388 Improvement In Quality Of Diabetes Care In Primary Health Centres: Results Of A Five Years Intervention Programme

Author(s): 
COS X, LLUSSA J, SERRA M, MATA M, CANO JF
Text: 
Aims: To assess changes in quality of care on type 2 Diabetes in Primary Health Care, after an intervention programme based on St. Vincent Declaration.
Patients and Methods:
Cross-sectional study carried out in 1993, 1995 and 1998 in the same 62 Centres attending around 1.300.000 adults. Cases were selected by systematic sampling from the registered diabetics. The intervention was based on publication and delivery of Diabetes Guidelines, performance of Workshops in different geographical areas and meetings to discuss 1993 and 1995 evaluation results
Results: Patients evaluated were 2.246 in 1993, 3016 in 1995 and 3.115 in 1998, without differences in gender, age and diabetes evolution. Impact on process indicators: Impact on Intermediate outcome indicators:
Conclusions:
Results seem to confirm the effectiveness of our programme, specially concerning the self-monitoring in insulin-treated patients and early detection of chronic complications activities, although the low percentage of foot examination led us to organise an specific cycle of workshops. Otherwise, the improvement in the cardiovascular risk control and the decrease in foot ulcers were outstanding.
Literature: 
388 IMPROVEMENT IN QUALITY OF DIABETES CARE IN PRIMARY HEALTH CENTRES: RESULTS OF A FIVE YEARS INTERVENTION PROGRAMME