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Utilisation of minimum databases for effective diabetes care

Department of Diabetes and Endocrinology, Queen Elizabeth II Hospital, Howlands, Welwyn Garden City, Herts AL7 4HQ, peter.winocour{at}qeii.enherts-tr.nhs.uk

Effective diabetes care requires a functional information system that can be utilised in different healthcare settings. Such systems will enable focused individual patient care, and provide an opportunity to identify and meet needs within area health economies, address issues of quality of healthcare, and support research, education and audit. At present over 25% of secondary care services in the United Kingdom do not have any computerised diabetes database. This severely impairs efforts to identify the case load and provide integrated diabetes care across primary and secondary care, and to offer full coverage of screening schemes to detect diabetic retinopathy. The data included in any such system need to be structured and operate at different levels of complexity and detail. It should be feasible to enter and access data whilst maintaining patient confidentiality. Funding issues need to be addressed in the establishment and maintenance of databases if the ambitions of the National Service Framework (NSF) for Diabetes are to be realised.

Key Words: diabetes • databases • registers • audit • retinopathy screening.

References

• World Health Organisation (Europe) and International Diabetes Federation (Europe). Diabetes care and research in Europe: the St Vincent Declaration. Diabetic Med 1990;7:360.[Web of Science][Medline] [Order article via Infotrieve]
• Wilson AE, Home PD, for the Diabetes Audit Working Group of the Research Unit of the Royal College of Physicians and the British Diabetic Association. Diabetic Med 1993;10:378-90.[Web of Science][Medline] [Order article via Infotrieve]
• Vaughan NJA, Home PD, for the Diabetes Audit Working Group of the Research Unit of the Royal College of Physicians and the British Diabetic Association. The UK Diabetes Data-set - a standard for information exchange. Diabetic Med 1995;12:717-22.[Web of Science][Medline] [Order article via Infotrieve]
• Vaughan NJA, Hopkinson N., Chishty VA DIALOG: Co-ordination of the annual review process through a district diabetes register linked to the FHSA database. Diabetic Med 1996;13:182-8.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Vaughan NJA, Shaw M., Boer F., Billett W., Martin C. Creation of a district diabetes register using the DIALOG system. Diabetic Med 1996;13:175-81.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• New JP, Hollis S., Campbell F. et al. Measuring clinical performance and outcomes from diabetes information systems: an observational study. Diabetologia 2000;43:836-43.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Amos AF, McCarty DJ, Zimmet P. The rising global burden of diabetes and its complications: Estimates and projections to the year 2010. Diabetic Med 1997;14(suppl 5):S1-S85.[Medline] [Order article via Infotrieve]
• Morris AD, Boyle DIR, MacAlpine R. et al. The diabetic audit and research in Tayside Scotland (DARTS) study: electric record linkage to create a diabetes register. BMJ 1997;315:524-8.[Abstract/Free Full Text]
• Piwernetz K., Home PD, Snorgaard O., Antsiferov M., Staehr-Johansen K., Krans M., for the DiabCare Monitoring Group of the St Vincent Declaration Steering Committee. Diabetic Med 1993;10:371-7.[Web of Science][Medline] [Order article via Infotrieve]
• Pierce M., Agarwal G., Ridout D. A survey of diabetes care in general practice in England and Wales. Br J Gen Practice 2000;50:542-5.[Web of Science][Medline] [Order article via Infotrieve]
• Winocour PH, Ainsworth A., Williams R. Association of British Clinical Diabetologists (ABCD) Survey of Secondary Care Services for Diabetes in the United Kingdom- 2000:1: Methods and Major Findings. Diabetic Medicine; 2001, in press.
• Association of British Clinical Diabetologists (ABCD). A Survey of Consultant Diabetologist-Led Services. Summary Results, November 2000. Accessed at www.diabetologists-abcd.org.uk
• UK National Screening Committee. Recommendations on screening for diabetic retinopathy. Accessed at www.diabetic-retinopathy.screening.nhs.uk/index.html
• Alexander W., Bradshaw C., Gadsby R. et al. for the British Diabetic Association. An approach to manageable data-sets in diabetes care. Diabetic Med 1994;11:806-11.[Web of Science][Medline] [Order article via Infotrieve]
• Elwyn GI, Vaughan NJA, Stott NCH. District Diabetes Registers: More trouble than they are worth? Diabetic Med 1998;15(suppl 3):S44-S47.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]

The British Journal of Diabetes & Vascular Disease, Vol. 1, No. 2, 136-140 (2001)
DOI: 10.1177/14746514010010020201


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This Article Abstract Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Winocour, P. H Search for Related Content Social Bookmarking                         What's this?