ii paho dota workshop on quality of care of diabetes care jamaica diabetes data
Download
Skip this Video
Download Presentation
II PAHO-DOTA Workshop on Quality of Care of Diabetes Care - Jamaica Diabetes Data

Loading in 2 Seconds...

play fullscreen
1 / 32

Jamaica - PowerPoint PPT Presentation


  • 309 Views
  • Uploaded on

II PAHO-DOTA Workshop on Quality of Care of Diabetes Care - Jamaica Diabetes Data. II PAHO-DOTA Workshop on Quality of Diabetes Care Diabetes Research Institute (DRI) Miami, 14–16 May 2003. Jamaica. Leading Causes of Death in Jamaica (1945, 1982, 1998, 1999). Sources:

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Jamaica' - ryanadan


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
ii paho dota workshop on quality of care of diabetes care jamaica diabetes data

II PAHO-DOTA Workshop on Quality of Care of Diabetes Care - Jamaica Diabetes Data

II PAHO-DOTA Workshop on Quality of Diabetes Care

Diabetes Research Institute (DRI)

Miami, 14–16 May 2003

slide2

Jamaica

II Workshop on Quality of Diabetes Care, Miami, May 2003

leading causes of death in jamaica 1945 1982 1998 1999
Leading Causes of Death in Jamaica(1945, 1982, 1998, 1999)

Sources:

1 MOH . Cardiovascular Disease and Diabetes: Prevention and Control Program. 3th Draft Strategic Plan 2002-2006. Jan 200.3.

2 MOH. Epidemiological Profile of Selected Health Conditions and Services in Jamaica. Epidemiology 1990-1999. March 2003

II Workshop on Quality of Diabetes Care, Miami, May 2003

diabetes facts in jamaica
Diabetes Facts in Jamaica
  • Self-reported diabetes survey among females was 8% and 5% in males.
  • However another report on fasting glucose, diabetes prevalence was found to be 17.9 of the age group 15 and more*.
  • Approximately 12% of men and 21% of women reported a history of hypertension.
  • Only 15% of persons had ever had their serum cholesterol checked and of these, 14% reported having a high serum cholesterol.

Source: Jamaica Healthy Lifestyle 2000 Report.

* Raggobirsingh D. et al. The Jamaican Diabetes Study. A protocol for the Caribbean. Diabetes Care, 1995;18 (5);1277

II Workshop on Quality of Diabetes Care, Miami, May 2003

kingston public hospital data
Kingston Public Hospital Data
  • Diabetes accounted for 20% of inpatient care at the hospital.
    • Average age of patients was 54% (58.5 for males and 49.6 for females).
    • Average length of stay is 5.2 days.
    • Only 36.4% of diabetic patients are adequately controlled (37.8% males and 35.8% females).

II Workshop on Quality of Diabetes Care, Miami, May 2003

risk factors body weight
Risk Factors – Body Weight

Total population overweight & obese is 51.3%

  • Overweight
    • Female 31.0%
    • Male 21.0%
  • Obese
    • Female 30.0%
    • Male 9.6%
  • Overweight/Obese Ratio 6:4

Source: Jamaica Healthy Lifestyle 2000 Report.

II Workshop on Quality of Diabetes Care, Miami, May 2003

risk factors physical activity pa and drinking
Risk Factors – Physical Activity (PA) and Drinking
  • Physical activity
    • Almost 40% of the Jamaican population is either inactive or engage in low activity levels.
  • Percentage of drinking habits

Daily Weekends

    • Total 11.8 88.2
    • Male 13.2 86.8
    • Female 8.7 91.3

Source: Jamaica Healthy Lifestyle 2000 Report.

II Workshop on Quality of Diabetes Care, Miami, May 2003

risk factors smoking
Risk Factors - Smoking

National Prevalence: 17.7%

  • Age Group 15-49: 14.9%
    • Female 7.7%
    • Male 28.6%
  • 35.3% of school children initiated smoking before* age 10.
  • 15.2% of 13-15-year-olds currently smoked cigarettes*.
  • Among the same age group, currently cigarette smoking at home was at a high of 50.8%*.

Source: Jamaica Healthy Lifestyle 2000 Report.

* Jamaica Cardiovascular Disease and Diabetes Prevention Control Program 3th Draft Strategic Plan 2002-2006.

II Workshop on Quality of Diabetes Care, Miami, May 2003

purposes of the project
Purposes of the Project
  • To identify strengths and weaknesses at clinic level at the Diabetes Association of Jamaica.
  • To identify priority areas for improvement.

