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

TitleQuality of diabetes care in public primary care clinics in Hong Kong
Authors
Issue Date2012
PublisherOxford University Press. The Journal's web site is located at http://fampra.oxfordjournals.org/
Citation
Family Practice, 2012, v. 29 n. 2, p. 196-202 How to Cite?
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.
Persistent Identifierhttp://hdl.handle.net/10722/164796
ISSN
2013 Impact Factor: 1.842
ISI Accession Number ID

 

Author Affiliations
  1. The University of Hong Kong
  2. United Christian Hospital Hong Kong
DC FieldValueLanguage
dc.contributor.authorWong, KWen_US
dc.contributor.authorHo, SYen_US
dc.contributor.authorChao, DVKen_US
dc.date.accessioned2012-09-20T08:09:41Z-
dc.date.available2012-09-20T08:09:41Z-
dc.date.issued2012en_US
dc.identifier.citationFamily Practice, 2012, v. 29 n. 2, p. 196-202en_US
dc.identifier.issn0263-2136-
dc.identifier.urihttp://hdl.handle.net/10722/164796-
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.languageengen_US
dc.publisherOxford University Press. The Journal's web site is located at http://fampra.oxfordjournals.org/-
dc.relation.ispartofFamily Practiceen_US
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 Kongen_US
dc.typeArticleen_US
dc.identifier.emailWong, KW: wongkw3@ha.org.hken_US
dc.identifier.emailHo, SY: syho@hku.hk-
dc.identifier.authorityHo, DSY=rp00427en_US
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1093/fampra/cmr060-
dc.identifier.pmid21890842-
dc.identifier.scopuseid_2-s2.0-84859261262-
dc.identifier.hkuros208795en_US
dc.identifier.volume29en_US
dc.identifier.issue2-
dc.identifier.spage196en_US
dc.identifier.epage202en_US
dc.identifier.isiWOS:000302304100012-
dc.publisher.placeUnited Kingdom-

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