A quality improvement collaborative increased preventive education and screening rates for women at high-risk for type 2 diabetes mellitus in primary care settings |
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| Affiliation: | 1. Ohio Colleges of Medicine Government Resource Center, 150 Pressey Hall, 1070 Carmack Road, Columbus, OH 43210, United States;2. Ohio Department of Health, 246 N. High Street, Columbus, OH 43215, United States;3. Ohio State University Rardin Family Practice, The Ohio State University Wexner Medical Center, 2231 N. High St., Columbus, OH 43201, United States;4. Internal Medicine/Pediatrics at Grandview Yard, The Ohio State University Wexner Medical Center, 895 Yard Street, Columbus, OH 43212, United States;1. Department of Gerontology, The People’s Hospital of LeShan, 614000 LeShan, China;2. Department of Endocrinology, The Affiliated Hospital of XiNan Medical University, 641400 Luzhou, China;1. Dasman Diabetes Institute, Kuwait City, Kuwait;2. Faculty of Medicine and Faculty of Public Health, Kuwait University, Kuwait;3. School of Health and Life Sciences, Teesside University, United Kingdom;4. Ministry of Health, Kuwait;5. Department of Public Health Solutions, National Institute for Health and Welfare, Helsinki, Finland;1. Department of Pharmacy Practice, Wayne State University, 259 Mack Avenue, Suite 2134, Detroit, MI, 48201, USA;2. Department of Learning Health Sciences, University of Michigan, 1111 E. Catherine Street, Ann Arbor, MI, 48109, USA;3. Department of Health Sciences, Wayne State University, 259 Mack Avenue, Suite 2212, Detroit, MI, 48201, USA;4. Department of Family Medicine, Michigan State University, 788 Service Road, B103 Clinical Center, East Lansing, MI, 48824, USA;1. University of Trás-os-Montes e Alto Douro, School of Education of Viseu, Polytechnic Institute of Viseu, Portugal;2. University of Trás-os-Montes e Alto Douro, Portugal;3. Research Center in Sports Sciences, Health Sciences and Human Development, CIDESD, University Institute of Maia, Portugal;4. EPIUnit – Instituto de Saúde Pública, Universidade do Porto, Portugal;5. EPIUnit – Instituto de Saúde Pública, Universidade do Porto, Faculdade de Medicina, Universidade do Porto, Portugal;6. EPIUnit – Instituto de Saúde Pública, Universidade do Porto, University of Trás-os-Montes e Alto Douro, Public Health Unit, ACES Douro I – Marão e Douro Norte, Northern Region Health Administration, Portugal;1. Endocrinology and Nutrition Department, Ciudad Real University Hospital, Ciudad Real, Spain;2. Ciudad Real Medicine School, Castilla-La Mancha University, Ciudad Real, Spain;3. Córdoba Medicine School, Córdoba University, Córdoba, Spain;4. