Effectiveness of changes in the delivery of diabetes care in a rural community.
Diabetes has a significant impact upon health in rural Maori communities. A diabetes club was established to support self-care and improve diabetes management in a rural community in Northland, New Zealand. A structured approach to care and an associated audit were also introduced. Patient involvement and ownership of the condition were considered important issues. Monitoring of care processes increased by 79%. The first year of audit was associated with a reduction in mean fructosamine from 369 +/- 85 micromol L-1 to 321 +/- 65 micromol L-1 and this was sustained for a further 3 years. The number of people using insulin increased from 15 to 22%. The audit process facilitated the implementation of changes in the delivery of care. We conclude that the data indicate that the enthusiastic delivery of care in general practice, with a devolution of power to the patient, linked to an audit service can result in improved management among patients with Type 2 diabetes.
University of Melbourne, Shepparton, Victoria, Australia. author@sailor.co.nz
A
A
O'Grady
D
D
Simmons
S
S
Tupe
G
G
Hewlett
D003256:Community Participation; D003920:Diabetes Mellitus / Q000097:blood / Q000628:therapy*; D005260:Female; D006801:Humans; D016014:Linear Models; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D009520:New Zealand; D010043:Outcome and Process Assessment, Health Care; D019035:Rural Health Services / Q000458:organization & administration*; D012657:Self-Help Groups / Q000458:organization & administration*