Resumen de Compliance with clinical practice guidelines for diabetes mellitus patients
Raquel Gallardo Aviles, Miguel Angel Calleja Hernández, Fernando-Miguel Gamboa-Antiñolo, B. Dorantes Calderón
Objectives: To assess compliance with the recommendations of NICE (National Institute for Health and Care Excellence), ADA (American Diabetes Association),SNS (Spanish National Health System) and PAI (Spanish Diabetes Integrated Care Procedure) Clinical Practice Guidelines (CPG) on diabetes mellitus patients care.
Secondary objectives: to identify factors having an effect on compliance with CPG.
Method:
— Design: descriptive, observational, cross-sectional study.
— Location: Valme Hospital. Seville South Primary Healthcare District.
— Period of time: 1st January 2011 - 31st August 2011.
— Inclusion/exclusion criteria: patients with primary diagnosis of diabetes mellitus (DM) 1 and 2 admitted to Valme Hospital were included. Patients with secondary diagnosis of diabetes mellitus and other pathologies were excluded.
— Main variables: healthcare uality indicators dened according to different diabetes mellitus CPG regarding prescription, follow up and information given in hospital discharge report.
— Source of information: hospital discharge report and primary healthcare clinical history.
Results:
— The degree of compliance with clinical practice guidelines on prescription recommendations for type 1 and 2 DM is 6.8 and 5 respectively, compliance being mainly affected by limited prescription of healthy lifestyle habits.
— Compliance with CPG recommendations on follow up is 40-50%; age and type of diabetes mainly affecting compliance.
— The degree of compliance with recommendations on information recorded in discharge hospital reports is 33.3% for PAI and 0% for other CPG.
Conclusions: A low degree of compliance with clinical practice guidelines was recorded. Measures for prevention and patient follow up, such as reconciliation of medication, health education programmes and better communication between levels of care are necessary to improve compliance with clinical practice guidelines and to achieve better quality healthcare for diabetes mellitus patients
