Kvalitetsvurdering af diabetesskole og delekontrol mellem almen praksis og diabetesambulatorium
Sammanfattning
Aim: To evaluate the quality of diabetes group-based education followed by shared care. The diabetes education program includes screening for diabetic complications and a scheme for follow-up is planned. Patients with microvascular complications visit the diabetes clinic four times a year. Patients without microvascular complications visit their general practitioner every third month and the diabetes clinic once a year. Materials and methods: Retrospective data of 100 newly-referred patients with Type 2 diabetes with quality standards given in parenthesis. Results: 86% (> 80%) of the patients visited our diabetes clinic 2 years after diabetes education and 73% (> 80%) visited their general practitioner. After 2 years HbA1c and blood pressure were assessed in 100% of the patients (> 95%), while urinary albumin was measured in 99% (> 90%) and eye examinations performed in 95% (> 90%) of the patients. HbA1C< 7% was found in 55% (60%) 2 years after the diabetes education. HbA1C< 8% was found in 83% (> 80%) after 2 years after diabetes education. Blood pressure = 130/80 mmHg was found in 40% 2 years after diabetes education. Blood pressure = 140/90 mmHg was found in 62% (> 80%) 2 years after diabetes education. Permanent micro- and macroalbuminuria was shown in 7% at diabetes education and 3% 2 years later. Total cholesterol < 4.5 mmol/l in 57% (> 80%) 2 years after diabetes education. Conclusion: The quality of the organization of diabetes care and glycemic control was good. The goals for management of hyperlipidaemia and blood pressure were not accomplished. By means of screening 7% of patients were diagnosed with micro- or macroalbuminuria.