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Table 5 Indicators of quality of care

From: Evaluating quality of care for patients with type 2 diabetes using electronic health record information in Mexico

Indicators FMC A FMC B FMC C FMC D Total
I. Process of care n = 7184 % n = 6671 % n = 7256 % n = 4019 % n = 25130 %
A. Timely detection of T2D complications and comorbidity in the last year      
At least one measurement of HbA1c 9.0 16.9 Not available Not available 7.1
Comprehensive foot evaluation 51.9 28.2 24.6 5.4 30.3
Referral to the ophthalmologist 22.2 14.2 7.0 5.4 13.0
Screening for dyslipidemia by measuring total cholesterol in patients without previous diagnosis of dyslipidemia 3653 3714 4336 2971 14674
  65.4 54.7 45.6 70.0 57.8
B. Non-pharmacological treatment in the last year n n n n n
  % % % % %
Nutritional counseling provided by the nutrition service 7184 6671 7256 4019 25130
  1.8 5.5 4.9 3.0 3.9
C. Pharmacological treatment in the last three visits n n n n n
  % % % % %
Overweight/obese (BMI ≥ 25 kg/m2) patients who received metformin, unless contraindicated 5066 4437 5216 2840 17559
  57.2 63.0 66.7 67.6 63.2
Patients with hypertension receiving inhibitors of angiotensin converting enzyme or angiotensin-receptor blocker, unless contraindicated 4545 4536 4298 1787 15172
  46.0 56.8 58.9 66.1 57.4
Patients > 40 years of age with one or more of the following risk factors: smoking, hypertension, dyslipidemia, receiving 75-150 mg/day of acetylsalicylic acid, unless contraindicated 5242 5035 4904 2076 17257
  45.8 32.0 46.2 58.9 43.4
Patient with total cholesterol >200 mg/dl and were prescribed statins, unless contraindicated 2436 1998 2197 1233 7864
  55.6 43.9 49.1 36.9 47.9
II. Health outcomes n n n n n
  % % % % %
HbA1c <7% or fasting glucose ≤130 mg/dl in the last 3 measurements 4644 3560 4563 2816 15583
  23.0 32.5 19.2 17.9 23.1
Total cholesterol levels < 200 mg/dl in the last measurement 5097 4168 4125 3008 16398
  52.2 52.1 46.7 59.0 52.0
Blood pressure <130/80 mmHg in the last 3 measurements 7088 6587 7247 4011 24933
  12.3 8.5 14.1 5.7 10.8
Overweight/obese (BMI ≥ 25 kg/m2) patients who lost ≥5% body weight in the last year 5066 4437 5216 2840 17559
  13.4 14.7 12.6 12.5 13.3
Patients with HbA1c <7%, or fasting glucose ≤130 mg/dl, total cholesterol levels < 200 mg/dl and blood pressure <130/80 mmHg in the last 3 measurements 4272 3123 3479 2516 13390
  1.8 1.7 1.2 0.6 1.4
  1. Source: Family medicine clinics information from 2009 electronic health record. The analysis included 12 months.