Fifteen years of continuous improvement of quality care of type 2 diabetes mellitus in primary care in Catalonia, Spain

摘要: SUMMARY Aims: To assess the evolution of type 2 diabetes mellitus (T2DM) quality indicators in primary care centers (PCC) as part Group for Study Diabetes Primary Care (GEDAPS) Continuous Quality Improvement (GCQI) programme Catalonia. Methods: Sequential cross-sectional studies were performed during 1993–2007. Process and outcome random samples patients from each centre collected. The results evaluation returned to encourage implementation correcting interventions. Sixty-four different educational activities study period with participation 2041 professionals. Results: Clinical records 23,501 evaluated. A significant improvement was observed determination some annual process indicators: HbA1c (51.7% vs. 88.9%); total cholesterol (75.9% 90.9%); albuminuria screening (33.9% 59.4%) foot examination (48.9% 64.2%). intermediate also showed improvements: glycemic control [HbA1c £ 7% (< 57 mmol ⁄ mol); (41.5% 64.2%)]; [£ 200 mg dl (5.17 l); (25.5% 65.6%)]; blood pressure 140 90 mmHg; (45.4% 66.1%)]. In addition, a final such prevalence ulcers (7.6% 2.6%); amputations (1.9% 0.6%) retinopathy (18.8% 8.6%) observed. Conclusions: Although those changes should not be strictly attributed GCQI programme, improvements indicators, parameters complications network centres What¢s known clinical have shown that intervention programmes management has positive impact care. However, limited data are currently available settings. new present describes on settings Spain by analysis trend indicators. 1