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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
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    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.

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    File URL: http://dx.doi.org/10.1787/165531523300
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    Bibliographic Info

    Paper provided by OECD Publishing in its series OECD Health Technical Papers with number 15.

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    Date of creation: 28 Oct 2004
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    Handle: RePEc:oec:elsaae:15-en

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