From: Diabetes quality management in Dutch care groups and outpatient clinics: a cross-sectional study
Domains and subdomains | Care groups (n = 60) | Outpatient clinics (n = 52) | ||
---|---|---|---|---|
Mean (%) | CI (%) | Mean (%) | CI (%) | |
Care program | 83.3 | 80.7-86.0 | 77.6 | 73.0-82.2 |
Continuity and Coordination | 65.8 | 61.0-70.5 | 76.2 | 71.6-80.8 |
Communication and Information | 65.5 | 58.9-72.1 | 76.5 | 70.5-82.5 |
Organisation of care * | 71.9 | 68.8-74.9 | 76.8 | 72.8-80.7 |
Work agreement | 62.8 | 59.2-66.4 | 69.5 | 61.4-77.5 |
Tasks and responsibilities | 71.1 | 64.4-77.8 | 78.6 | 72.6-84.5 |
Teamwork/consultation/shared education/guidelines | 74.4 | 68.0-80.7 | 71.4 | 63.9-78.8 |
Transfer and referral | 58.5 | 50.5-66.6 | 54.2 | 44.8-63.5 |
Diabetic foot team | -† | - | 81.6 | 71.3-91.9 |
Multidisciplinary teamwork* | 67.1 | 62.4-71.9 | 71.5 | 65.3-77.8 |
Self-management | 67.9 | 58.9-76.9 | 81.0 | 72.4-89.5 |
Individual care plan | 40.0 | 33.6-46.4 | 51.1 | 41.9-60.4 |
Policy on patient education | 57.3 | 49.6-65.0 | 79.2 | 72.1-86.3 |
Inspection of medical file | 40.4 | 33.2-47.6 | 28.0 | 21.0-35.0 |
Patient interests | 58.2 | 53.1-63.2 | 78.1 | 73.0-83.3 |
Patient involvement | 17.7 | 12.9-22.4 | 26.8 | 19.0-34.7 |
Patient centeredness * | 46.7 | 42.6-50.7 | 62.5 | 57.7-67.2 |
Registering results | 59.6 | 54.5-64.8 | 57.5 | 46.7-68.3 |
Control of results | 31.5 | 25.8-37.2 | 39.1 | 29.9-48.2 |
Processing of results | 71.4 | 66.6-76.1 | 49.0 | 41.0-56.9 |
Analysing results | 51.0 | 46.9-55.1 | 33.3 | 24.7-42.0 |
Measured outcomes | 98.3 | 96.0-100.0 | 68.8 | 69.0-77.6 |
Performance management * | 63.3 | 61.2-65.3 | 50.9 | 44.2-57.5 |
Elements of quality improvement | 44.5 | 38.7-50.3 | 58.5 | 49.8-67.3 |
Feedback/benchmark | 71.3 | 66.6-76.1 | 43.3 | 34.3-52.4 |
Visitation | 41.4 | 33.8-49.0 | 41.7 | 33.9-49.6 |
Education | 71.6 | 66.5-76.6 | 62.8 | 53.1-72.6 |
Patient safety | 15.1 | 10.7-19.5 | 64.8 | 57.9-71.6 |
Defining sub-groups | 37.8 | 30.6-44.9 | 37.9 | 29.7-46.0 |
Quality improvement policy * | 52.6 | 49.2-56.1 | 50.9 | 44.6-57.3 |
Structural policy | 62.9 | 58.3-67.5 | 51.5 | 46.5-56.5 |
Quality system | 36.4 | 28.3-44.5 | 63.6 | 48.8-78.4 |
Quality documents | 55.2 | 48.5-61.9 | 67.7 | 60.2-75.2 |
Management strategies * | 56.0 | 51.4-60.7 | 59.0 | 52.8-65.2 |
Mean total score: | 59.6 | 57.1-62.1 | 61.9 | 57.5-66.8 |