Home Print this page Email this page Users Online: 675
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Year : 2018  |  Volume : 6  |  Issue : 2  |  Page : 68-76

Closing gaps in diabetes care: From evidence to practice

1 Diabetes and Endocrine Center, Dammam Medical Complex, Dammam, Kingdom of Saudi Arabia
2 Department of Quality, Maternity and Children Hospital, Dammam, Kingdom of Saudi Arabia
3 Department of Medicine, Dammam Medical Complex, Dammam, Kingdom of Saudi Arabia

Correspondence Address:
Ebtesam Mohammed Ba-Essa
Diabetes and Endocrine Center, Dammam Medical Complex, P.O. Box 250, Dammam, Post Code 31411
Kingdom of Saudi Arabia
Login to access the Email id

DOI: 10.4103/sjmms.sjmms_86_17

PMID: 30787824

Rights and Permissions

Background: Tracking progress in diabetes care may help in evaluating the quality of efforts and identifying gaps in the care. Objectives: To demonstrate that tracking important clinical indicators of diabetes mellitus can result in improved care as well as help identify and close gaps between evidence and practice in diabetes care. Subjects and Methods: The study is an observational, random audit of medical records of patients with diabetes who received care at the Diabetes Center, Dammam Medical Complex. Thirteen process and four outcome key performance indicators were studied using the quality improvement Plan–Do–Study–Act model, for the period between October 2012 and March 2016. Individual physician performance was also measured for the same duration. All data were benchmarked against peer organizations worldwide. Results: Urine examination for proteinuria, foot examination, annual influenza vaccination, aspirin prescription, structured education, personalized nutritional advice and self-monitoring of blood glucose significantly improved between baseline and the final observation of the study (P < 0.001). The proportion of patients with hemoglobin A1c >9% decreased, and that of those who achieved the recommended levels of hemoglobin A1c (<7%), low-density lipoprotein cholesterol (<2.6 mmol/L) and blood pressure (<140/90 mmHg) significantly increased (P < 0.001). Benchmarking against peer organizations worldwide showed comparable results overall, and better results for certain indicators. Conclusion: Quality improvement strategies and key performance indicators can be utilized to improve the quality of diabetes care delivered, and thus reduce gaps and barriers that exist between recommended diabetes care and practice.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded612    
    Comments [Add]    
    Cited by others 3    

Recommend this journal