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Are there disparities in care in people with diabetes? A review of care provided in general practice

Making Education Easy

From Māori Health Review Issue 24
Authors:
  • Lawrenson R et al
Summary:

This study used the computerised records from three general practices in Hamilton, New Zealand, to generate a comprehensive diabetes register including diagnostic codes and hypoglycaemic prescriptions. The overall prevalence of diabetes in patients aged ≥20 years was 1221/26,096 (4%). Eighty percent had attended for a ‘Get Checked’ annual review in the last 12 months. Age-adjusted analyses showed that Māori, males and those diagnosed more than 5 years ago were at increased risk of having unsatisfactory glycaemic control. Māori, Asian patients and women appeared less likely to have accessed retinal screening in the last 2 years.

Comment:
Have included this paper as an example of an audit in primary care. The methods may be useful to others; the results highlight the value of auditing care and care pathways. As the authors state, the challenge now lies in addressing disparities and monitoring changes.
Reference: J Primary Health Care 2009;1(3):177-83.
Abstract
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Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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