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Monitoring change in diabetes care using diabetes registers--experience from divisions of general practice
A Georgiou1, J Burns, S McKenzie
1Centres for Primary Health Care and Equity, School of Public Health and Community Medicine, University of New South Wales.
Background:
The quality of care for patients with type 2 diabetes has been the subject of a number of government initiatives over the past decade. General practice has an especially important role in diabetes care.
Methods:
The National Integrated Diabetes Program was introduced in 2001. Changes in the frequency of assessment and the physiological markers of diabetic control were assessed in a cohort of 2731 patients with type 2 diabetes from 16 general practice diabetes registers during 2000-2002.
Results:
Frequency of assessment was better in patients living in low socioeconomic postcodes but did not change significantly over the 3 years. There were improvements in intermediate outcomes (HbA1c, systolic and diastolic blood pressure, lipid levels) over the period.
Discussion:
These data provide a benchmark for improvement in the quality of diabetes care in general practice.
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