糖尿病服务的结果指标——我们有什么,我们需要什么?

D R Williams
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引用次数: 10

摘要

尽量减少糖尿病患者因高血糖昏迷、低血糖昏迷和下肢截肢而住院的需要,可以被视为当地糖尿病服务的一些合法目标。常规收集的数据可用于计算卫生服务区和地区或同等地区的此类入院率。1981年至1986年间,东安格利亚地区提及高血糖昏迷的住院率下降,而提及低血糖昏迷的住院率上升。截肢率保持稳定。地区间的所有比率差异相当大,某些地区的高血糖昏迷率每年都很高,而另一些地区的截肢率一直很高。缺乏病例定义的标准化和常规收集的住院数据有效性的不确定性是这种方法最重要的缺点。然而,经过仔细的解释,这些数据为衡量当地糖尿病服务的有效性提供了可能的来源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Outcome indicators for diabetes services--what do we have and what do we need?

Minimizing the need for hospital admissions for hyperglycaemic coma, hypoglycaemic coma and amputation of the lower limbs in patients with diabetes can be regarded as some of the legitimate objectives of a local diabetes service. Routinely collected data are available to calculate rates for such admissions for health service districts and for regions or their equivalents. East Anglian regional rates for admissions mentioning hyperglycaemic coma fell between 1981 and 1986 while rates for those mentioning hypoglycaemic coma rose. Amputation rates remained steady. Between-district variation for all rates was considerable and certain districts showed consistently high rates from year to year for hyperglycaemic coma with others having consistently high rates for amputations. Lack of standardization of case definition and uncertainty about the validity of routinely collected hospital admission data are the most important drawbacks of this approach. With careful interpretation, however, these data provide a possible source for the measurement of the effectiveness of local diabetes services.

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