Changing diabetes® barometer: A global quality monitoring framework for improving patient outcomes

This article has a global perspective and includes examples from several continents i.e. Latin America, Africa, Asia and Europe. The Changing Diabetes® Barometer (CDB) is a Novo Nordisk initiative that works as a worldwide quality monitoring system for diabetes management to measure the gains made in the fight against diabetes focusing on quality of care and patient outcomes. CDB provides a platform for countries to share local diabetes data and good practices. In doing so it aims to disseminate improved practices of care. CDB is conceptualised as a framework that can help change diabetes. Its three cornerstones are “Measure, Share, Improve” (MSI):• MEASURE the quality of diabetes care through patient outcomes and care processes.• SHARE data on the quality of diabetes care and good practices with all relevant stakeholders.• IMPROVE the quality of diabetes care by identifying and actively spreading good practices in diabetes care and inspire others to adopt and follow best practice examples.Italy and Algeria both constitute best practice examples of CDB initiatives. In Italy a registry solution is already solidly implemented and improvements in patient outcomes have been documented. The initiative in Algeria has recently been initiated including establishment of IT equipment in participating clinics to ensure all relevant measurements. This will enable transparency on current level of quality of diabetes care. Both initiatives have the common goal of driving improvements in quality of care and patient outcomes across clinics. India is another good example where data is collected through the CDB aimed at driving improvement of diabetes care in order to improve quality of life for people with diabetes. CDB in India is implemented in five states (Goa, Bihar, Gujarat, Puducherry and Andhra Pradesh) and is planned to be expanded to five additional states.

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Development and Operationalization of a Data Framework to Assess Quality of Integrated Diabetes Care in the Fragmented Data Landscape of Belgium

10.21203/rs.3.rs-1173627/v1 ◽

2022 ◽

Author(s):

Veerle Buffel ◽

Katrien Danhieux ◽

Philippe Bos ◽

Roy Remmen ◽

Josefien Van Olmen ◽

...

Keyword(s):

Primary Care ◽

Quality Of Care ◽

Quality Indicators ◽

Diabetes Care ◽

Care Practice ◽

Data Framework ◽

Related Quality ◽

Quality Of Diabetes Care ◽

Sampling Procedures

Abstract Background. To assess the quality of integrated diabetes care, we should be able to follow the patient throughout the care path, monitor his/her care process and link them to his/her health outcomes, while simultaneously link this information to the primary care system and its performance on the structure and organization related quality indicators. However the development process of such a data framework is challenging, even in period of increasing and improving health data storage and management. This study aims to develop an integrated multi-level data framework for quality of diabetes care and to operationalize this framework in the fragmented Belgium health care and data landscape.Methods. Based on document reviews and iterative expert consultations, theoretical approaches and quality indicators were identified and assessed. After mapping and assessing the validity of existing health information systems and available data sources through expert consultations, the theoretical framework was translated in a data framework with measurable quality indicators. The construction of the data base included sampling procedures, data-collection, and several technical and privacy-related aspects of linking and accessing Belgian datasets.Results. To address three dimensions of quality of care, we integrated the chronic care model and cascade of care approach, addressing respectively the structure related quality indicators and the process and outcome related indicators. The corresponding data framework is based on self-collected data at the primary care practice level (using the Assessment of quality of integrated care tool), and linked health insurance data with lab data at the patient level. Conclusion. In this study, we have described the transition of a theoretical quality of care framework to a unique multilevel database, which allows assessing the quality of diabetes care, by considering the complete care continuum (process and outcomes) as well as organizational characteristics of primary care practices.

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Quality of Diabetes Care (Current Levels, Distribution, and Trends) and Challenges in Measuring Quality of Care

Diabetes Public Health ◽

10.1093/acprof:oso/9780195317060.003.0018 ◽

2010 ◽

pp. 373-412 ◽

Cited By ~ 2

Author(s):

Leonard M. Pogach ◽

David C. Aron

Keyword(s):

Quality Of Care ◽

Diabetes Care ◽

Quality Of Diabetes Care

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Effectiveness of staged diabetes management on the quality of diabetes care in Mexico

Practical Diabetes International ◽

10.1002/pdi.1496 ◽

2010 ◽

Vol 27 (6) ◽

pp. 242-247 ◽

Cited By ~ 2

Author(s):

J Rodriguez-Saldana ◽

MA Morales de Teresa ◽

AC Rosales-Campos ◽

CM Clark ◽

RS Mazze ◽

...

Keyword(s):

Diabetes Care ◽

Diabetes Management ◽

Quality Of Diabetes Care

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Developing an Australian multi-module clinical quality registry for gynaecological cancers: a protocol paper

BMJ Open ◽

10.1136/bmjopen-2019-034579 ◽

2020 ◽

Vol 10 (2) ◽

pp. e034579

Author(s):

Natalie Heriot ◽

Alison Brand ◽

Paul Cohen ◽

Sue Hegarty ◽

Simon Hyde ◽

...

