RESUMEN
A continuous quality improvement programme for the care of registered diabetes patients was introduced in 16 government-affiliated primary health care centres in Dubai. Quality improvement teams were formed, clinical guidelines and information systems were developed, diabetes nurse practitioners were introduced and a team approach was mobilized. Audits before and after the introduction of the scheme showed significant improvements in rates of recording key clinical indicators and in their outcomes. For example, the proportion of patients with glycosylated haemoglobin levels < 7% increased from 20.6% to 31.7% and with LDL cholesterol < 100 mg/dL increased from 20.8% to 33.6%. Mean systolic blood pressure of registered patients fell from 135.3 mmHg to 133.2 mmHg.
Asunto(s)
Centros Comunitarios de Salud/organización & administración , Diabetes Mellitus/terapia , Medicina Familiar y Comunitaria/organización & administración , Atención Primaria de Salud/organización & administración , Gestión de la Calidad Total/organización & administración , Adulto , Presión Sanguínea , Distribución de Chi-Cuadrado , LDL-Colesterol/sangre , Diabetes Mellitus/sangre , Diabetes Mellitus/epidemiología , Femenino , Hemoglobina Glucada/metabolismo , Humanos , Sistemas de Información/organización & administración , Masculino , Auditoría Médica , Persona de Mediana Edad , Modelos Organizacionales , Enfermeras Practicantes/organización & administración , Evaluación de Procesos y Resultados en Atención de Salud , Grupo de Atención al Paciente/organización & administración , Guías de Práctica Clínica como Asunto , Evaluación de Programas y Proyectos de Salud , Indicadores de Calidad de la Atención de Salud , Emiratos Árabes Unidos/epidemiologíaRESUMEN
A continuous quality improvement programme for the care of registered diabetes patients was introduced in 16 government-affiliated primary health care centres in Dubai. Quality improvement teams were formed, clinical guidelines and information systems were developed, diabetes nurse practitioners were introduced and a team approach was mobilized. Audits before and after the introduction of the scheme showed significant improvements in rates of recording key clinical indicators and in their outcomes. For example, the proportion of patients with glycosylated haemoglobin levels < 7% increased from 20.6% to 31.7% and with LDL cholesterol < 100 mg/dL increased from 20.8% to 33.6%. Mean systolic blood pressure of registered patients fell from 135.3 mmHg to 133.2 mmHg
