BACKGROUND: Type 2 diabetes was responsible for 5.8% of the total disease burden in Australia in 2010. Despite advances in clinical management many type 2 diabetes (T2D) patients have suboptimal glycaemic control. METHODS: Using quantitative questionnaires, general practitioners prospectively evaluated their management of 761 T2D patients at two time points, 6 months apart. Following the first audit, GPs received feedback and a decision support tool. Patients were then re-audited to assess if the intervention altered management. RESULTS: The use of annual cycle of care plans significantly increased by 12% during the audit. General practitioner performance improved across all measures with the greatest gains being in the use of care plans and measuring and meeting targets for microalbumin. Glycaemic control was well managed in this cohort (mean HbA1c 6.9% for both audit cycles). DISCUSSION: The Type2Care clinical audit provided decision support tools and diabetes registers that improved the delivery of care to patients with T2D.
BACKGROUND:Type 2 diabetes was responsible for 5.8% of the total disease burden in Australia in 2010. Despite advances in clinical management many type 2 diabetes (T2D) patients have suboptimal glycaemic control. METHODS: Using quantitative questionnaires, general practitioners prospectively evaluated their management of 761 T2D patients at two time points, 6 months apart. Following the first audit, GPs received feedback and a decision support tool. Patients were then re-audited to assess if the intervention altered management. RESULTS: The use of annual cycle of care plans significantly increased by 12% during the audit. General practitioner performance improved across all measures with the greatest gains being in the use of care plans and measuring and meeting targets for microalbumin. Glycaemic control was well managed in this cohort (mean HbA1c 6.9% for both audit cycles). DISCUSSION: The Type2Care clinical audit provided decision support tools and diabetes registers that improved the delivery of care to patients with T2D.
Authors: Sharon Kam; Santiago Angaramo; Jacqueline Antoun; Manasa R Bhatta; Pauleatha Diggs Bonds; Adrian G Cadar; Valentine U Chukwuma; Patrick J Donegan; Zachary Feldman; Alan Z Grusky; Veerain K Gupta; Jeremy B Hatcher; Jaclyn Lee; Natalia G Morales; Erin N Vrana; Bronson C Wessinger; Michael Z Zhang; Michael J Fowler; Chase D Hendrickson Journal: BMJ Open Qual Date: 2022-01