Implementing quality indicators for diabetes and hypertension in family medicine in Slovenia
, et | 09 oct. 2017
À propos de cet article
Article Category: Original scientific article
Publié en ligne: 09 oct. 2017
Pages: 211 - 219
Reçu: 09 nov. 2016
Accepté: 06 juil. 2017
DOI: https://doi.org/10.1515/sjph-2017-0029
Mots clés
© 2017 National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.
Multivariate analysis for higher value of the quality indicator ‘Measured HbA1C in patients with diabetes at least once a year’.
| Female | 1.60 | 2.11 | -2.53, 5.74 | 0.447 |
| Male | Reference | |||
| Self-contractor | 1.03 | 2.37 | -3.61, 5.66 | 0.664 |
| Public servant | reference | |||
| No. 1 | -6.27 | 3.68 | -13.49, 0.95 | 0.089 |
| No. 2 | -12.00 | 8.87 | -29.38, 5.38 | 0.176 |
| No. 3 | -6.05 | 2.96 | -11.85, -0.25 | 0.041 |
| No. 4 | -14.58 | 3.53 | -21.50, -7.66 | < 0.001 |
| No. 5 | reference | |||
| Rural | -0.73 | 2.34 | -5.32, 3.86 | 0.757 |
| Urban | reference | |||
| General Practice | 5.13 | 3.17 | -1,07, 11.34 | 0.105 |
| Family Medicine | 3.34 | 3.17 | -2.87, 9.55 | 0.292 |
| No specialisation | ||||
| -9.28 | 5.00 | -19.07, 0.52 | 0.063 | |
| Celje | -6.55 | 5.40 | -17.14, 4.04 | 0.225 |
| Koper | -4.37 | 6.54 | -17.19, 8.46 | 0.505 |
| Krsko | -6.37 | 4.85 | -15.87, 3.13 | 0.189 |
| Kranj | 0.85 | 4.27 | -7.51, 9.22 | 0.842 |
| Ljubljana | 3.88 | 4.97 | -5.86, 13.62 | 0.435 |
| Maribor | 7.20 | 5.13 | -2.85, 17.25 | 0.160 |
| Murska Sobota | -9.18 | 4.98 | -18.94, 0.58 | 0.065 |
| Nova Gorica | -0.40 | 5.18 | -10.56, 9.76 | 0.939 |
| Novo Mesto | reference | |||
| Ravne na Koroskem | ||||
| -0.11 | 0.10 | -0.31, 0.08 | 0.265 | |
| 0.30 | 0.05 | 0.20, 0.40 | < 0.001 |
Characteristics of family medicine practices included in the project.
| Female | 0.17 | 4.66 | -8.97, 9.30 | 0.972 |
| Male | reference | |||
| Self-contractor | 6.47 | 5.22 | -3.76, 16.70 | 0.215 |
| Public servant | reference | |||
| No. 1 | 19.03 | 8.13 | 3.10, 34.96 | 0.019 |
| No. 2 | 12.18 | 19.57 | -26.18, 50.55 | 0.534 |
| No. 3 | 8.88 | 6.53 | -3.92, 21.67 | 0.174 |
| No. 4 | 21.85 | 7.79 | 6.57, 37.12 | 0.005 |
| No. 5 | reference | |||
| Rural | -2.61 | 5.17 | -12.74, 7.52 | 0.614 |
| Urban | reference | |||
| General Practice | -2.92 | 6.99 | -16.62, 10.78 | 0.676 |
| Family Medicine | -0.46 | 7.00 | -14.17, 13.26 | 0.948 |
| No specialisation | reference | |||
| Celje | -8.32 | 11.03 | -29.94, 13.31 | 0.451 |
| Koper | -1.99 | 11.92 | -25.36, 21.38 | 0.868 |
| Krsko | 11.18 | 14.45 | -17.14, 39.49 | 0.439 |
| Kranj | 4.02 | 10.70 | -16.95, 24.99 | 0.707 |
| Ljubljana | -4.58 | 9.42 | -23.05, 13.88 | 0.627 |
| Maribor | -35.92 | 10.97 | -57.42, -14.42 | 0.001 |
| Murska Sobota | -17.34 | 11.32 | -39.52, 4.85 | 0.126 |
| Nova Gorica | -0.40 | 11.00 | -21.95, 21.15 | 0.971 |
| Novo Mesto | 0.37 | 11.45 | -22.07, 22.80 | 0.975 |
| Ravne na Koroskem | Reference | |||
| -0.17 | 0.22 | -0.61, 0.26 | 0.435 | |
| 1.47 | 0.11 | 1.24, 1.69 | < 0.001 |
Multivariate analysis for higher value of the quality indicator ‘Percentage of patients with hypertension with a systolic blood pressure 140/90 mmHg or lower.’
| Female | 3.36 | 1.48 | 0.47, 6.25 | 0.023 |
| Male | Reference | |||
| Self-contractor | 3.44 | 1.65 | 0.20, 6.68 | 0.037 |
| Public servant | reference | |||
| No. 1 | -0.77 | 2.57 | -5.82, 4.27 | 0.764 |
| No. 2 | 17.59 | 6.20 | 5.45, 29.74 | < 0.001 |
| No. 3 | -6.64 | 2.07 | -10.69, -2.58 | 0.001 |
| No. 4 | -10.58 | 2.47 | -15.42, -5.74 | < 0.001 |
| No. 5 | reference | |||
| Rural | -1.65 | 1.64 | -4.86, 1.56 | 0.314 |
| Urban | reference | |||
| General Practice | 2.05 | 2.21 | -2.29, 6.39 | 0.354 |
| Family Medicine | -0.95 | 2.22 | -5.29, 3.39 | 0.668 |
| No specialisation | reference | |||
| Celje | -2.48 | 3.49 | -9.32, 4.37 | 0.478 |
| Koper | 1.78 | 3.78 | -5.62, 9.18 | 0.637 |
| Krsko | -1.15 | 4.57 | -10.11, 7.82 | 0.802 |
| Kranj | -3.76 | 3.39 | -10.40, 2.88 | 0.267 |
| Ljubljana | 1.65 | 2.98 | -4.19, 7.50 | 0.579 |
| Maribor | 10.77 | 3.47 | 3.96, 17.57 | 0.002 |
| Murska Sobota | 5.33 | 3.58 | -1.69, 12.36 | 0.137 |
| Nova Gorica | -1.65 | 3.48 | -8,47, 5.18 | 0.636 |
| Novo Mesto | -0.43 | 3.62 | -7.54, 6.67 | 0.905 |
| Ravne na Koroskem | reference | |||
| -0.06 | 0.07 | -0.20, 0.07 | 0.368 | |
| 0.15 | 0.04 | 0.08, 0.23 | < 0.001 |
Quality indicators for diabetes and hypertension.
| Number of diabetic patients/(Number of registered patients * 0.061) * 100 | Structure | 0 | 84.2 (53.6) | 84.0 | |
| Number of patients with diabetes with measured HbA1C at least once a year/number of registered diabetic patients The expression “registered” describes the number of patients with diabetes/hypertension on the patient list of each family medicine practice | Process | 80 | 25.6 (22.3) | 21.2 | |
| Number of patients with hypertension with blood pressure 140/90 mmHg or lower/number of registered3 patients with hypertension * 100 | Outcome | 50 | 18.2 (16.3) | 14.3 |