Quality of Care for Patients with Type 2 Diabetes Mellitus in Dubai: A HEDIS-Like Assessment

Quality of Care for Patients with Type 2 Diabetes Mellitus in Dubai: A HEDIS-Like Assessment

Objective. As little data are available on the quality of type 2 diabetes mellitus (T2DM) care in the Arabian Gulf States, we estimated the proportion of patients receiving recommended monitoring at the Dubai Hospital for T2DM over one year. Methods. Charts from 150 adults with T2DM were systematica...

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Bibliographic Details
Published in:International Journal of Endocrinology Vol. 2015; no. 2015; pp. 47 - 54-106
Main Authors: Levy, Adrian R., Maclean, Ross, Al Awadi, Fatheya F., Al Madani, Abdulrazzaq A., Korol, Ellen E., Korenblat Donato, Bonnie M., Qatami, Lara, Osenenko, Katherine M., Szabo, Shelagh M., Al-Ansari, Jaber
Format: Journal Article
Language:English
Published: Cairo, Egypt Hindawi Limiteds 01-01-2015
Hindawi Publishing Corporation
John Wiley & Sons, Inc
Hindawi Limited
Subjects:
Age
Blood pressure
Calendars
Diabetes
Diabetes therapy
Endocrinology
Health care
Health maintenance organizations
HMOs
Hospitals
Medical care
Pharmaceutical industry
Quality
Quality management
Sensitivity analysis
Type 2 diabetes
Canada
United States
United Arab Emirates
United States > US
Dubai United Arab Emirates
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Summary:Objective. As little data are available on the quality of type 2 diabetes mellitus (T2DM) care in the Arabian Gulf States, we estimated the proportion of patients receiving recommended monitoring at the Dubai Hospital for T2DM over one year. Methods. Charts from 150 adults with T2DM were systematically sampled and quality of care was assessed during one calendar year, using a Healthcare Effectiveness Data and Information Set- (HEDIS-) like assessment. Screening for glycosylated haemoglobin (HbA1c), low-density lipoprotein (LDL), blood pressure, retinopathy, and nephropathy was considered. Patients were classified based on their most recent test in the period, and predictors of receiving quality care were examined. Results. Mean age was 58 years (standard deviation (SD): 12.4 years) and 33% were males. Over the year, 98% underwent HbA1c screening (50% had control and 28% displayed poor control); 91% underwent LDL screening (65% had control); 55% had blood pressure control; 30% had retinopathy screening; and 22% received attention for nephropathy. No individual characteristics examined predicted receiving quality care. Conclusion. Some guideline monitoring was conducted for most patients; and rates of monitoring for selected measures were comparable to benchmarks from the United States. Greater understanding of factors leading to high adherence would be useful for other areas of preventive care and other jurisdictions.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Academic Editor: Matteo Monami
ISSN:1687-8337
1687-8345
DOI:10.1155/2015/413276