Diabetes Care Outcome Indicators Essay

PAGES
1
WORDS
372
Cite
Related Topics:

Diabetes Outcome Indicators

Diabetes outcome indicators have been developed and utilized to measure progress on the issue. The development and use of these indicators is attributable the increased prevalence of this condition worldwide, which in turn places huge burdens on healthcare systems. Consequently, diabetes management has become a major issue in the public health sector. According to O’Connor et al. (2011), diabetes outcome indicators relating to care include control of blood pressure, hemoglobin A1C, and LDL cholesterol. These outcome indicators were among the initial Diabetes Quality Improvement Program (DQIP) measures and have been included in subsequent sets of diabetes quality measurements.

These outcome indicators have been developed and are utilized because they are risk factors that predict clinical outcomes and relates to challenges and complexities associated with diabetes. Systolic blood pressure levels (sBP) are set at <160 mmHg, which is the dichotomous threshold goal for all diabetic patients. In this regard, diabetic patients whose blood pressure levels exceed the threshold require extra pharmacologic or lifestyle intervention. The achievement of this outcome indicator is high because the threshold is high. However, when the threshold is lowered, many diabetic patients are unable to meet it resulting in the need for additional treatment. With regards to control of glycated hemoglobin A1C, many patients are unable to meet the established threshold of A1C <9%.

For example, even though there has been a national decline in this outcome indicator, between 33% and 49% of patients fail to meet the established targets for glycemia (Mitri & Gabbay, 2016). Additionally, the same percentage of patients fail to meet targets for low-density lipoprotein (LDL) cholesterol control. It is estimated that only 14% of diabetics meet the established targets for all the three outcome indicators because of the high threshold across each of the measures. However, the establishment of lower thresholds could make it even more difficult for these patients to meet them. For example, thresholds of A1C <7% and sBP <130 mmHg could actually do more harm to patients than good.

References

Mitri, J. & Gabbay, R.A. (2016, March). Measuring the Quality of Diabetes Care. Retrieved October 2, 2018, from https://www.ajmc.com/journals/evidence-based-diabetes-management/2016/march-2016/measuring-the-quality-of-diabetes-care?p=1 O’Connor et al. (2011, July). Diabetes Performance Measures: Current Status and Future Directions. Diabetes Care, 34(7), 1651-1659. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3120200/

Cite this Document:

"Diabetes Care Outcome Indicators" (2018, October 02) Retrieved April 26, 2024, from
https://www.paperdue.com/essay/diabetes-care-outcome-indicators-essay-2172323

"Diabetes Care Outcome Indicators" 02 October 2018. Web.26 April. 2024. <
https://www.paperdue.com/essay/diabetes-care-outcome-indicators-essay-2172323>

"Diabetes Care Outcome Indicators", 02 October 2018, Accessed.26 April. 2024,
https://www.paperdue.com/essay/diabetes-care-outcome-indicators-essay-2172323

Related Documents

Diabetes Care in the Elderly Curriculum Development Project Curriculum Development Project: Diabetes in the Skilled Nursing Home Residents Curriculum Development Project: Diabetes in the Skilled Nursing Home Residents The increased prevalence of diabetes in developed nations has been blamed in part on the obesity epidemic, but a portion of that increase is also due to longer life-spans (reviewed by Vischer et al., 2009). While this may be a mixed blessing from the perspective of

Diabetes Education
PAGES 7 WORDS 2046

Diabetes Education What is Diabetes? Interventions Management Self-Care Diabetes Education Clinical Practice Recommendations Diabetes Education Diabetes is considered to be a chronic disease which really needs some kind of long-term nursing and medical intermediations. Research shows that patients likewise need to take a part that is active in their own treatment and management, and the alter their lifestyles in order to keep their metabolic state at a level that is normal (Sperl-Hillen, 2010). One of the transformations in

Individuals are asked to work toward those goals and values they hold while experience their thoughts and positive feelings." (Gregg et al., 2007) ACT is stated to have "shown positive outcomes for a wide variety of conditions including for chronic medical conditions, even when presented in very brief form." (Gregg, et al., 2007) Gregg et al. additionally states: "Diabetes researchers have called for the development of interventions designed to

Diabetes and Obesity: What Are the Choices? Diabetes is becoming an increasingly serious health problem across the United States, and indeed across the world. The majority of cases of diabetes, both in terms of new diagnoses and of current cases, are those of Type II diabetes, which is a condition generally brought on by overweight or obesity and lack of exercise, that prevents an individual's body from being able to metabolize

Lee is only the first step in the process of building a team that is able to cover all aspects of Mrs. Lee's care. The team approach involving a social worker, nurse, physician, pharmacist, and physical therapist affords Mrs. Lee a full range of professionals attending to her various needs. Although Mrs. Lee has a number of problems that need to be addressed the one problem that must be addressed

Requiring the patient to come to the Clinic or the doctor's office for regular follow-up visits is also an expensive way to ensure compliance. While some office and clinic visits are necessary and desirable, extending the it tools available to at-home diabetes monitoring can extend the expertise of the clinic at a relatively low cost, allowing the Clinic to concentrate its resources on patients who become seriously ill (Eli