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Israel Journal of Health Policy Research

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Open Access 01-12-2018 | Original research article

Trends in the performance of quality indicators for diabetes care in the community and in diabetes-related health status: an Israeli ecological study

Authors: Ronit Calderon-Margalit, Michal Cohen-Dadi, Dana Opas, Dena H. Jaffe, Jacob Levine, Arie Ben-Yehuda, Ora Paltiel, Orly Manor

Published in: Israel Journal of Health Policy Research | Issue 1/2018

Abstract

Background

Israel is one of the few countries that have a national program for quality assessment of community healthcare. We aimed to evaluate whether improved performance in diabetes care was associated with improved health of diabetic patients on a national level.

Methods

We conducted a nationwide ecological study estimating improvements in diabetes-related quality indicators and health outcomes. We estimated both correlations between composite measures of diabetes-related quality indicators and selected outcomes, and assessed through a joinpoint analysis whether trends in selected outcomes changed 4 years after the inception of the national program.

Results

Between 2002 and 2010, the prevalence of diabetes in Israeli adults increased from 4.8% to 7.4%. During these years, an improvement was noticed in most quality indicators (from 53% to 75% for the composite score). Declines were noted in rates of blindness, diabetes-related end-stage kidney disease, lower limbs amputations and diabetes-related mortality. Significant accelerations in decline were noted for amputations in men and diabetes-related mortality in both Arab men and women 4 years after the inception of the national program.

Conclusion

This study suggests that Israel’s national program for quality indicators in diabetes care in the community has probably had a significant impact on the health status of the whole population and may have contributed to narrowing gaps in life expectancy between Israeli Jews and Arabs. Future studies based on individual-level data are needed to confirm these results.

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Title: Trends in the performance of quality indicators for diabetes care in the community and in diabetes-related health status: an Israeli ecological study
Authors: Ronit Calderon-Margalit
Michal Cohen-Dadi
Dana Opas
Dena H. Jaffe
Jacob Levine
Arie Ben-Yehuda
Ora Paltiel
Orly Manor
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: Israel Journal of Health Policy Research / Issue 1/2018
Electronic ISSN: 2045-4015
DOI: https://doi.org/10.1186/s13584-018-0206-3

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Trends in the performance of quality indicators for diabetes care in the community and in diabetes-related health status: an Israeli ecological study

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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