[Analysis on the impact of the introduction of a quality management plan of the diabetes care process in a Health Area of Galicia (Spain)]. / Análisis del impacto de la implantación del plan de gestión de calidad del proceso asistencial de diabetes en un Área Sanitaria de Galicia.
J Healthc Qual Res
; 35(5): 305-311, 2020.
Article
em Es
| MEDLINE
| ID: mdl-32972902
ABSTRACT
OBJECTIVE:
To analyse the impact of a management plan for the diabetes process on the level of control of HbA1c and the rate of hypoglycaemia. MATERIAL ANDMETHODS:
The Health Area had a catchment population of 446,603. An anti-diabetic drug prescription (29,705 patients) was used to select diabetic patients. The variables recorded were percentage of patients with HbA1c <8% and the hypoglycaemia rate before and after implementation of the quality program.RESULTS:
The prevalence of diabetes was 11.8%, with 71.3% of them receiving some pharmacological treatment. In the year 2016, in the Integrated Health Area of Santiago de Compostela (Spain), 59.6% (95% CI 57.9% -61.2%) of the patients had an HbA1c of less than 8%. After the implementation of the quality program, there was an increase in the number of controlled patients, reaching 63.6% (IRQ 16.0%) in 2017, and 63.8% (95% CI 62.5% - 65.2%) in 2018. The annual rate of hypoglycaemia increased non-significantly from 2.8 (95% CI 2.22-3.35) in 2016, to 2.94 (95% CI 2.35-2.35) in 2017 (P=.083), and 3.0 (95% CI 2.44-3.56) in 2018 (P=.399).CONCLUSIONS:
The implementation of the diabetes process management program enabled the level of control of HbA1c to be improved, as well as increase the percentage of patients who undergo regular check-ups, without increasing hypoglycaemia.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Diabetes Mellitus Tipo 2
/
Hipoglicemia
Tipo de estudo:
Prevalence_studies
/
Risk_factors_studies
País/Região como assunto:
Europa
Idioma:
Es
Revista:
J Healthc Qual Res
Ano de publicação:
2020
Tipo de documento:
Article