Quality of care provided by general practitioners using or not using Division‐based diabetes registers

Harris, Mark F; Infante, Fernando A; O’Toole, Brian I.; Priddin, Debbie; Ruscoe, Warwick

doi:10.5694/j.1326-5377.2003.tb05591.x

Cited by 12 publications

(22 citation statements)

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“…There is dissonance between the relatively high rates of routine checks and apparent lack of therapeutic action on glycaemia among Indigenous patients compared with general practice in New South Wales 14 , 15 …”

Section: Discussionmentioning

confidence: 99%

Diabetes care in remote northern Australian Indigenous communities

McDermott

Tulip

Schmidt

2004

Medical Journal of Australia

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Objective: To assess primary care processes and clinical characteristics of adults with diabetes in remote northern Australian Indigenous communities. Design: Clinical audit from diabetes registers in 21 remote primary healthcare centres in the Torres Strait Health Service District (n = 921), three in Cape York, Queensland (n = 252), and three in the Northern Territory (n = 194), between September 2002 and February 2003. Participants and setting: Aboriginal and Torres Strait Islander adults with diabetes who were receiving their routine diabetes care in these 27 centres. Main outcome measures: Provision of regular checks for weight, blood pressure, glycaemia (HbA1c), proteinuria, lipid levels, renal function, eyes and feet, influenza and pneumococcal vaccination. Weight, blood pressure and glycaemic control. Results: Most routine diabetes checks were delivered according to recommended schedules, except for eye and foot checks in the NT. There were uniformly high rates of appropriate treatment for hypertension and albuminuria, but low rates of insulin treatment and self‐monitoring despite a high mean HbA1c level (8.9%). Vaccination rates were low in the NT. Torres Strait Islanders with diabetes were significantly heavier than Aboriginals, but had lower mean diastolic blood pressure (77.3 mmHg compared with 79.5 mmHg) and lower prevalence of albuminuria and smoking. Conclusion: A high proportion of Aboriginals and Torres Strait Islanders requiring treatment for high blood pressure and proteinuria are receiving it. However, there is dissonance between the relatively high rates of routine checks and apparent lack of therapeutic action on glycaemia. More intensive management of glycaemia, including improved nutrition, exercise and (probably) insulin, is required to reduce microvascular complications.

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Section: Discussionmentioning

confidence: 99%

Diabetes care in remote northern Australian Indigenous communities

McDermott

Tulip

Schmidt

2004

Medical Journal of Australia

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“…This is an important milestone to develop not only epidemiological research, but also for quality improvement. Some results have shown that those professionals who participate in diabetes registries provide a more evidence‐based care than those who did not [43].In this sense, the availability of annual descriptive reports submitted to case managers, along with health care policy makers and executives will constitute an additional element for decision making.…”

Section: Discussionmentioning

confidence: 99%

Development of the Andalusian Registry of Patients Receiving Community Case Management, for the follow‐up of people with complex chronic diseases

Morales-Asencio

Kaknani‐Uttumchandani

Cuevas-Fernández-Gallego

et al. 2015

Evaluation Clinical Practice

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“…In addition, many organizations reported that these registries were not linked to clinical data, suggesting that the registries are not in active use. Given that studies show that chronic disease registries, when fully utilized, appear to be associated with better clinical processes and outcomes, 14–18 the lack of active registries among most physician organizations indicates a problem that needs attention. In this study, organizations with registries are more likely to provide feedback to physicians about their quality of care and to have patient reminder systems (Table 2).…”

Section: Discussionmentioning

confidence: 99%

“…Numerous studies suggest that chronic disease registries, if utilized in 1 or more of these ways, can improve clinical processes and outcomes for patients with diabetes 14–18 . But while registries are a vital component of CMPs, the extent to which registries are utilized by organizations caring for patients with chronic illness is unknown.…”

mentioning

confidence: 99%

Brief report: The prevalence and use of chronic disease registries in physician organizations

Schmittdiel

Bodenheimer

Solomon³

et al. 2005

J Gen Intern Med

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OBJECTIVE: Disease registries are lists of patients with a particular chronic illness, including clinical information, to improve the care of individuals and populations. The objective of this study was to determine the prevalence of disease registries in physician organizations and the extent to which they are used to improve care. DESIGN:A cross-sectional national telephone survey with a response rate of 70%.SETTING: All physician organizations in the United States with 20 physicians or more.PARTICIPANTS: Chief executive officers, presidents, or medical directors of 1040 physician organizations. INTERVENTIONS:None. MEASUREMENTS AND MAIN RESULTS:Forty-seven percent of organizations reported having a registry for at least 1 chronic illness, with diabetes registries being the most common. Half (51%) of the registries were not linked to clinical data. Organizations with at least 1 registry were more likely to have implemented other chronic care improvements (Po.0001). Factors associated with the presence of registries in physician organizations include external incentives for quality and extent of information technology capabilities.CONCLUSIONS: Disease registries are not utilized by half of physician organizations. This finding is disturbing because registries have the potential to catalyze needed improvement in chronic care management.

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Quality of care provided by general practitioners using or not using Division‐based diabetes registers

Cited by 12 publications

References 0 publications

Diabetes care in remote northern Australian Indigenous communities

Diabetes care in remote northern Australian Indigenous communities

Development of the Andalusian Registry of Patients Receiving Community Case Management, for the follow‐up of people with complex chronic diseases

Brief report: The prevalence and use of chronic disease registries in physician organizations

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