Performance measurements in diabetes care: the complex task of selecting quality indicators

Calsbeek, Hiske; Ketelaar, Nicole; Faber, Marjan J.; Wensing, Michel; Braspenning, Jozé

doi:10.1093/intqhc/mzt073

Cited by 30 publications

(29 citation statements)

References 7 publications

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“…Given that blood glucose levels are recognized as indicators of quality in diabetes care, 40 , 41 it is relevant to know how Brazilian patients fare in this sense. A nationwide cross-sectional study, evaluating 5,750 T2DM patients attending the public health care system, was conducted between 2006 and 2011.…”

Section: Glycemic Control In Brazilian Patients With T2dmmentioning

confidence: 99%

Type 2 diabetes in Brazil: epidemiology and management

Almeida-Pititto¹,

Rodrigues²,

Moraes³

et al. 2015

DMSO

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Type 2 diabetes mellitus (T2DM) is one of the most important epidemic diseases in the world this century, and accounts for 90% of cases of diabetes globally. Brazil is one of the most important examples of the alarming picture of T2DM in emergent societies, being the country with the fourth largest number of people with diabetes. The aim of this paper is to review the literature on diabetes in Brazil, specifically looking at the epidemiology and management of T2DM. A literature search was conducted using PubMed and LILACS to identify articles containing information on diabetes in Brazil. Official documents from the Brazilian government, World Health Organization, and International Diabetes Federation were also reviewed.

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Section: Glycemic Control In Brazilian Patients With T2dmmentioning

confidence: 99%

Type 2 diabetes in Brazil: epidemiology and management

Almeida-Pititto¹,

Rodrigues²,

Moraes³

et al. 2015

DMSO

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“…Most of the available quality indicators for diabetes care measure whether risk factors are monitored and target levels are achieved, whereas few focus on the quality of prescribing . Indicators focusing on prescribing are more direct measures of actions of the healthcare professionals, and can be a meaningful addition in quality assessments to support providers to prescribe appropriately .…”

Section: Introductionmentioning

confidence: 99%

Development and validation of prescribing quality indicators for patients with type 2 diabetes

Smits

Kleefstra²,

Bouma

et al. 2016

Int J Clin Pract

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“…Concerning the composition of papers according to the studied conditions, of the 53 study papers, 18 evaluated the quality of care provided for cardiovascular disorders (33-50) and 12 evaluated cancer conditions (51-62). Eight assessed metabolic disorders and diabetes (63)(64)(65)(66)(67)(68)(69)(70), six assessed acute infections (71)(72)(73)(74)(75)(76), three assessed orthopedic and trauma conditions (77)(78)(79), two assessed pediatric conditions (80,81), two assessed obstetric and gynecological conditions (82,83), one assessed asthma and allergic diseases (84), and one assessed geriatric conditions (85). The majority of the studies (51 in 53 articles) were carried out in high-income countries.…”

Section: Resultsmentioning

confidence: 99%

Assessment of Healthcare Providers’ Performance Considering Three Healthcare Quality Indicators: A Review Article

2016

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Context: In many healthcare systems, the quality of the healthcare delivered is monitored using a number of "indicators." In the present review, we investigate studies that address issues with the care delivered by healthcare providers. To do this, we employ indicators of the quality of those healthcare services. Evidence Acquisition:The studies for the review were identified by searching a number of electronic databases, including Cochrane Library, PubMed, Scopus, Ovid (Medline), the Social Sciences Citation Index, SID (Scientific Information Database, or Persian database), and Iran Medex (Persian database). Of 8,850 studies published between January 1971 and May 2015, 53 met the study criteria and were reviewed. In this study, the following key words were searched, both alone and in combination: health, healthcare, health care, provider*, effectiveness, quality, clinical outcome, patient satisfaction, and quality of life. We also considered healthcare quality indicators such as "clinical outcome," "patient satisfaction," and "quality of life" for our assessment of the quality of healthcare providers.Results: Of the 53 papers selected, 18 assessed the quality of care provided for cardiovascular disorders, 12 studied cancer conditions, eight dealt with metabolic disorders and diabetes, six focused on acute infection, three assessed orthopedics and trauma conditions, two studied pediatric conditions, two assessed obstetrics and gynecology conditions, one dealt with asthma and allergic disease conditions, and one assessed geriatric conditions. In our assessment of improvements in healthcare providers' performance based on healthcare quality indicators, improvements in clinical outcomes ranged from 26.6% for cancer conditions to 98.8% for pediatric and gynecological conditions. An acceptable level of patient satisfaction was achieved in the range of 30.2% for cancer conditions to 96.0% for pediatric conditions, while improvements to quality of life ranged from 12.5% for cancer conditions to 88.7% for acute infection.Conclusions: Taking account of three indicators for assessing the quality of healthcare providers (clinical outcome, patient satisfaction, and quality of life), the highest improvement levels among providers were observed for pediatric and gynecological conditions, and the lowest improvement levels were found for cancer conditions.

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Performance measurements in diabetes care: the complex task of selecting quality indicators

Cited by 30 publications

References 7 publications

Type 2 diabetes in Brazil: epidemiology and management

Type 2 diabetes in Brazil: epidemiology and management

Development and validation of prescribing quality indicators for patients with type 2 diabetes

Assessment of Healthcare Providers’ Performance Considering Three Healthcare Quality Indicators: A Review Article

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