Measuring and improving level of diabetic care in a primary care setting : an audit

Abstract

Background: Type 2 diabetes mellitus requires an efficient management strategy aimed at preventing long- term complications and decreasing mortality. Detection and proper care early on is especially important due to the 'legacy effect', i.e. further reduction of morbidity and mortality due to effective initial management. Objectives: To assess the level of diabetes care provided at Rabat Health Centre, comparing it with international standards to identify any shortcomings and implement changes required. Methods: An audit of diabetes management during 2008 was carried out retrospectively on 60 randomly selected type 2 diabetics who attend the diabetes clinic at Rabat Health Centre. A reaudit was carried out the following year. Results: Reaudit showed a disappointing lack of improvement in glycaemic and lipid control despite implementation of changes. However, there was better control of hypertension and weight management, together with more prophylactic use of aspirin. Conclusion: Improved care was achieved in many areas but more must be done to ensure optimal management and outcome in all patients according to international guidelines. A protocol should be in place to ensure standardised care.