title: Comprehensive diabetes care in North Tyneside.
abstract: The care of a 25% (n = 559) random sample of all patients with diabetes in a district was assessed to determine whether comprehensive diabetes care was being achieved. Process measures initially assessed were repeated 3 years later after several changes in the programme of diabetes care were instituted. The number of patients with diabetes in structured care increased from 91% to 95% between 1991 and 1994, at the same time as an increase in prevalence from 1.2% to 1.8%. There was a shift in the proportion of patients attending primary care from 27% to 40%. There were significant improvements in the delivery of process measures including education. The majority of process measures were delivered to more than 75% of the district diabetes population (for example HbA1c in 93%, fundoscopy in 86%, urine protein in 81%, education on diabetic control in 84%). Comprehensive diabetes care has not yet been fully achieved in North Tyneside district but the programme of care has shown continuous improvement over a 3-year period. Comprehensive diabetes care should be an aim of every district diabetes programme.
authors.affiliation: North Tyneside Medical Audit Advisory Group, North Shields, UK.
authors.forename: D L
authors.initials: DL
authors.lastname: Whitford
authors.forename: A J
authors.initials: AJ
authors.lastname: Southern
authors.forename: E
authors.initials: E
authors.lastname: Braid
authors.forename: S H
authors.initials: SH
authors.lastname: Roberts
mesh_terms: D003695:Delivery of Health Care; D003920:Diabetes Mellitus / Q000628:therapy*; D004739:England; D005260:Female; D005500:Follow-Up Studies; D006442:Glycated Hemoglobin / Q000032:analysis; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D011897:Random Allocation; D012042:Registries; D011795:Surveys and Questionnaires
chemical_list: D006442:Glycated Hemoglobin