Open AccessRegistry of people with diabetes in three Latin American countries: a suitable approach to evaluate the quality of health care provided to people with type 2 diabetes
Author(s) -
Commendatore V.,
Dieuzeide G.,
Faingold C.,
Fuente G.,
Luján D.,
Aschner P.,
Lapertosa S.,
Villena Chávez J.,
Elgart J.,
Gagliardino J. J.
Publication year - 2013
Publication title -
international journal of clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.756
H-Index - 98
eISSN - 1742-1241
pISSN - 1368-5031
DOI - 10.1111/ijcp.12208
Subject(s) - medicine , type 2 diabetes , medical record , diabetes mellitus , health care , latin americans , quality (philosophy) , family medicine , optometry , surgery , linguistics , philosophy , epistemology , endocrinology , economics , economic growth
Summary Aims To implement a patient registry and collect data related to the care provided to people with type 2 diabetes in six specialized centers of three Latin American countries, measure the quality of such care using a standardized form (QUALIDIAB) that collects information on different quality of care indicators, and analyze the potential of collecting this information for improving quality of care and conducting clinical research. Methods We collected data on clinical, metabolic and therapeutic indicators, micro‐ and macrovascular complications, rate of use of diagnostic and therapeutic elements and hospitalization of patients with type 2 diabetes in six diabetes centers, four in Argentina and one each in Colombia and Peru. Results We analyzed 1157 records from patients with type 2 diabetes (Argentina, 668; Colombia, 220; Peru, 269); 39 records were discarded because of data entry errors or inconsistencies. The data demonstrated frequency performance deficiencies in several procedures, including foot and ocular fundus examination and various cardiovascular screening tests. In contrast, HbA 1c and cardiovascular risk factor assessments were performed with a greater frequency than recommended by international guidelines. Management of insulin therapy was sub‐optimal, and deficiencies were also noted among diabetes education indicators. Conclusions Patient registry was successfully implemented in these clinics following an interactive educational program. The data obtained provide useful information as to deficiencies in care and may be used to guide quality of care improvement efforts.