II Workshop on Quality of Diabetes Care, Miami, May 2003

data collection methodology
Data-Collection Methodology
  • Data was collected in two clinics (Kingston and St. Thomas).
  • Data was collected from April 2002 to March 2003.
  • 297 dockets were reviewed. Selection of dockets was as follows:
    • Every 3rd docket of the total 4000 existing dockets were selected for review (7.4% of all dockets.)
    • Patients who have died were excluded.
  • Laboratory and physical exams data were recorded by the examining physician.

II Workshop on Quality of Diabetes Care, Miami, May 2003

limitations
Limitations
  • No proper referral system in place, so dockets do not contain all the information required for the study.
  • No random docket selection methodology was followed.
  • No data-gathering quality control was in place.
  • Questionnaire needs to be revised because there is some ambiguity.

II Workshop on Quality of Diabetes Care, Miami, May 2003

gender and age group
Gender and Age Group

Male/Female ratio 6:4

II Workshop on Quality of Diabetes Care, Miami, May 2003

diabetes type
Diabetes Type

II Workshop on Quality of Diabetes Care, Miami, May 2003

was family history of diabetes taken
Was Family History of Diabetes Taken?

II Workshop on Quality of Diabetes Care, Miami, May 2003

other cases with diabetes in the family
Other Cases with Diabetes in the Family

II Workshop on Quality of Diabetes Care, Miami, May 2003

smoking habit
Smoking Habit

II Workshop on Quality of Diabetes Care, Miami, May 2003

alcohol consumption
Alcohol Consumption

II Workshop on Quality of Diabetes Care, Miami, May 2003

body weight and height
Body Weight and Height

70% are overweight/obese

II Workshop on Quality of Diabetes Care, Miami, May 2003

lipids cholesterol
Lipids/Cholesterol

II Workshop on Quality of Diabetes Care, Miami, May 2003

blood glucose measured at home
Blood Glucose Measured at Home

II Workshop on Quality of Diabetes Care, Miami, May 2003

glucose classification
Glucose Classification

In questionnaire FBG is > 140mg% -- ??

II Workshop on Quality of Diabetes Care, Miami, May 2003

a1c classification
A1c Classification

II Workshop on Quality of Diabetes Care, Miami, May 2003

exam done for foot eye dental and htn
Exam Done for Foot, Eye, Dental and HTN

II Workshop on Quality of Diabetes Care, Miami, May 2003

was urine egc and serum creatinine done
Was Urine, EGC and Serum Creatinine Done?

II Workshop on Quality of Diabetes Care, Miami, May 2003

non pharmacological treatment weight reduction and or physical exercise
Non-Pharmacological Treatment (Weight reduction and/or Physical Exercise)

II Workshop on Quality of Diabetes Care, Miami, May 2003

nutritional advice
Nutritional Advice

II Workshop on Quality of Diabetes Care, Miami, May 2003

diabetes education
Diabetes Education

II Workshop on Quality of Diabetes Care, Miami, May 2003

exercise counseling
Exercise Counseling

II Workshop on Quality of Diabetes Care, Miami, May 2003

summary
Summary
  • Approximate male/female ratio: 6:4.
  • Majority of cases are Type 2 Diabetes.
  • Of those patients with glucose control, more than 60% have levels above normal, according to the standards of this study.
  • Though information on A1c control is limited, it seems that more than 60% of them have A1c levels below 9.5

II Workshop on Quality of Diabetes Care, Miami, May 2003

summary31
Summary
  • Poor data-recording of family history of diabetes, smoking, drinking, and other lifestyles.
  • Lack of information on medical history for type of patients (new/old), complications, previous hospital admission, etc.; more is needed.
  • Diabetes exams (eye, dental, foot, renal, cholesterol, etc.) are poorly recorded.
  • Lack of resources for self-patient glucose testing.

II Workshop on Quality of Diabetes Care, Miami, May 2003

recommendations
Recommendations
  • Study methodology needs to be reviewed.
  • Standards for FBG and A1c need to be reviewed.
  • The recording of information needs to be improved
  • More emphasis needs to be placed on routine exams.
  • Other information needs to be included, such as admissions, complications, type of patient (new/old), and how long they have had diabetes.
  • Information on compliance needed.
  • Need to design a front sheet for recording basic patient information.

II Workshop on Quality of Diabetes Care, Miami, May 2003

ad