作者: J. P. New , S. Hollis , F. Campbell , D. McDowell , E. Burns
关键词: Cohort study 、 Logistic regression 、 Population 、 Care provision 、 Generalized estimating equation 、 Medicine 、 Shared care 、 Blood pressure 、 Diabetes mellitus 、 Pediatrics
摘要: Aims/hypothesis. To examine changes in diabetes care provision after the introduction of a district information system.¶Methods. All patients with registered on system between 1993 and 1998 (n = 6544) were included analysis. Drop-out cohort analysis was used to handle population changes, logistic regression models general estimating equations clinical performance over time.¶Results. After system, processes improved appreciably, both primary secondary care. The proportion receiving preventative review within calendar year rose from 56 % 67 1998. these whom each process completed all categories 1998: blood pressure 96 98 %; glycaemic check 93 lipid 31 68 renal 46 87 fundoscopy 79 92 foot screen %. Similarly there an increase achieving intermediate outcome treatment targets (HbA1 c≤ 9.0 29 43 cholesterol ≤ 5.5 mmol/l 5 19 160/90 37 %).¶Conclusion/interpretation. Our results suggest appreciable improvements These apply entire across shared We believe that could, part, be attributable way which has facilitated structured cascade [Diabetologia (2000) 43: 836–843]