Area‐wide diabetes care: the Lanarkshire experience with primary health care teams 1994–1997

Abstract

In Lanarkshire (population 560,000) an area-wide diabetes database was introduced and process of care was measured. The number of patients with diabetes identified was 11,621 (prevalence = 2.08). In 1997 50% of the diabetic population were reviewed at least once during the year. Compared to those attending hospital clinics, GP patients were significantly older, female and less likely to be on insulin. During 1994-1997 hospital clinics improved the process of care in nearly all areas, but GP patients were much less likely to have any of the process measures carried out. Initiatives are underway to support general practices, and to improve co-ordination between GP and hospital services.

A countywide primary care annual audit fails to demonstrate an improvement in diabetes care between 1996 and 2001

“…The percentage of Dorset practices participating in the audit between 1996 and 2001 was higher than previously published data, [14][15][16] suggesting that this report represents an accurate assessment of diabetes care by Dorset GPs. The number of participating practices increased over the time of this audit.…”

“…13 Audit provides an important part of clinical governance, and many areas in the UK are involved in multipractice diabetes primary care audit. [14][15][16] One such audit is carried out in Dorset, a rural county in the south of England. The Dorset Diabetes Audit has been performed on an annual basis since 1993, with the first three years showing improvements in diabetes care (Table 1), although the numbers of practices involved were small, and the data currently available incomplete, so that only estimates can be made.…”

“…The Dorset Diabetes Audit has been performed on an annual basis since 1993, with the first three years showing improvements in diabetes care (Table 1), although the numbers of practices involved were small, and the data currently available incomplete, so that only estimates can be made. This is keeping with other reports of audit initiatives, 14,15 while other studies have been cross-sectional. 16 We reviewed the results of the Dorset diabetes CDM programme audit between 1996 and 2001 to investigate the prevalence of known diabetes and to examine if the processes of diabetes care continued to improve after the first few years of the audit.…”

Gender differences in risk factor control and treatment profile in diabetes: a study in 229 Swedish primary health care centres

“…Less is known, however, about corresponding gender differences in the treatment of patients with diabetes, i.e. a growing number of patients usually followed in primary health care (PHC) (4). Further elucidation is required because the risk of macrovascular diabetes complications is generally regarded to be about equally high in both genders.…”

Comparison of optometry vs digital photography screening for diabetic retinopathy in a single district

“…[7][8][9][10] The overall prevalence of diabetic retinopathy in the two screened models varied from 21 to 24%. The prevalence in other studies from the UK has been reported as 30.3% in Exeter 11 (EDRS), 40.4% in the Liverpool Diabetic Eye Study 12 (LDES), 41% in insulin-requiring subjects, 13 and 50% in noninsulinrequiring diabetics 14 in the Melton Mowbray Study (MMS).…”