Skip Navigation


International Journal for Quality in Health Care Advance Access originally published online on April 14, 2005
International Journal for Quality in Health Care 2005 17(4):281-286; doi:10.1093/intqhc/mzi043
This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
17/4/281    most recent
mzi043v2
mzi043v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (1)
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Reed, R. L.
Right arrow Articles by Dunn, E. V.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Reed, R. L.
Right arrow Articles by Dunn, E. V.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

International Journal for Quality in Health Care vol. 17 no. 4 © The Author 2005. Published by Oxford University Press on behalf of International Society for Quality in Health Care; all rights reserved

A controlled before–after trial of structured diabetes care in primary health centres in a newly developed country

Richard L. Reed1, Anthony D. Revel1,4, Anne O. Carter2, Hussein F. Saadi3 and Earl V. Dunn1

1 United Arab Emirates University, Family Medicine, Al Ain, Abu Dhabi, United Arab Emirates, 2 United Arab Emirates University, Community Medicine, Al Ain, Abu Dhabi, United Arab Emirates, 3 United Arab Emirates University, Internal Medicine, Al Ain, Abu Dhabi, United Arab Emirates, 4 Ministry of Health, Al Ain Medical District, Al Ain, Abu Dhabi, United Arab Emirates

Objective. To evaluate the long-term impact of a structured approach to improving the quality of diabetes care in general practice in the United Arab Emirates.

Design. Controlled before–after trial within a health district with three primary health centres (PHCs) in the intervention group and the six remaining serving as controls. Outcomes and adherence to guidelines were measured over the year before the intervention began and for a second 1-year period at the end of the intervention period. Data were collected by chart abstraction.

Setting. The study was performed in PHCs in the United Arab Emirates, a newly developed country on the Arabian peninsula.

Study participants. Subjects continuously followed in nine PHCs for diabetes care for the period of the study (N = 738) were included in the study.

Intervention. Structured diabetes care, including the development of general practice diabetes clinics, a patient education program, a health care professional education program, and improved recording of clinical information, was provided for the 33-month time period.

Results. There was a statistically significant improvement in three of the process of care variables (ordering HbA1c, cholesterol, and documenting foot examinations) whereas the four remaining variables did not improve. There was limited impact on outcome variables.

Conclusions. The intervention described in this study demonstrated an improvement in some process of care measures suggesting an impact of this type of delivery model in this environment.

Keywords: diabetes mellitus, physician practice pattern, practice guidelines, primary health care, therapy, treatment outcome

Address reprint requests to Richard Reed, Box 17666, Faculty of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates. E-mail: rreed{at}uaeu.ac.ae

Accepted for publication March 6, 2005.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Diabetes CareHome page
H. Alberti, N. Boudriga, and M. Nabli
"Damm Sokkor": Factors Associated With the Quality of Care of Patients With Diabetes: A study in primary care in Tunisia
Diabetes Care, August 1, 2007; 30(8): 2013 - 2018.
[Abstract] [Full Text] [PDF]


Disclaimer:
Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.