title: Quality of Care for Patients with Type 2 Diabetes Mellitus in Dubai: A HEDIS-Like Assessment.
abstract: Objective. As little data are available on the quality of type 2 diabetes mellitus (T2DM) care in the Arabian Gulf States, we estimated the proportion of patients receiving recommended monitoring at the Dubai Hospital for T2DM over one year. Methods. Charts from 150 adults with T2DM were systematically sampled and quality of care was assessed during one calendar year, using a Healthcare Effectiveness Data and Information Set- (HEDIS-) like assessment. Screening for glycosylated haemoglobin (HbA1c), low-density lipoprotein (LDL), blood pressure, retinopathy, and nephropathy was considered. Patients were classified based on their most recent test in the period, and predictors of receiving quality care were examined. Results. Mean age was 58 years (standard deviation (SD): 12.4 years) and 33% were males. Over the year, 98% underwent HbA1c screening (50% had control and 28% displayed poor control); 91% underwent LDL screening (65% had control); 55% had blood pressure control; 30% had retinopathy screening; and 22% received attention for nephropathy. No individual characteristics examined predicted receiving quality care. Conclusion. Some guideline monitoring was conducted for most patients; and rates of monitoring for selected measures were comparable to benchmarks from the United States. Greater understanding of factors leading to high adherence would be useful for other areas of preventive care and other jurisdictions.
authors.affiliation: ICON Epidemiology, 450-688 W Hastings Street, Vancouver, BC, Canada V6B 1P1.
authors.forename: Shelagh M
authors.initials: SM
authors.lastname: Szabo
authors.affiliation: ICON Epidemiology, 450-688 W Hastings Street, Vancouver, BC, Canada V6B 1P1.
authors.forename: Katherine M
authors.initials: KM
authors.lastname: Osenenko
authors.affiliation: Bristol-Myers Squibb, P.O. Box 454409, Dubai, UAE.
authors.forename: Lara
authors.initials: L
authors.lastname: Qatami
authors.affiliation: Bristol-Myers Squibb, 5 Research Parkway, Wallingford, CT 06492, USA.
authors.forename: Bonnie M
authors.initials: BM
authors.lastname: Korenblat Donato
authors.affiliation: ICON Epidemiology, 450-688 W Hastings Street, Vancouver, BC, Canada V6B 1P1.
authors.forename: Ellen E
authors.initials: EE
authors.lastname: Korol
authors.affiliation: Dubai Hospital, Al Khaleeja Street, Al Baraha, Dubai, UAE.
authors.forename: Abdulrazzaq A
authors.initials: AA
authors.lastname: Al Madani
authors.affiliation: Dubai Hospital, Al Khaleeja Street, Al Baraha, Dubai, UAE.
authors.forename: Fatheya F
authors.initials: FF
authors.lastname: Al Awadi
authors.affiliation: Dubai Hospital, Al Khaleeja Street, Al Baraha, Dubai, UAE.
authors.forename: Jaber
authors.initials: J
authors.lastname: Al-Ansari
authors.affiliation: Precision Health Economics, 11100 Santa Monica Boulevard, Suite 500, Los Angeles, CA 90025, USA.
authors.forename: Ross
authors.initials: R
authors.lastname: Maclean
authors.affiliation: Department of Community Health and Epidemiology, Dalhousie University, 425-5790 University Avenue, Halifax, NS, Canada B3H 1V7.
authors.forename: Adrian R
authors.initials: AR
authors.lastname: Levy