Abstract
Diabetes Mellitus is one of the major public health challenges, affecting more than 347 million adults worldwide. The impact of diabetes necessitates assessing the quality of care received by people with diabetes, especially in countries with a significant diabetes burden such as Kuwait. This paper aimed at piloting an approach for measuring Type II diabetes care performance through the use of a diabetes quality indicator set (DQIS) in primary health care. The DQIS for Kuwait was adapted from that developed by the National Diabetes Quality Improvement Alliance and the International Diabetes Federation. Five key care domains/measures were employed: (1) Blood glucose level measurement, (2) Cholesterol level measurement, (3) Blood pressure measurement, (4) Kidney function testing and (5) Smoking status check. The sample included the four major primary health care centers with the highest case load in Kuwait City, 4,241 patients in 2012 and 3,211 in 2010. Findings revealed the applicability and utility of employing performance indicators for diabetes care in Kuwait. Furthermore, findings revealed that many of the primary health care centers have achieved noteworthy improvement in diabetes care between 2010 and 2012, with the exception of smoking status check. The DQIS can help policymakers identify performance gaps and investigate key system roadblocks related to diabetes care in Kuwait.
Highlights
Diabetes Mellitus is one of the major public health challenges affecting more than 347 million adults worldwide [1]
This paper presents the approach and findings from a demonstration project that was executed in Kuwait, aimed at selecting and employing process and outcome quality indicators to assess diabetes care at four major PHCCs in Kuwait City
The Diabetes Quality Indicators Set (DQIS) was adapted from a performance measurement set for adult diabetes care developed by the National Diabetes Quality Improvement Alliance (NDQIA) and the Global Guidelines for Type II Diabetes of the International Diabetes Federation (IDF) [11,12]
Summary
Diabetes Mellitus is one of the major public health challenges affecting more than 347 million adults worldwide [1]. The disease is estimated to affect 439 million by the year 2030, representing a 69% increase in the number of affected adults in developing countries [2]. According to the International Diabetes Federation (IDF), the total number of people with diabetes in the Middle East and North Africa (MENA) region has reached 34.6 million (one in ten individuals has diabetes), and it is estimated to reach 67.9 million by the year 2035 [3]. Individuals diagnosed with diabetes are at an increased risk of developing several life-threatening health problems, including cardiovascular, kidney, nerve and eye disease, as well as pregnancy-related. Estimates for 2013 reported 407,530 individuals between the age of 20 and 79 diagnosed with diabetes in Kuwait (Fig 1) [3]
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