ORBi: Debacker Nathalie - Organization of a quality-assurance project in all Belgian multidisciplinary diabetes centres treating insulin-treated diabetes patients: 5 years' experience.

Reference : Organization of a quality-assurance project in all Belgian multidisciplinary diabetes ce...


	Document type :	Scientific journals : Article
	Discipline(s) :	Human health sciences : Public health, health care sciences & services Human health sciences : Endocrinology, metabolism & nutrition
	To cite this reference:	http://hdl.handle.net/2268/6301

Title :	Organization of a quality-assurance project in all Belgian multidisciplinary diabetes centres treating insulin-treated diabetes patients: 5 years' experience.
Language :	English
Author, co-author :	Debacker, Nathalie [Centre Hospitalier Universitaire de Liège - CHU > > Salle de médecine interne infectiologie -1C >]
	Nobels, F. [> > > >]
	Vandenberghe, H. [> > > >]
	Van Crombrugge, P. [> > > >]
	Scheen, André [Université de Liège - ULg > Département des sciences cliniques > Diabétologie, nutrition et maladie métaboliques - Médecine interne générale >]
	Van Casteren, V. [> > > >]
Publication date :	2008
Journal title :	Diabetic Medicine : A Journal of the British Diabetic Association
Publisher :	Blackwell Science
Volume :	25
Issue/season :	2
Pages :	179-85
Peer reviewed :	Yes (verified by ORBi)
ISSN :	0742-3071
e-ISSN :	1464-5491
City :	Oxford
Country :	United Kingdom
Keywords :	[en] Adolescent ; Adult ; Aged ; Belgium ; Diabetes Mellitus, Type 1/complications/drug therapy ; Diabetes Mellitus, Type 2/complications/drug therapy ; Epidemiologic Methods ; Female ; Humans ; Male ; Middle Aged ; Quality Assurance, Health Care/methods
Abstract :	[en] AIMS: To describe the IQED, a quality-assurance system started in 2001 in Belgian hospital-based multidisciplinary diabetes centres, and its effects on the quality of care. METHODS: The study was conducted through four data collections (in 2001, 2002, 2004 and 2006). Approximately 120 diabetes centres provided data on a systematic random sample of 10% of their adult diabetic patients on at least two daily insulin injections. Data on patient characteristics, glycaemic control, cardiovascular risk, diabetes complications, follow-up procedures and treatment were obtained. Local quality promotion was encouraged by returning comprehensive feedback (benchmarks) and during information meetings. RESULTS: Nearly all diabetes centres (98-100%) participated. The pooled sample consisted of 9194 (32%) Type 1 and 19 828 (68%) Type 2 diabetes patients, with mean diabetes duration of 17 years and 14 years, prevalence of microvascular complications of 23% and 38% and prevalence of macrovascular complications of 9% and 26%, respectively. At the start, the quality of care was good in terms of risk-factor testing rates and moderate in terms of patients meeting goals for risk-factor management. At least 50% of the centres initiated quality-promoting initiatives. After 5 years, significant improvements were seen in risk-factor testing rates, apart from renal screening. Improvements in intermediate outcomes were less obvious, apart from an increase in patients reaching the targets for blood pressure and LDL cholesterol. CONCLUSIONS: It is feasible to implement a continuous quality-improvement project on a nationwide scale, with improvements particularly in process indicators.
Target :	Researchers ; Professionals ; Students
Permalink :	http://hdl.handle.net/2268/6301
DOI :	10.1111/j.1464-5491.2007.02378.x
Other URL :	http://www3.interscience.wiley.com/cgi-bin/fulltext/119405093/PDFSTART
Commentary :	The definitive version is available at www.blackwell-synergy.com

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