Suboptimal quality of type 2 diabetes care discovered through electronic feedback led to increased nurse–GP cooperation. A qualitative study

2010 ◽  
Vol 4 (1) ◽  
pp. 33-39 ◽  
Author(s):  
Trine Lignell Guldberg ◽  
Peter Vedsted ◽  
Torsten Lauritzen ◽  
Vibeke Zoffmann
Keyword(s):  
Type 2 Diabetes ◽  
Qualitative Study ◽  
Diabetes Care ◽  
Electronic Feedback

scholarly journals Health Care Transformation Initiatives in Type 2 Diabetes Care: A Qualitative Study in the Cincinnati Beacon Community

2015 ◽  
Vol 28 (2) ◽  
pp. 132-140
Author(s):  
Ronda Christopher ◽  
Tara Trudnak ◽  
Regina Hemenway ◽  
Sara Bolton ◽  
Barbara Tobias ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Health Care ◽  
Qualitative Study ◽  
Diabetes Care ◽  
Health Care Transformation

scholarly journals Patients’ Assessment of Care for Type 2 Diabetes: Results of the Patient Assessment of Chronic Illness Care Scale in A Danish Population

2020 ◽  
Author(s):  
Anne Frølich ◽  
Ann Nielsen ◽  
Charlotte Glümer ◽  
Hanne Birke ◽  
Christian U Eriksen ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Quality Of Care ◽  
Chronic Illness ◽  
Diabetes Care ◽  
Emergency Department Visits ◽  
Descriptive Statistics ◽  
Chronic Illness Care ◽  
Patient Assessment

Abstract Background: The Patient Assessment of Chronic Illness Care (PACIC) scale is the most appropriate for assessing self-reported experience in chronic care. However, it has yet to be validated in a Danish diabetes population. We aimed to validate the PACIC, assess the quality of care for Danish patients with type 2 diabetes, and identify factors associated with quality of care. Methods: A survey of 7,745 individuals randomly selected from the National Diabetes Registry. Descriptive statistics inter-item and item-rest correlations and factor analysis assessed the PACIC properties. Quality of care was analysed with descriptive statistics; linear and multiple regression assessed the effect of forty-nine covariates on total and subscale scores. Results: In total, 2,696 individuals with type 2 diabetes completed ≥ 50% of items. The floor effect for individual items was 8.5-74.5%; the ceiling effect was 4.1- 47.8 %. Cronbach’s alpha was 0.73-0.86 for the five subscales. The comparative fit index (CFI) and the Tucker–Lewis index (TLI) were 0,87, and 0,84, respectively. Mean PACIC score was 2.44 (± 0.04). Respondents receiving rehabilitation and reporting primary of diabetes care had higher total mean scores; those 70 years or older had lower mean total and subscale scores. A higher number of diabetes visits were associated with higher total scores; higher number of emergency department visits were associated with lower total scores. The effect of healthcare utilisation on subscale scores varied. Conclusions: Floor effects suggest a need for further evaluation of the PACIC questionnaire in Danish settings. Total PACIC scores were lower than in other healthcare systems, possibly being a result of different contexts and cultures, and of a need for improving diabetes care in Denmark.

scholarly journals Listening to Older Adults' Values and Preferences for Type 2 Diabetes Care: A Qualitative Study

2014 ◽  
Vol 27 (1) ◽  
pp. 44-49 ◽  
Author(s):  
E. A. Beverly ◽  
L. A. Wray ◽  
C. L. LaCoe ◽  
R. A. Gabbay
Keyword(s):  
Type 2 Diabetes ◽  
Older Adults ◽  
Qualitative Study ◽  
Diabetes Care

scholarly journals AMD Annals 2020 - Synopsis on Type 2 Diabetes. Evaluation of AMD quality indicators of type 2 diabetes care in Italy

2021 ◽  
Vol 24 (1) ◽  
pp. 19
Author(s):  
Michelli , A.
Keyword(s):  
Type 2 Diabetes ◽  
Diabetes Care ◽  
Data File ◽  
New Drugs ◽  
Lipid Lowering ◽  
Type2 Diabetes ◽  
Quality Of Diabetes Care ◽  
Hba1c Levels

OBJECTIVE OF THE STUDY The AMD 2020 Annals on Type 2 Diabetes (DM2) set out to show, 2 years after the last evaluation, how the quality of DM2 care has evolved in Italy. DESIGN AND METHODS In order to participate in the initiative, the centers had to be equipped with information systems capable of guaranteeing the standardized extraction of the information necessary for the creation of the AMD Data File. The data analyzed concern socio-de-mographic and clinical characteristics and volume of activity. The selection of indicators is based on Revision 8 of June 2019 (AMD Annals website). RESULTS DM2 patients increased to 473,740 (57.1% M; 42.9% F, 67.4% aged> 65 y). 6% new diagnoses. All monitoring indicators, of favorable and unfavorable outcome, have improved: 52.9% of DM2 have HbA1c levels <= 7.0%(53 mmol/mol), 63.5% have LDL cholesterol values <100 mg / dl, 53,5% have blood pressure levels <140/80 mmHg, 39.9% are obese. The proportion of patients with GFR <60 mL/min*1.73 m2 rose to 29%, and 7.1% had GFR <30 mL / min. Therapy: there is a reduction in the use of sulfonylureas and glinides (19.9%); stable use of insulin; new drugs are increasingly prescribed (DPPIVi:21%; GLP1-RA: 5.9%; SGLT2i: 9.6%). 60.8% are on lipid-lowering treatment, 70% are on antihypertensive therapy, but 48.6% are not on target. Complications: 22% have diabetic retinopathy; 7.5% had myocardial infarction, 2.7 had a stroke, 14.7% had a history of cardiovascular disease. 50.8% of subjects with age>75a have HbA1c levels <= 7.0%(53 mmol/mol), of these 16.3% are treated with drugs that can induce hypoglycemia. Patients with Q Score> 25 are growing (60.3%). CONCLUSIONS The AMD 2020 Annals on DM2 show a marked improvement in all indicators of quality of care, but large areas of undertreatment and other overtreatment remain, and call to action. KEY WORDS AMD Annals; type2 diabetes mellitus; quality of diabetes care in type 2 diabetes patients in Italy; undertreatment; overtreatment.

824-P: Quality of Behavior Change Action Plans Created in Primary Care Settings as a Tool for Patient Involvement in Type 2 Diabetes Care

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 824-P
Author(s):  
PERNILLE H. KJAER ◽  
MANSI DEDHIA ◽  
JOSÉ PARRA ◽  
LAWRENCE FISHER ◽  
MICHAEL B. POTTER ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Primary Care ◽  
Behavior Change ◽  
Diabetes Care ◽  
Patient Involvement ◽  
Action Plans ◽  
Primary Care Settings
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