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Table 4 Process measures: professional performance

From: Short- and long-term effects of a quality improvement collaborative on diabetes management

Intermediate outcome indicators
(percentage of patients)
Baseline Short term (one year follow up) Long term (two years follow up)
  Intervention Control Intervention Control Intervention Control
Medical record ( n = 1,861)       
HbA1c checked within 12 months 82.4 91.5* 95.7 95.4 93.7 93.2
Blood pressure checked within 12 months 79.4 89.7*** 89.9 93.1 88.6 91.1
Cholesterol checked within 12 months 69.4 80.1 83.2 84.3 82.2 83.4
Creatinine test within 12 months 72.9 82.1 87.8 86.9 85.5 86.8
Urine test (microalbuminuria) within 12 months 37.9 49.9 45.1 56.6 45.3 61.0
Weighed within12 months 68.7 78.7 81.2 84.8 74.5 83.5
Body mass index calculated within 12 months 22.7 33.4 43.7 39.1 41.8 43.7
Survey (n = 1,630)       
Eye examination within 12 months 85.2 90.9* 88.3 90.8 90.1 92.5
Foot examination within 12 months 77.5 77.8 82.7 82.7 83.0 85.2
Visit to dietician (survey) within 12 months 29.5 23.8* 15.8 12.8 17.8 9.9**
Visit to podotherapist (survey) within12 months 27.7 26.8 20.6 26.8 28.0 27.3
Received advice to self-monitor blood glucuose 72.4 66.3 69.7 64.8 68.7 65.7
Received instruction to monitor blood glucose 74.2 68.2 59.5 52.4* 61.7 55.8*
Received advice to examine feet 76.4 72.1 77.2 68.5* 75.2 69.4*
Received instruction to examine feet 64.6 59.2 65.9 56.3* 66.0 59.5*
Received advice not to gain weight 88.4 89.1 70.9 71.0 68.4 67.1
Received advice for healthful diet 94.9 93.7 75.1 71.6 72.4 67.6
Received advice for regular exercise 93.6 91.1 82.9 79.6 78.6 76.5
Received advice to stop smoking 74.6 75.7 77.9 73.0 64.6 65.8
  1. *p < 0.05; **p < 0.01; ***p < 0.001
  2. Performance scores are presented as unadjusted.
  3. P value is for testing the difference between intervention and control arm at baseline and one year follow up, andbaseline and two years follow up, respectively, using a mixed logistic model for dichotomous outcomes, and a mixed regression model for continuous outcomes adjusting for baseline scores.