[Designing minimum data sets of diabetes mellitus: basis of effectiveness indicators of diabetes management]

ABSTRACT

Measurement of diabetes management effectiveness includes the process of care and its quality, health outcome and response to care before everything; it needs a conceptual framework about this universal disease. Minimum Data Set [MDS] of diabetes make this framework by using standard data element with unique definition and effectiveness indicators preparation of diabetes management. Therefore, this research was accomplished to study the MDS of diabetes as diabetes management effectiveness indicators in America, Australia, Scotland, and Finland and also, presentation of model for Iran. This research was an applied descriptive study. At first, we used a questionnaire and checklist to study MDS of diabetes in Tehran; then in selected countries, MDS of diabetes was assessed by published and electronic literatures and at the end, the proposed model was designed in accordance to country's needs taking discerning people attitude upon it by Delphi technique. A data analysis in study stage of MDS of diabetes in the selective countries was done by comparative tables and determination of similarities and differences of the MDS. In the stage of gaining credit for model, it accomplished with descriptive statistics to the extent of absolute and relative frequency. MDS of diabetes for Iran presented in 12 forms and diabetes management effectiveness indicators on base of studying in America, Australia, Scotland, and Finland countries and needs of our country and after doing Delphi technique with 98 percent agreement confirmed. MDS provides continuous care of patients, communication among providers and analysis of patient and patient society care effectiveness. So, it causes decrease of threatening diabetic complications. Collection of MDS of diabetes increases the quality of care assessment and effectiveness indicators for management of care process, quality of services, and health outcome: