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Selecting Indicators for the Quality of Diabetes Care at the Health Systems Level in OECD Countries

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  • Sheldon Greenfield
  • Antonio Nicolucci
  • Soeren Mattke

Abstract

This report presents the recommendations of an international expert group on indicators for diabetes care. Based on a review of existing indicators and an assessment of gaps left open by existing indicators, the experts set out to select indicators to cover clinical processes of diabetes care as well as proximal and distal outcomes of care. The review led to a recommendation of nine indicators: annual HbA1c testing, annual LDL cholesterol testing, annual screening for nephropathy, annual eye exam, HbA1c control, LDL cholesterol control, lower extremity amputation rates, kidney disease in persons with diabetes, and cardiovascular mortality in patients with diabetes. Ce rapport présente les recommandations d’un groupe d’experts internationaux sur les indicateurs relatifs au diabète. Les experts se sont basés sur un examen des indicateurs existants et ont répertorié les carences d’informations des indicateurs existants pour sélectionner des indicateurs devant couvrir des processus cliniques pour le diabète ainsi que des résultats de soins proximaux et distaux. L’examen a conduit à une recommandation des neuf indicateurs suivants : dosage annuel de l’HbA1c, dosage annuel du cholestérol ADL, dépistage annuel pour néphropathie, examen annuel des yeux, contrôle de l’HbA1c, contrôle du cholestérol LDL, taux d’amputations des extrémités inférieures, maladie des reins chez des patients diabétiques, et mortalité cardiovasculaire chez les patients diabétiques.

Suggested Citation

  • Sheldon Greenfield & Antonio Nicolucci & Soeren Mattke, 2004. "Selecting Indicators for the Quality of Diabetes Care at the Health Systems Level in OECD Countries," OECD Health Technical Papers 15, OECD Publishing.
    • Handle: RePEc:oec:elsaae:15-en
    DOI: 10.1787/165531523300
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    Cited by:

    1. Eric Badu & Anthony Paul O’Brien & Rebecca Mitchell & Akwasi Osei, 2020. "Mediation and moderation effects of health system structure and process on the quality of mental health services in Ghana – structural equation modelling," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-19, May.
    2. Yair Zalmanovitch & Nissim Cohen, 2015. "The pursuit of political will: politicians' motivation and health promotion," International Journal of Health Planning and Management, Wiley Blackwell, vol. 30(1), pages 31-44, January.
    3. Jonathan Stokes & Maria Panagioti & Rahul Alam & Kath Checkland & Sudeh Cheraghi-Sohi & Peter Bower, 2015. "Effectiveness of Case Management for 'At Risk' Patients in Primary Care: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(7), pages 1-42, July.
    4. Visca, Modesta & Donatini, Andrea & Gini, Rosa & Federico, Bruno & Damiani, Gianfranco & Francesconi, Paolo & Grilli, Leonardo & Rampichini, Carla & Lapini, Gabriele & Zocchetti, Carlo & Di Stanislao,, 2013. "Group versus single handed primary care: A performance evaluation of the care delivered to chronic patients by Italian GPs," Health Policy, Elsevier, vol. 113(1), pages 188-198.
    5. Oliver Tiemann, 2008. "Variations in hospitalisation costs for acute myocardial infarction – a comparison across Europe," Health Economics, John Wiley & Sons, Ltd., vol. 17(S1), pages 33-45, January.
    6. Lavoie, Josée Gabrielle & Forget, Evelyn L. & Prakash, Tara & Dahl, Matt & Martens, Patricia & O'Neil, John D., 2010. "Have investments in on-reserve health services and initiatives promoting community control improved First Nations' health in Manitoba?," Social Science & Medicine, Elsevier, vol. 71(4), pages 717-724, August.
    7. Pelone, Ferruccio & Kringos, Dionne Sofia & Valerio, Luca & Romaniello, Alessandro & Lazzari, Agnese & Ricciardi, Walter & de Belvis, Antonio Giulio, 2012. "The measurement of relative efficiency of general practice and the implications for policy makers," Health Policy, Elsevier, vol. 107(2), pages 258-268.

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