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
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
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DOI：
10.1111/ijcp.12208
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发表时间：
2013-12-01
影响因子：
2.6
通讯作者：
Gagliardino, J. J.
中科院分区：
文献类型：
--
作者：
Commendatore, V.;Dieuzeide, G.;Gagliardino, J. J.
目的在三个拉丁美洲国家的六个专业中心实施患者登记并收集与2型糖尿病患者护理相关的数据，使用标准化表格测量此类护理的质量（CAPIDIAB）收集关于不同护理质量指标的信息，并分析收集这些信息对提高护理质量和进行临床研究的潜力。在6个糖尿病中心（4个在阿根廷，哥伦比亚和秘鲁各1个），分析了1157例2型糖尿病患者的临床、代谢和治疗指标、微血管和大血管并发症、诊断和治疗要素的使用率以及2型糖尿病患者的住院情况（阿根廷，668;哥伦比亚，220;秘鲁，269）; 39份记录因数据输入错误或不一致而被丢弃。这些数据表明，在几个程序，包括足部和眼底检查和各种心血管筛查测试的频率性能不足。相比之下，HbA（1c）和心血管风险因素评估的频率高于国际指南的建议。胰岛素治疗的管理是次优的，糖尿病教育indicators.ConclusionsPatient注册表之间也注意到了不足之处，成功地实施了互动教育计划后，在这些诊所。所获得的数据提供了有用的信息，在护理的缺陷，并可用于指导护理质量的改进工作。
AimsTo 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.MethodsWe 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.ResultsWe 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, HbA(1c) 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.ConclusionsPatient 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.Linked Comment: .