File Download
 
Links for fulltext
(May Require Subscription)
 
Supplementary

Article: Quality of diabetes care in public primary care clinics in Hong Kong
  • Basic View
  • Metadata View
  • XML View
TitleQuality of diabetes care in public primary care clinics in Hong Kong
 
AuthorsWong, KW2
Ho, SY1
Chao, DVK2
 
Issue Date2012
 
PublisherOxford University Press. The Journal's web site is located at http://fampra.oxfordjournals.org/
 
CitationFamily Practice, 2012, v. 29 n. 2, p. 196-202 [How to Cite?]
DOI: http://dx.doi.org/10.1093/fampra/cmr060
 
AbstractBACKGROUND: Little is known about the quality of care for patients with Type 2 diabetes in primary care setting in Hong Kong. OBJECTIVES: To investigate the quality of care for patients with Type 2 diabetes in Hong Kong primary care setting and potential disparities by patient characteristics and clinics. METHODS: Cross-sectional study in three general outpatient clinics (GOPCs; public primary care clinics) in Hong Kong involving 1970 patients. Main outcome measures were achievement rates of seven process measures and three intermediate outcome targets and adjusted odds ratios of age, sex, socio-economic status and clinic on the quality measures. RESULTS: The achievement rates for the recording of HbA1c, blood pressure (BP), cholesterol, body mass index, smoking status, nephropathy screening and retinopathy screening in the previous 12 months were 92.8%, 99.9%, 91.0%, 47.9%, 91.3%, 69.0% and 38.0%, respectively. A total of 58.0%, 38.2% and 36.4% of patients achieved the glycaemic, BP and cholesterol targets, respectively. Older patients were less likely to have records of process measures and more likely to achieve the HbA1c target. Women were less likely to have smoking status recorded and to achieve the HbA1c target. Patients of lower socio-economic status were less likely to have records of process measures and to achieve the BP target. Family medicine training practices had better achievements of the quality measures. CONCLUSIONS: There is scope for improvement in the quality of diabetes care in the GOPCs. Variations in the quality of care were observed. Family medicine training may enhance the health care quality.
 
ISSN0263-2136
2012 Impact Factor: 1.828
2012 SCImago Journal Rankings: 0.897
 
DOIhttp://dx.doi.org/10.1093/fampra/cmr060
 
DC FieldValue
dc.contributor.authorWong, KW
 
dc.contributor.authorHo, SY
 
dc.contributor.authorChao, DVK
 
dc.date.accessioned2012-09-20T08:09:41Z
 
dc.date.available2012-09-20T08:09:41Z
 
dc.date.issued2012
 
dc.description.abstractBACKGROUND: Little is known about the quality of care for patients with Type 2 diabetes in primary care setting in Hong Kong. OBJECTIVES: To investigate the quality of care for patients with Type 2 diabetes in Hong Kong primary care setting and potential disparities by patient characteristics and clinics. METHODS: Cross-sectional study in three general outpatient clinics (GOPCs; public primary care clinics) in Hong Kong involving 1970 patients. Main outcome measures were achievement rates of seven process measures and three intermediate outcome targets and adjusted odds ratios of age, sex, socio-economic status and clinic on the quality measures. RESULTS: The achievement rates for the recording of HbA1c, blood pressure (BP), cholesterol, body mass index, smoking status, nephropathy screening and retinopathy screening in the previous 12 months were 92.8%, 99.9%, 91.0%, 47.9%, 91.3%, 69.0% and 38.0%, respectively. A total of 58.0%, 38.2% and 36.4% of patients achieved the glycaemic, BP and cholesterol targets, respectively. Older patients were less likely to have records of process measures and more likely to achieve the HbA1c target. Women were less likely to have smoking status recorded and to achieve the HbA1c target. Patients of lower socio-economic status were less likely to have records of process measures and to achieve the BP target. Family medicine training practices had better achievements of the quality measures. CONCLUSIONS: There is scope for improvement in the quality of diabetes care in the GOPCs. Variations in the quality of care were observed. Family medicine training may enhance the health care quality.
 
