Register provides framework for monitoring care
The Otago Diabetes Project was established in 1998 with the aim of improving diabetes care in the Otago region. A multidisciplinary team planned and was involved with overseeing the implementation of the project. A key part of the project has been the establishment of a regional diabetes register. Data collected from general practices were used to provide GP audit and recall reports, and to monitor diabetes care in the region.
The project is administered by Diabetes Project Trust Otago, and since 2003 is run in conjunction with the Edgar National Centre for Diabetes and Obesity Research (now EDOR). In addition to the primary goal of improving diabetes care through audit, a number of research projects have been undertaken including:
- Describing the characteristics of those type 2 diabetic patients with and without good glycaemic control.
- Comparing the processes of care and outcomes between diabetic patients enrolled on the diabetes register and those who are not.
We found that well-organised, centralised diabetes registers provide additional benefits for people with diabetes care. We also learned that up-to-date primary care registers with good call-recall systems are necessary for the delivery of effective structured diabetes care. See our publications below for more comprehensive results.
Coppell, K.J., Anderson, K., Williams, S.M., Lamb, C., Farmer, V.L., Mann, J.I. (2010) The quality of diabetes care: A comparison between patients enrolled and not enrolled on a regional diabetes register. Primary Care Diabetes Nov 30. [Epub ahead of print]
Lee, J. (E.H.), Coppell, K., Williams, S., Mann, J. Comparison of modifiable cardiovascular risk factors at diagnosis of type 2 diabetes and at 5 years between different age groups, Otago, New Zealand, 1997-2002. Proceedings of the 197th Scientific Meeting of the Otago Medical School Research Society, Thursday 14 May 2009. New Zealand Medical Journal (2009).
Coppell, K., Williams, S., Anderson, K., Lamb, C., Mann, J. (2008). Characteristics and cardiovascular risk of new cases of type 2 diabetes in Otago, New Zealand, 1998–2004. Diabetes Research Clinical Practice, 82(3):396-401.
Coppell, K.,J., Anderson, K., Williams, S., Manning, P. and Mann, J. (2006). Evaluation of diabetes care in the Otago region using a diabetes register, 1998-2003. Diabetes Research Clinical Practice,71(3): 345-52.
Coppell K, McBride K, Williams S. (2004). Under-reporting of diabetes on death certificates among a population with diabetes in Otago Province, New Zealand. New Zealand Medical Journal 117: U1217.
Coppell, K., Manning, P. (2002). Establishing a regional diabetes register and a description of the registered population after one year. New Zealand Medical Journal, 115: U146.
Bradshaw, J., Jones, P., Prakash, S., Smiles, J., Tucker, A., Walker, A., Yew, H.S., Firth, H., Sharples, K., Coppell, K. (2001). Evaluation of the Otago diabetes guidelines. New Zealand Family Physician 28:406-409.