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Multicenter Study
. 2006 Nov;99(11):576-81.
doi: 10.1177/014107680609901117.

Association of age, sex and deprivation with quality indicators for diabetes: population-based cross sectional survey in primary care

Jeremy Gray  1 , Christopher Millett, Caoimhe O'Sullivan, Rumana Z Omar, Azeem Majeed
Affiliations
Multicenter Study

Association of age, sex and deprivation with quality indicators for diabetes: population-based cross sectional survey in primary care

Jeremy Gray et al. J R Soc Med. 2006 Nov.

Abstract

Objectives: To determine the quality of diabetes management in primary care after the publication of the National Service Framework and examine the impact of age, gender and deprivation on the achievement of established quality indicators.

Design: Population-based cross sectional survey using electronic general practice records carried out between June-October 2003.

Setting: Thirty-four practices in Wandsworth, South-West London, UK.

Participants: 6035 adult patients (> or =18 years) with diabetes from a total registered population of 201,572 patients.

Interventions: None.

Main outcome measures: Success rates for the diabetes quality indicators within the General Medical Services contract for general practitioners.

Results: We identified large variations in diabetes management between general practitioner practices with poorer recording of quality care in younger patients (18-44 years). In addition, younger patients had a worse cholesterol and glycaemia profile, although hypertension was more common in older patients. Gender and deprivation did not appear to be important determinants of the quality of care received.

Conclusions: There are large variations in diabetes management between general practitioner practices, with care seemingly worse for younger adults. Longitudinal studies are required to determine whether current UK quality improvement initiatives have been successful in attenuating existing variations in care and treatment outcomes.

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References

    1. Leatherman S, Sutherland K. The Quest for Quality In The NHS. A Mid-Term Evaluation of The Ten-Year Quality Agenda. London: The Nuffield Trust, 2003
    1. Department of Health. National Service Framework for Diabetes. London: DoH, 2001 [http://www.dh.gov.uk/AdvancedSearch/SearchResults/fs/en?NP=1&PO1=C&PI1=W...] Accessed July 2006
    1. Campbell S, Roland M, Middleton E, Reeves D. Improvements in quality of clinical care in English general practice 1998-2003: longitudinal observational study. BMJ 2005;331: 1121-5 - PMC - PubMed
    1. Hippisley-Cox J, O'Hanlon S, Coupland C. Association of deprivation, ethnicity, and sex, with quality indicators for diabetes: population based survey of 53 000 patients in primary care. BMJ 2004;329: 1267-70 - PMC - PubMed
    1. Department of Health. National Service Framework for Older People. London: DoH 2001 [http://www.dh.gov.uk/AdvancedSearch/SearchResults/fs/en?NP=1&PO1=C&PI1=W...] Accessed July 2006

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