Which people with Type 2 diabetes achieve good control of intermediate outcomes? Population database study in a UK region

• Published in: Diabetic medicine 2009-12, Vol.26 (12), p.1269-1276
• Main Authors: Guthrie, B., Emslie-Smith, A., Morris, A. D.
• Format: Article
• Language: English
• Subjects: Aged; Aged, 80 and over; All-or-nothing quality measures; Biological and medical sciences; Blood Pressure - physiology; cardiovascular disease risk factors; Cardiovascular Diseases - diagnosis; Cholesterol - blood; Diabetes Mellitus, Type 2 - physiopathology; Diabetes Mellitus, Type 2 - therapy; Diabetes. Impaired glucose tolerance; Endocrine pancreas. Apud cells (diseases); Endocrinopathies; Etiopathogenesis. Screening. Investigations. Target tissue resistance; Feeding. Feeding behavior; Female; Fundamental and applied biological sciences. Psychology; Glycated Hemoglobin A - analysis; healthcare quality; Humans; Hypoglycemic Agents - therapeutic use; Male; Medical sciences; Middle Aged; Quality of Health Care; Regression Analysis; Risk Factors; Sex Factors; Smoking; Social Class; Type 2 diabetes mellitus; United Kingdom; Vertebrates: anatomy and physiology, studies on body, several organs or systems; Vertebrates: endocrinology
• ISSN: 0742-3071; 1464-5491
• DOI: 10.1111/j.1464-5491.2009.02837.x

Aims  To measure quality of vascular risk factor measurement and control in people with Type 2 diabetes after comprehensive pay‐for‐performance implementation and to examine variation by patient and practice characteristics. Methods  Multi‐level regression analysis of 10 191 patients with Type 2 diabetes registered with 59 practices in the Tayside region. Quality measures examined were recording of glycated haemoglobin (HbA1c), blood pressure (BP), cholesterol and smoking status in the last 12 months; achievement of recommended intermediate outcome targets (HbA1c≤ 7.4%, BP