title: [Compliance with process indicators in people with type 2 diabetes and linking incentives in Primary Care].
abstract: OBJECTIVE
  Pay-for-performance programs to improve the quality of health care are extending gradually, particularly en Primary Health Care. Our aim was to explore the relationship between the degree of compliance with the process indicators (PrI) of type 2 diabetes (T2DM) in Primary Care and linkage to incentives.
  
  
  METHODS
  Cross-sectional, descriptive, observational study.
  
  
  METHODS
  Six Primary Health Care centers in Seville Aljarafe District randomly selected and stratified by population size.
  
  
  METHODS
  From 3.647 adults included in Integrated Healthcare Process of T2DM during 2008, 366 patients were included according sample size calculation by stratified random sampling.
  
  
  METHODS
  PrI: eye and feet examination, glycated hemoglobin, lipid profile, microalbuminuria and electrocardiogram. Confounding: Age, gender, characteristics town for patients and professional variables.
  
  
  RESULTS
  The mean age was 66.36 years (standard deviation [DE]: 11,56); 48.9% were women. PrI with better compliance were feet examination, glycated hemoglobin and lipid profile (59.6%, 44.3% and 44%, respectively). 2.7% of patients had simultaneous compliance of the six PrI and 11.74% of patients three PrI linkage to incentives. Statistical association was observed in the compliance of the PrI incentives linked or not (P=.001).
  
  
  CONCLUSIONS
  The degree of compliance with the PrI for screening chronic complications of T2DM is mostly low but this was higher on indicators linked to incentives.
authors: Servicio Andaluz de Salud, Sevilla, España. Electronic address: beatriz.pascual.pisa@gmail.com.
authors: Beatriz
authors: B
authors: Pascual de la Pisa
authors: Fundación Pública Andaluza para la Gestión de la Investigación en Salud de Sevilla, España.
authors: Cristina
authors: C
authors: Márquez Calzada
authors: Fundación Pública Andaluza para la Gestión de la Investigación en Salud de Sevilla, España.
authors: Carla
authors: C
authors: Cuberos Sánchez
authors: Servicio Andaluz de Salud, Sevilla, España.
authors: José Miguel
authors: JM
authors: Cruces Jiménez
authors: Servicio Andaluz de Salud, Sevilla, España.
authors: Manuel
authors: M
authors: Fernández Gamaza
authors: Servicio Andaluz de Salud, Sevilla, España.
authors: María Isabel
authors: MI
authors: Martínez Martínez
mesh_terms: D000368:Aged; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D008297:Male; D009042:Motivation; D011320:Primary Health Care / Q000592:standards*; D019984:Quality Indicators, Health Care; D012052:Reimbursement, Incentive
keywords: Atención Primaria; Calidad de la atención de la salud; Diabetes tipo 2; Gestión de la salud; Health management; Incentivo reembolso; Primary Health Care; Quality of health care; Reimbursement incentive; Type 2 diabetes