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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.