dc.description.natureLink_to_subscribed_fulltext
 
dc.identifier.citationFamily Practice, 2012, v. 29 n. 2, p. 196-202 [How to Cite?]
DOI: http://dx.doi.org/10.1093/fampra/cmr060
 
dc.identifier.doihttp://dx.doi.org/10.1093/fampra/cmr060
 
dc.identifier.epage202
 
dc.identifier.hkuros208795
 
dc.identifier.issn0263-2136
2012 Impact Factor: 1.828
2012 SCImago Journal Rankings: 0.897
 
dc.identifier.issue2
 
dc.identifier.pmid21890842
 
dc.identifier.scopuseid_2-s2.0-84859261262
 
dc.identifier.spage196
 
dc.identifier.urihttp://hdl.handle.net/10722/164796
 
dc.identifier.volume29
 
dc.languageeng
 
dc.publisherOxford University Press. The Journal's web site is located at http://fampra.oxfordjournals.org/
 
dc.publisher.placeUnited Kingdom
 
dc.relation.ispartofFamily Practice
 
dc.subject.meshAge Factors
 
dc.subject.meshAged, 80 and over
 
dc.subject.meshDiabetes Mellitus, Type 2 - therapy
 
dc.subject.meshPrimary Health Care - standards
 
dc.subject.meshQuality of Health Care - standards
 
dc.titleQuality of diabetes care in public primary care clinics in Hong Kong
 
dc.typeArticle
 
<?xml encoding="utf-8" version="1.0"?>
<item><contributor.author>Wong, KW</contributor.author>
<contributor.author>Ho, SY</contributor.author>
<contributor.author>Chao, DVK</contributor.author>
<date.accessioned>2012-09-20T08:09:41Z</date.accessioned>
<date.available>2012-09-20T08:09:41Z</date.available>
<date.issued>2012</date.issued>
<identifier.citation>Family Practice, 2012, v. 29 n. 2, p. 196-202</identifier.citation>
<identifier.issn>0263-2136</identifier.issn>
<identifier.uri>http://hdl.handle.net/10722/164796</identifier.uri>
<description.abstract>BACKGROUND: Little is known about the quality of care for patients with Type 2 diabetes in primary care setting in Hong Kong. OBJECTIVES: To investigate the quality of care for patients with Type 2 diabetes in Hong Kong primary care setting and potential disparities by patient characteristics and clinics. METHODS: Cross-sectional study in three general outpatient clinics (GOPCs; public primary care clinics) in Hong Kong involving 1970 patients. Main outcome measures were achievement rates of seven process measures and three intermediate outcome targets and adjusted odds ratios of age, sex, socio-economic status and clinic on the quality measures. RESULTS: The achievement rates for the recording of HbA1c, blood pressure (BP), cholesterol, body mass index, smoking status, nephropathy screening and retinopathy screening in the previous 12 months were 92.8%, 99.9%, 91.0%, 47.9%, 91.3%, 69.0% and 38.0%, respectively. A total of 58.0%, 38.2% and 36.4% of patients achieved the glycaemic, BP and cholesterol targets, respectively. Older patients were less likely to have records of process measures and more likely to achieve the HbA1c target. Women were less likely to have smoking status recorded and to achieve the HbA1c target. Patients of lower socio-economic status were less likely to have records of process measures and to achieve the BP target. Family medicine training practices had better achievements of the quality measures. CONCLUSIONS: There is scope for improvement in the quality of diabetes care in the GOPCs. Variations in the quality of care were observed. Family medicine training may enhance the health care quality.</description.abstract>
<language>eng</language>
<publisher>Oxford University Press. The Journal&apos;s web site is located at http://fampra.oxfordjournals.org/</publisher>
<relation.ispartof>Family Practice</relation.ispartof>
<subject.mesh>Age Factors</subject.mesh>
<subject.mesh>Aged, 80 and over</subject.mesh>
<subject.mesh>Diabetes Mellitus, Type 2 - therapy</subject.mesh>
<subject.mesh>Primary Health Care - standards</subject.mesh>
<subject.mesh>Quality of Health Care - standards</subject.mesh>
<title>Quality of diabetes care in public primary care clinics in Hong Kong</title>
<type>Article</type>
<description.nature>Link_to_subscribed_fulltext</description.nature>
<identifier.doi>10.1093/fampra/cmr060</identifier.doi>
<identifier.pmid>21890842</identifier.pmid>
<identifier.scopus>eid_2-s2.0-84859261262</identifier.scopus>
<identifier.hkuros>208795</identifier.hkuros>
<identifier.volume>29</identifier.volume>
<identifier.issue>2</identifier.issue>
<identifier.spage>196</identifier.spage>
<identifier.epage>202</identifier.epage>
<publisher.place>United Kingdom</publisher.place>
</item>
Author Affiliations
  1. The University of Hong Kong
  2. United Christian Hospital Hong Kong