• Atencion primaria · Jan 2019

    Multicenter Study

    [Efficacy of the strategy to improve the quality indicators of Diabetes Mellitus 2 Care Process in Advanced Diabetes Centre Macarena].

    • Juan Manuel Vélez, Rosa García, Enrique Pina, Cristóbal Morales, Carmen Escalera, Antonio Ortega, Blas Poyatos, Dolores Carrasco, Jesús Prieto, M Ángeles Eslava, J Antonio Corrales, María O Barón, Mercedes Llano, Francisco Ruiz, Romualdo Sánchez, Manuel Victorino Pino, Luisa RedondoMMCentro de Salud San Jerónimo, Distrito Sanitario Sevilla, Sevilla, España., Antonio Castellanos, and Eduardo Mayoral.
    • Centro de Salud Cazalla de la Sierra, Distrito Sanitario Sevilla Norte-Aljarafe, Sevilla, España. Electronic address: juanma.velezmedina@gmail.com.
    • Aten Primaria. 2019 Jan 1; 51 (1): 182318-23.

    IntroductionThe assessment of the Diabetes Mellitus 2 Care Process (PAI-DM2) through the assessment tool for the chronic illness' care models (IEMAC-Diabetes) allows the design of health interventions for the improvement of medical care.ObjectiveAnalysing the quality of healthcare provided to DM2 patients.DesignQuasiexperimental study before and after intervention with a not randomised control group.LocationHealth care district of primary care Sevilla.Participants12 groups of ascribed patients, 5 Primary Care Healthcenter, chosen in a discretionary way.InterventionPhysicians and nurses from the 12 intervention groups took part in a training program, including an external rotation in the Diabetes Daycare Hospital.Main MeasurementsNumber of included patients, glycated hemoglobin, feet exploration (FE), and ocular fundus (OF).Results1,475 DM-2 patients were analysed. The proportion of included patients per group was 8.5%, 45.5% were women. At the beginning of the study, the rate of patients with HbA1c<7% were 38.9% in 2013 against 47.7% in 2014 and 40.2% in 2016; 33% of the patients had an OF in 2013 against 41.77% in 2014; 51.6% of patients had an EF against 54.7% in 2014. After the intervention, statistically significant differences were reached in HbA1c (p=0.01) and retinography requested (p=0.01).ConclusionsIEMAC-Diabetes allows spotting improvement areas in the PAI-DM2. The absence of statistically significant differences may be the result of contamination in the sample and/or Hawthorne effect.Copyright © 2017 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.

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