The Diabetes Annual Review as an Educational Tool: Assessment and Learning Integrated with Care, Screening, and Audit
1992; Wiley; Volume: 9; Issue: 4 Linguagem: Inglês
10.1111/j.1464-5491.1992.tb01803.x
ISSN1464-5491
Tópico(s)Primary Care and Health Outcomes
ResumoAn integrated diabetes Annual Review is described, suitable for the long‐term care of large numbers of diabetic patients. Equal weight is given to dietary and educational assessment as to medical care and screening. Based on well‐developed team‐work the patient moves through a structured review which culminates in goal setting and planned care for the subsequent year. A structured audit of the review was carried out on a cohort of 123 patients of whom 67 had had two annual reviews. Ten patients failed to attend. Knowledge scores improved by 44% between first and second reviews. In 34% of patients in the first year and in 46% in year two, HbA 1c levels were outside a target range set for each treatment group, but only 18% had results outside target in both years. A postal questionnaire was returned by 74/108 (69%) patients. This indicated a high level of patient participation and satisfaction with the review process. The diabetes team set standards, conducted the review, and subsequently changed in‐house working practices and documentation, and developed in‐service training.
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