scholarly journals AMD Annals 2020 - Synopsis on Type 2 Diabetes. Evaluation of AMD quality indicators of type 2 diabetes care in Italy

2021 ◽  
Vol 24 (1) ◽  
pp. 19
Author(s):  
Michelli , A.
Keyword(s):  
Type 2 Diabetes ◽  
Diabetes Care ◽  
Data File ◽  
New Drugs ◽  
Lipid Lowering ◽  
Type2 Diabetes ◽  
Quality Of Diabetes Care ◽  
Hba1c Levels

OBJECTIVE OF THE STUDY The AMD 2020 Annals on Type 2 Diabetes (DM2) set out to show, 2 years after the last evaluation, how the quality of DM2 care has evolved in Italy. DESIGN AND METHODS In order to participate in the initiative, the centers had to be equipped with information systems capable of guaranteeing the standardized extraction of the information necessary for the creation of the AMD Data File. The data analyzed concern socio-de-mographic and clinical characteristics and volume of activity. The selection of indicators is based on Revision 8 of June 2019 (AMD Annals website). RESULTS DM2 patients increased to 473,740 (57.1% M; 42.9% F, 67.4% aged> 65 y). 6% new diagnoses. All monitoring indicators, of favorable and unfavorable outcome, have improved: 52.9% of DM2 have HbA1c levels <= 7.0%(53 mmol/mol), 63.5% have LDL cholesterol values <100 mg / dl, 53,5% have blood pressure levels <140/80 mmHg, 39.9% are obese. The proportion of patients with GFR <60 mL/min*1.73 m2 rose to 29%, and 7.1% had GFR <30 mL / min. Therapy: there is a reduction in the use of sulfonylureas and glinides (19.9%); stable use of insulin; new drugs are increasingly prescribed (DPPIVi:21%; GLP1-RA: 5.9%; SGLT2i: 9.6%). 60.8% are on lipid-lowering treatment, 70% are on antihypertensive therapy, but 48.6% are not on target. Complications: 22% have diabetic retinopathy; 7.5% had myocardial infarction, 2.7 had a stroke, 14.7% had a history of cardiovascular disease. 50.8% of subjects with age>75a have HbA1c levels <= 7.0%(53 mmol/mol), of these 16.3% are treated with drugs that can induce hypoglycemia. Patients with Q Score> 25 are growing (60.3%). CONCLUSIONS The AMD 2020 Annals on DM2 show a marked improvement in all indicators of quality of care, but large areas of undertreatment and other overtreatment remain, and call to action. KEY WORDS AMD Annals; type2 diabetes mellitus; quality of diabetes care in type 2 diabetes patients in Italy; undertreatment; overtreatment.

scholarly journals Association of mental disorders and quality of diabetes care – A six-year follow-up study of type 2 diabetes patients in North Karelia, Finland

2020 ◽  
Vol 166 ◽  
pp. 108312
Author(s):  
Nazma Akter Nazu ◽  
Katja Wikström ◽  
Marja-Leena Lamidi ◽  
Jaana Lindström ◽  
Hilkka Tirkkonen ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Mental Disorders ◽  
Diabetes Care ◽  
Follow Up Study ◽  
Quality Of Diabetes Care ◽  
Diabetes Patients

Building the evidence for integrated care for type 2 diabetes: a pilot study

2016 ◽  
Vol 22 (5) ◽  
pp. 409 ◽  
Author(s):  
Jessica L. Browne ◽  
Jane Speight ◽  
Carina Martin ◽  
Christopher Gilfillan
Keyword(s):  
Type 2 Diabetes ◽  
Integrated Care ◽  
Diabetes Care ◽  
Controlled Trial ◽  
Care Model ◽  
Service Setting ◽  
Quality Of Diabetes Care ◽  
The Impact

Integrated care models have the potential to reduce fragmentation in the health system and improve outcomes for people with type 2 diabetes. A pilot evaluation of an integrated care model for people with type 2 diabetes in Melbourne, Australia, is reported on. Two studies were conducted: (1) a 6-month pilot randomised controlled trial (n=56) evaluating the impact of the integrated care model relative to hospital outpatient clinics; and (2) a cross-sectional study (n=92) of patients attending the two services. The primary outcome was diabetes-specific distress; secondary outcomes were perceived quality of diabetes care, diabetes-specific self-efficacy and glycated haemoglobin (HbA1c). There was no effect of service setting on diabetes-specific distress. Participants from the integrated care setting perceived the quality of diabetes care to be higher than did participants from the hospital clinics. Significant HbA1c improvements were observed over time, but with no effect of service setting. The model holds promise for people with type 2 diabetes who need more specialist/multidisciplinary care than can be provided in primary care. Patients’ evaluations of the quality of diabetes care received at the integrated care service are very positive, which is likely to be one of the key strengths of the integrated model.

scholarly journals The total prevalence of diagnosed diabetes and the quality of diabetes care for the adult population in Salten, Norway

2020 ◽  
pp. 140349482095100
Author(s):  
Kristina B. Slåtsve ◽  
Tor Claudi ◽  
Knut Tore Lappegård ◽  
Anne K. Jenum ◽  
Marthe Larsen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Type 2 Diabetes ◽  
Vascular Complications ◽  
Haemoglobin A1c ◽  
Total Prevalence ◽  
Quality Of Diabetes Care ◽  
Diagnosed Diabetes

