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...

Full description

Saved in:
Bibliographic Details
Main Authors: 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
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2015/413276
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832550671635709952
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
work_keys_str_mv AT shelaghmszabo qualityofcareforpatientswithtype2diabetesmellitusindubaiahedislikeassessment
AT katherinemosenenko qualityofcareforpatientswithtype2diabetesmellitusindubaiahedislikeassessment
AT laraqatami qualityofcareforpatientswithtype2diabetesmellitusindubaiahedislikeassessment
AT bonniemkorenblatdonato qualityofcareforpatientswithtype2diabetesmellitusindubaiahedislikeassessment
AT ellenekorol qualityofcareforpatientswithtype2diabetesmellitusindubaiahedislikeassessment
AT abdulrazzaqaalmadani qualityofcareforpatientswithtype2diabetesmellitusindubaiahedislikeassessment
AT fatheyafalawadi qualityofcareforpatientswithtype2diabetesmellitusindubaiahedislikeassessment
AT jaberalansari qualityofcareforpatientswithtype2diabetesmellitusindubaiahedislikeassessment
AT rossmaclean qualityofcareforpatientswithtype2diabetesmellitusindubaiahedislikeassessment
AT adrianrlevy qualityofcareforpatientswithtype2diabetesmellitusindubaiahedislikeassessment