Article: Quality of diabetes care in public primary care clinics in Hong Kong

File Download Links for fulltext
(May Require Subscription)
Supplementary
  • 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
2011 Impact Factor: 1.503
2011 SCImago Journal Rankings: 0.109
DOIhttp://dx.doi.org/10.1093/fampra/cmr060
DC Field
Value
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
2011 Impact Factor: 1.503
2011 SCImago Journal Rankings: 0.109
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
Author Affiliations
  1. The University of Hong Kong
  2. United Christian Hospital Hong Kong