Keyword(s):

Quality Of Care ◽

Patient Outcomes ◽

Best Practice ◽

Clinical Care ◽

Survival Rates ◽

Gynaecological Cancer ◽

Clinical Quality ◽

Quality Registry ◽

Clinical Databases

IntroductionGynaecological cancers collectively account for almost 10% of cancer diagnoses made in Australian women. The extent of variation in gynaecological cancer survival rates and treatment outcomes across Australia is not well documented. The purpose of the clinical quality registry described in this paper is to systematically monitor and improve quality of care provided to these women, and facilitate clinical process improvements to ensure better patient outcomes and greater adherence to best practice care. The registry infrastructure has been developed in conjunction alongside the inaugural ovarian, tubal and peritoneal (OTP) module, allowing for concurrent piloting of the methodology and one module. Additional tumour modules will be developed in time to cover the other gynaecological tumour types.Method and analysisThe National Gynae-Oncology Registry (NGOR) aims to capture clinical data on all newly diagnosed cancers of the uterus, ovary, fallopian tubes, peritoneum, cervix, vulva and vagina in Australia with a view to using these data to support improved clinical care and increased adherence to ‘best practice’. Data are sourced from existing clinical databases maintained by clinicians and/or hospital gynaecological cancer units. A pilot phase incorporating only OTP cancers has recently been conducted to assess the feasibility of the registry methodology and assess the support of a quality initiative of this nature among clinicians and other key stakeholders.Ethics and disseminationThe NGOR has received National Mutual Acceptance (NMA) ethics approval from Monash Health Human Research Ethics Committee (HREC), NMA HREC Reference Number: HREC/17/MonH/198. We also have approval from Mercy Health HREC and University of Tasmania HREC. Data will be routinely reported back to participating sites illustrating their performance against measures of agreed best practice. It is through this feedback system that the registry will support changes to quality of care and improved patient outcomes.

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Quality of diabetes care in the UK: comparison of published quality-of-care reports with results of the Quality and Outcomes Framework for Diabetes

Diabetic Medicine ◽

10.1111/j.1464-5491.2007.02276.x ◽

2007 ◽

Vol 24 (12) ◽

pp. 1436-1441 ◽

Cited By ~ 72

Author(s):

K. Khunti ◽

R. Gadsby ◽

C. Millett ◽

A. Majeed ◽

M. Davies

Keyword(s):

Quality Of Care ◽

Diabetes Care ◽

Quality Of Diabetes Care ◽

Quality And Outcomes ◽

The Uk ◽

Quality And Outcomes Framework

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Program Lifts The Quality of Diabetes Care

Family Practice News ◽

10.1016/s0300-7073(10)70920-8 ◽

2010 ◽

Vol 40 (14) ◽

pp. 58-59

Author(s):

MICHELE G. SULLIVAN

Keyword(s):

Diabetes Care ◽

Quality Of Diabetes Care

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Understanding the quality of diabetes care in Japan: a systematic review of the literature

Diabetology International ◽

10.1007/s13340-021-00497-3 ◽

2021 ◽

Author(s):

Joanna Mitri ◽

Takehiro Sugiyama ◽

Hirokazu Tanaka ◽

Mitsuru Ohsugi ◽

Robert A. Gabbay

Keyword(s):

Systematic Review ◽

Diabetes Care ◽

Review Of The Literature ◽

Quality Of Diabetes Care

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Care-seeking and managing diabetes in rural Bangladesh: a mixed methods study

BMC Public Health ◽

10.1186/s12889-021-11395-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Hannah Maria Jennings ◽

Joanna Morrison ◽

Kohenour Akter ◽

Hassan Haghparast-Bidgoli ◽

Carina King ◽

...

Keyword(s):

Quality Of Care ◽

Health Care Providers ◽

Low Income ◽

Diabetes Management ◽

Local Health ◽

Care Seeking ◽

Care Providers ◽

Structured Interviews ◽

Rural Bangladesh

Abstract Background Type 2 diabetes mellitus poses a major health challenge worldwide and in low-income countries such as Bangladesh, however little is known about the care-seeking of people with diabetes. We sought to understand the factors that affect care-seeking and diabetes management in rural Bangladesh in order to make recommendations as to how care could be better delivered. Methods Survey data from a community-based random sample of 12,047 adults aged 30 years and above identified 292 individuals with a self-reported prior diagnosis of diabetes. Data on health seeking practices regarding testing, medical advice, medication and use of non-allopathic medicine were gathered from these 292 individuals. Qualitative semi-structured interviews and focus group discussions with people with diabetes and semi-structured interviews with health workers explored care-seeking behaviour, management of diabetes and perceptions on quality of care. We explore quality of care using the WHO model with the following domains: safe, effective, patient-centred, timely, equitable and efficient. Results People with diabetes who are aware of their diabetic status do seek care but access, particularly to specialist diabetes services, is hindered by costs, time, crowded conditions and distance. Locally available services, while more accessible, lack infrastructure and expertise. Women are less likely to be diagnosed with diabetes and attend specialist services. Furthermore costs of care and dissatisfaction with health care providers affect medication adherence. Conclusion People with diabetes often make a trade-off between seeking locally available accessible care and specialised care which is more difficult to access. It is vital that health services respond to the needs of patients by building the capacity of local health providers and consider practical ways of supporting diabetes care. Trial registration ISRCTN41083256. Registered on 30/03/2016.

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