A 3-YEAR EVALUATION OF THE QUALITY OF DIABETES CARE IN THE NORWICH COMMUNITY CARE SCHEME

被引：36

作者：

WILLIAMS, DRR

MUNROE, C

HOSPEDALES, CJ

GREENWOOD, RH

机构：

[1] University Department of Community Medicine, Addenbrooke's Hospital, Cambridge

[2] Diabetes Department, Norfolk and Norwich Hospital, Norwich

来源：

DIABETIC MEDICINE | 1990年 / 7卷 / 01期

关键词：

Audit; Community care; Diabetes mellitus; Diabetic clinic; Evaluation; General practice; Health care research; Primary care; Quality of care;

D O I：

10.1111/j.1464-5491.1990.tb01312.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The care of patients with diabetes was assessed in eight general practices intending to establish mini‐clinics. Seven of these practices subsequently participated in a mini‐clinic scheme incorporating continuing education and audit. After 3 years further data were collected and compared with the baseline assessment. Seven other local practices which had not set up mini‐clinics were also studied. During the time between the baseline survey and the 3—year assessment the proportion of non‐insulin‐treated patients registered with the mini‐clinic practices and receiving regular review in general practice increased from 54 to 84%. The proportions of patients with a record of body weight, blood pressure, urinary glucose, urinary protein, blood glucose, HbA1, visual acuity, examination of the fundus through dilated pupils, examination of the feet, and a consultation with a dietitian within the previous year increased significantly and were higher in mini‐clinic than in comparison practices although, for a substantial number of patients in both groups of practices, these remained unrecorded. This study shows that organized and audited general practice mini‐clinics can improve the process of care for diabetic patients. 1990 Diabetes UK

引用

页码：74 / 79

页数：6

共 15 条

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