Objective: To assess the total prevalence of types 1 and 2 diabetes and to describe and compare cardiovascular risk factors, vascular complications and the quality of diabetes care in adults with types 1 and 2 diabetes in Salten, Norway. Research design and methods: Cross-sectional study including all patients with diagnosed diabetes in primary and specialist care in Salten, 2014 (population 80,338). Differences in cardiovascular risk factors, prevalence of vascular complications and attained treatment targets between diabetes types were assessed using regression analyses. Results: We identified 3091 cases of diabetes, giving a total prevalence in all age groups of 3.8%, 3.4% and 0.45% for types 2 and 1 diabetes, respectively. In the age group 30–89 years the prevalence of type 2 diabetes was 5.3%. Among 3027 adults aged 18 years and older with diabetes, 2713 (89.6%) had type 2 and 304 (10.0%) type 1 diabetes. The treatment target for haemoglobin A1c (⩽7.0%/53 mmol/mol) was reached in 61.1% and 22.5% of types 2 and 1 diabetes patients, respectively. After adjusting for age, sex and diabetes duration we found differences between patients with types 2 and 1 diabetes in mean haemoglobin A1c (7.1% vs. 7.5%, P<0.001), blood pressure (136/78 mmHg vs. 131/74 mmHg, P<0.001) and prevalence of coronary heart disease (23.1% vs. 15.8%, P<0.001). Conclusions: The prevalence of diagnosed type 2 diabetes was slightly lower than anticipated. Glycaemic control was not satisfactory in the majority of patients with type 1 diabetes. Coronary heart disease was more prevalent in patients with type 2 diabetes.

scholarly journals Patients’ Assessment of Care for Type 2 Diabetes: Results of the Patient Assessment of Chronic Illness Care Scale in A Danish Population

2020 ◽  
Author(s):  
Anne Frølich ◽  
Ann Nielsen ◽  
Charlotte Glümer ◽  
Hanne Birke ◽  
Christian U Eriksen ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Quality Of Care ◽  
Chronic Illness ◽  
Diabetes Care ◽  
Emergency Department Visits ◽  
Descriptive Statistics ◽  
Chronic Illness Care ◽  
Patient Assessment

Abstract Background: The Patient Assessment of Chronic Illness Care (PACIC) scale is the most appropriate for assessing self-reported experience in chronic care. However, it has yet to be validated in a Danish diabetes population. We aimed to validate the PACIC, assess the quality of care for Danish patients with type 2 diabetes, and identify factors associated with quality of care. Methods: A survey of 7,745 individuals randomly selected from the National Diabetes Registry. Descriptive statistics inter-item and item-rest correlations and factor analysis assessed the PACIC properties. Quality of care was analysed with descriptive statistics; linear and multiple regression assessed the effect of forty-nine covariates on total and subscale scores. Results: In total, 2,696 individuals with type 2 diabetes completed ≥ 50% of items. The floor effect for individual items was 8.5-74.5%; the ceiling effect was 4.1- 47.8 %. Cronbach’s alpha was 0.73-0.86 for the five subscales. The comparative fit index (CFI) and the Tucker–Lewis index (TLI) were 0,87, and 0,84, respectively. Mean PACIC score was 2.44 (± 0.04). Respondents receiving rehabilitation and reporting primary of diabetes care had higher total mean scores; those 70 years or older had lower mean total and subscale scores. A higher number of diabetes visits were associated with higher total scores; higher number of emergency department visits were associated with lower total scores. The effect of healthcare utilisation on subscale scores varied. Conclusions: Floor effects suggest a need for further evaluation of the PACIC questionnaire in Danish settings. Total PACIC scores were lower than in other healthcare systems, possibly being a result of different contexts and cultures, and of a need for improving diabetes care in Denmark.

824-P: Quality of Behavior Change Action Plans Created in Primary Care Settings as a Tool for Patient Involvement in Type 2 Diabetes Care

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 824-P
Author(s):  
PERNILLE H. KJAER ◽  
MANSI DEDHIA ◽  
JOSÉ PARRA ◽  
LAWRENCE FISHER ◽  
MICHAEL B. POTTER ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Primary Care ◽  
Behavior Change ◽  
Diabetes Care ◽  
Patient Involvement ◽  
Action Plans ◽  
Primary Care Settings

scholarly journals Factors influencing diabetes self-management among Omani patients with type-2 diabetes: Patients’ perspectives

2017 ◽  
Vol 7 (12) ◽  
pp. 64 ◽  
Author(s):  
Hilal H. Alrahbi ◽  
Said A. Alghenaimi
Keyword(s):  
Type 2 Diabetes ◽  
Self Management ◽  
Individual Interviews ◽  
Factors Influencing ◽  
Patients With Diabetes ◽  
Quality Of Diabetes Care ◽  
Qualitative Descriptive ◽  
Purposive Sample

Background and aim: Management of diabetes requires using different approaches that include self-management in which the patients are the main key players. Diabetes self-management contributes to preventing diabetes-related complications and improving the QOL of patients with diabetes. The aim of this study was to explore the factors influencing diabetes self-management from the perspectives of the patients with type-2 diabetes in Oman.Methods: A qualitative descriptive design using semi-structured individual interviews was used to conduct this study. A purposive sample of 21 Omani patients with type-2 diabetes were interviewed. Interviews were transcribed verbatim and translated into English. Content analysis and constant comparison were used to analyze the data.Results: Eight factors influencing DSM were identified: awareness of diabetes complications and the importance of DSM, ability to adapt, support, fear of consequences, frustration and helplessness, complying with sociocultural norm/ritual, lack of care, and planning.Conclusions: To improve the quality of diabetes care and decrease the devastating diabetes-related complications, managing diabetes has to take the form of a collaborative approach that put into consideration the factors influencing diabetes self-management that were identified by this study.

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