Improving the management of type 2 diabetes through large-scale general practice: the role of a data-driven and technology-enabled education programme

BMJ Open Quality

article

Tarek F Radwan¹  Yvette Agyako¹  Alireza Ettefaghian¹  Tahira Kamran¹  Omar Din¹  Mohammad Aumran Tahir¹  Peter Schofield²  Veline L'Esperance¹ 

[1] AT Medics Ltd;School of Population Health and Environmental Sciences , King's College London

关键词: diabetes mellitus;    general practice;    information technology;    primary care;    quality improvement;   

DOI  :  10.1136/bmjoq-2020-001087

学科分类：药学

来源: BMJ Publishing Group

【 摘 要 】

A quality improvement (QI) scheme was launched in 2017, covering a large group of 25 general practices working with a deprived registered population. The aim was to improve the measurable quality of care in a population where type 2 diabetes (T2D) care had previously proved challenging. A complex set of QI interventions were co-designed by a team of primary care clinicians and educationalists and managers. These interventions included organisation-wide goal setting, using a data-driven approach, ensuring staff engagement, implementing an educational programme for pharmacists, facilitating web-based QI learning at-scale and using methods which ensured sustainability. This programme was used to optimise the management of T2D through improving the eight care processes and three treatment targets which form part of the annual national diabetes audit for patients with T2D. With the implemented improvement interventions, there was significant improvement in all care processes and all treatment targets for patients with diabetes. Achievement of all the eight care processes improved by 46.0% (p<0.001) while achievement of all three treatment targets improved by 13.5% (p<0.001). The QI programme provides an example of a data-driven large-scale multicomponent intervention delivered in primary care in ethnically diverse and socially deprived areas.diabetes mellitusgeneral practiceinformation technologyprimary carequality improvementhttp://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

【 授权许可】

CC BY-NC|CC BY|CC BY-NC-ND