Registry of people with diabetes in three Latin American countries: a suitable approach to evaluate the quality of health care provided to people with type 2 diabetes
| Autor: | Commendatore, V., Dieuzeide, G., Faingold, C., Fuente, G., Lujan, D., Aschner, P., Lapertosa, S., Villena Chavez, Jaime, Elgart, Jorge Elgart, Gagliardino, Juan Jose, DIFAR Academic Committee |
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| Rok vydání: | 2013 |
| Předmět: |
Male
Pediatrics obesity Latin Americans Ciencias de la Salud Type 2 diabetes hydroxymethylglutaryl coenzyme A reductase inhibitor cardiovascular procedure Health care dipeptidyl carboxypeptidase inhibitor Peru Registries hemoglobin A1c media_common non insulin dependent diabetes mellitus insulin derivative diabetes education Diabetes article beta adrenergic receptor blocking agent General Medicine Middle Aged Hospitalization priority journal health care quality Hypertension disease registry eye examination Female ezetimibe fibric acid derivative cardiovascular risk medicine.medical_specialty insulin hypertension CIENCIAS MÉDICAS Y DE LA SALUD media_common.quotation_subject Argentina sulfonylurea oral antidiabetic agent Colombia Patient Education as Topic Diabetes mellitus medicine Epidemiología Humans Quality (business) Risk factor antilipemic agent screening test insulin treatment Dyslipidemias Quality of Health Care standardization business.industry diuretic agent Clinical Laboratory Techniques practice guideline dyslipidemia medicine.disease major clinical study purl.org/pe-repo/ocde/ford#3.02.00 [https] angiotensin receptor antagonist Clinical research Latin America calcium channel blocking agent Diabetes Mellitus Type 2 Family medicine Hyperglycemia Chronic Disease business metformin Educational program Delivery of Health Care |
| Zdroj: | International journal of clinical practice. 67(12) |
| ISSN: | 1742-1241 |
| Popis: | Aims: To implement a patient registry and collect data related to the care provided to people with type 2 diabetes in six specialized centers of three Latin American countries, measure the quality of such care using a standardized form (QUALIDIAB) that collects information on different quality of care indicators, and analyze the potential of collecting this information for improving quality of care and conducting clinical research. Methods: We collected data on clinical, metabolic and therapeutic indicators, micro- and macrovascular complications, rate of use of diagnostic and therapeutic elements and hospitalization of patients with type 2 diabetes in six diabetes centers, four in Argentina and one each in Colombia and Peru. Results: We analyzed 1157 records from patients with type 2 diabetes (Argentina, 668; Colombia, 220; Peru, 269); 39 records were discarded because of data entry errors or inconsistencies. The data demonstrated frequency performance deficiencies in several procedures, including foot and ocular fundus examination and various cardiovascular screening tests. In contrast, HbA1c and cardiovascular risk factor assessments were performed with a greater frequency than recommended by international guidelines. Management of insulin therapy was sub-optimal, and deficiencies were also noted among diabetes education indicators. Conclusions: Patient registry was successfully implemented in these clinics following an interactive educational program. The data obtained provide useful information as to deficiencies in care and may be used to guide quality of care improvement efforts. Fil: Commendatore, V.. Servicio de Endocrinologia, Diabetes y Nutrici on; Argentina Fil: Dieuzeide, G.. Hospital "Nuestra Sra. del Carmen". Servicio de Endocrinolog ia y Metabolismo; Argentina Fil: Faingold, C.. Unidad Asistencial Dr. C esar Milstein. Servicio de Endocrinologia y Metabolismo; Argentina Fil: Fuente, G.. Hospital "Carlos Durand". Unidad de Nutrici on; Argentina Fil: Lujan, D.. Asociaci on Colombiana de Diabetes; Colombia Fil: Aschner, P.. Asociaci on Colombiana de Diabetes; Colombia Fil: Lapertosa, S.. Provincia de Corrientes. Ministerio de Salud Publica; Argentina Fil: Villena Chavez, Jaime. Universidad Peruana Cayetano Heredia. Departamento de Medicina; Perú Fil: Elgart, Jorge Elgart. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Cientifico Tecnológico La Plata. Centro de Endocrinologia Experimental y Aplicada (i); Argentina Fil: Gagliardino, Juan Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Cientifico Tecnológico La Plata. Centro de Endocrinologia Experimental y Aplicada (i); Argentina Fil: DIFAR Academic Committee. |
| Databáze: | OpenAIRE |
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