement was observed in the determination of some annual process indicators: HbA(1c) (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 [HbA(1c) ≤ 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 s...Continue Reading

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Citations

Mar 30, 2013·Population Health Management·Amit TiroshRonit Calderon-Margalit
Dec 24, 2013·Revista clínica española·A Sicras-MainarJ Ibáñez-Nolla
Mar 4, 2014·Endocrinología y nutrición : órgano de la Sociedad Española de Endocrinología y Nutrición·Margarita Alonso-FernándezUNKNOWN Grupo de Trabajo de Diabetes de SEMERGEN
Aug 16, 2013·Current Medical Research and Opinion·Manel Mata-CasesUNKNOWN GEDAPS (Primary Care Group for the study of Diabetes) of the Catalonian Society of Family and Community Medicine
Oct 1, 2014·Journal of Evaluation in Clinical Practice·Danielle H BodicoatUNKNOWN GEDAPS Study Group
Sep 25, 2012·Revista de calidad asistencial : organo de la Sociedad Española de Calidad Asistencial·E Tambo-LizaldeJ M Abad-Díez
Feb 27, 2016·International Journal of Clinical Practice·D Orozco-BeltranUNKNOWN SOLVE Study Group
Dec 18, 2013·International Journal of Clinical Practice·F Alvarez-Guisasola, UNKNOWN Guiada Study Group
Oct 16, 2015·BMC Cardiovascular Disorders·Antonio Rodriguez-PoncelasUNKNOWN on behalf RedGDPS Study Group
Apr 17, 2015·Rheumatology·Victoria Navarro-CompánDésirée van der Heijde
May 7, 2013·Atherosclerosis·Pilar Guallar-CastillónFernando Rodríguez-Artalejo
Aug 19, 2016·BMC Health Services Research·Carla Sancho-MestreVicent Caballer-Tarazona
Nov 7, 2015·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Manel Mata-CasesBonaventura Bolíbar
Nov 9, 2016·Revista Española De Cardiología·Domingo Orozco-BeltránVicente F Gil-Guillén
May 4, 2017·World Journal of Diabetes·Aikaterini TrikkalinouAndreas Melidonis
Jan 22, 2019·International Journal of Clinical Practice·Nazma Akter NazuTiina Laatikainen
Oct 27, 2018·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Joseph FeatherallLisa Yerian
Nov 16, 2016·Semergen·E Vinyoles-BargallóP Rodríguez-Fortúnez

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Methods Mentioned

BETA
amputation
amputations

Software Mentioned

GCQI
SPSS
GEDAPS

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