title: Improving management of type 2 diabetes - findings of the Type2Care clinical audit.
abstract: BACKGROUND
  Type 2 diabetes was responsible for 5.8% of the total disease burden in Australia in 2010. Despite advances in clinical management many type 2 diabetes (T2D) patients have suboptimal glycaemic control.
  
  
  METHODS
  Using quantitative questionnaires, general practitioners prospectively evaluated their management of 761 T2D patients at two time points, 6 months apart. Following the first audit, GPs received feedback and a decision support tool. Patients were then re-audited to assess if the intervention altered management.
  
  
  RESULTS
  The use of annual cycle of care plans significantly increased by 12% during the audit. General practitioner performance improved across all measures with the greatest gains being in the use of care plans and measuring and meeting targets for microalbumin. Glycaemic control was well managed in this cohort (mean HbA1c 6.9% for both audit cycles).
  
  
  CONCLUSIONS
  The Type2Care clinical audit provided decision support tools and diabetes registers that improved the delivery of care to patients with T2D.
authors.affiliation: Scius Solutions Pty Ltd, Sydney, New South Wales.
authors.forename: John
authors.initials: J
authors.lastname: Barlow
authors.forename: George
authors.initials: G
authors.lastname: Krassas
mesh_terms: D000368:Aged; D001315:Australia; D015331:Cohort Studies; D020000:Decision Support Systems, Clinical; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D019468:Disease Management; D005260:Female; D058006:General Practice / Q000592:standards*; D006801:Humans; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D010347:Patient Care Planning; D011446:Prospective Studies; D058996:Quality Improvement