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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Language: | English |
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2015-01-01
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Series: | International Journal of Endocrinology |
Online Access: | http://dx.doi.org/10.1155/2015/413276 |
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author | Shelagh M. Szabo Katherine M. Osenenko Lara Qatami Bonnie M. Korenblat Donato Ellen E. Korol Abdulrazzaq A. Al Madani Fatheya F. Al Awadi Jaber Al-Ansari Ross Maclean Adrian R. Levy |
author_facet | Shelagh M. Szabo Katherine M. Osenenko Lara Qatami Bonnie M. Korenblat Donato Ellen E. Korol Abdulrazzaq A. Al Madani Fatheya F. Al Awadi Jaber Al-Ansari Ross Maclean Adrian R. Levy |
author_sort | Shelagh M. Szabo |
collection | DOAJ |
description | 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. |
format | Article |
id | doaj-art-072569e1063442cd9486170100725766 |
institution | Kabale University |
issn | 1687-8337 1687-8345 |
language | English |
publishDate | 2015-01-01 |
publisher | Wiley |
record_format | Article |
series | International Journal of Endocrinology |
spelling | doaj-art-072569e1063442cd94861701007257662025-02-03T06:06:01ZengWileyInternational Journal of Endocrinology1687-83371687-83452015-01-01201510.1155/2015/413276413276Quality of Care for Patients with Type 2 Diabetes Mellitus in Dubai: A HEDIS-Like AssessmentShelagh M. Szabo0Katherine M. Osenenko1Lara Qatami2Bonnie M. Korenblat Donato3Ellen E. Korol4Abdulrazzaq A. Al Madani5Fatheya F. Al Awadi6Jaber Al-Ansari7Ross Maclean8Adrian R. Levy9ICON Epidemiology, 450-688 W Hastings Street, Vancouver, BC, V6B 1P1, CanadaICON Epidemiology, 450-688 W Hastings Street, Vancouver, BC, V6B 1P1, CanadaBristol-Myers Squibb, P.O. Box 454409, Dubai, UAEBristol-Myers Squibb, 5 Research Parkway, Wallingford, CT 06492, USAICON Epidemiology, 450-688 W Hastings Street, Vancouver, BC, V6B 1P1, CanadaDubai Hospital, Al Khaleeja Street, Al Baraha, Dubai, UAEDubai Hospital, Al Khaleeja Street, Al Baraha, Dubai, UAEDubai Hospital, Al Khaleeja Street, Al Baraha, Dubai, UAEPrecision Health Economics, 11100 Santa Monica Boulevard, Suite 500, Los Angeles, CA 90025, USADepartment of Community Health and Epidemiology, Dalhousie University, 425-5790 University Avenue, Halifax, NS, B3H 1V7, CanadaObjective. 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.http://dx.doi.org/10.1155/2015/413276 |
spellingShingle | Shelagh M. Szabo Katherine M. Osenenko Lara Qatami Bonnie M. Korenblat Donato Ellen E. Korol Abdulrazzaq A. Al Madani Fatheya F. Al Awadi Jaber Al-Ansari Ross Maclean Adrian R. Levy Quality of Care for Patients with Type 2 Diabetes Mellitus in Dubai: A HEDIS-Like Assessment International Journal of Endocrinology |
title | Quality of Care for Patients with Type 2 Diabetes Mellitus in Dubai: A HEDIS-Like Assessment |
title_full | Quality of Care for Patients with Type 2 Diabetes Mellitus in Dubai: A HEDIS-Like Assessment |
title_fullStr | Quality of Care for Patients with Type 2 Diabetes Mellitus in Dubai: A HEDIS-Like Assessment |
title_full_unstemmed | Quality of Care for Patients with Type 2 Diabetes Mellitus in Dubai: A HEDIS-Like Assessment |
title_short | Quality of Care for Patients with Type 2 Diabetes Mellitus in Dubai: A HEDIS-Like Assessment |
title_sort | quality of care for patients with type 2 diabetes mellitus in dubai a hedis like assessment |
url | http://dx.doi.org/10.1155/2015/413276 |
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