Five-year change of clinical and complications profile of diabetic patients under primary care: A population-based longitudinal study on 127,977 diabetic patients

  • Fung C
  • Wan E
  • Jiao F
 et al. 
  • 16

    Readers

    Mendeley users who have this article in their library.
  • 8

    Citations

    Citations of this article.

Abstract

BACKGROUND: Number of diabetic patients under public primary care in Hong Kong rose from 150,157 (2009) to 173,015 (2013). This study aimed to track the 5-year change of their outcomes and care standard after the introduction of quality enhancement programmes.

METHODS: Longitudinal study was conducted on a group of diabetic patients who received continuous care under public primary care between 2009 and 2013. Socio-demographic and clinical data was retrieved from central database. The standard of care in terms of proportion of patients achieving haemoglobin A1c (HbA1c), systolic and diastolic blood pressure (SBP and DBP), and low density lipoprotein-cholesterol (LDL-C) target levels, mean parameter changes, and 5-year cumulative incidence of major complications were assessed. Outcomes between 2009 and 2013 were compared by McNemar's test for proportion of patients treated to targets and paired t-test for continuous outcome parameters.

RESULTS: A group of 127,977 diabetic patients who had continuous follow-up between 2009 and 2013 were assessed. A significantly higher proportions of patients achieving targets of HbA1c (1.0 or 1.3 mmol/L) were observed (p 
CONCLUSIONS: Standard of public primary care for diabetic patients enhanced from 2009 to 2013, as reflected by the improvement in outcomes of care. It could be related to the implementation of the territory-wide quality enhancement programmes in all public primary care clinics since 2009, with coverage increasing from 3.1 % (2009) to 81.9 % (2013). Clinical trial number and registry: NCT02034695, ClinicalTrials.gov.

Author-supplied keywords

  • Chinese
  • Diabetes mellitus
  • Health service
  • Population-based
  • Primary care

Get free article suggestions today

Mendeley saves you time finding and organizing research

Sign up here
Already have an account ?Sign in

Find this document

Get full text

Authors

Cite this document

Choose a citation style from the tabs below

Save time finding and organizing research with Mendeley

Sign up for free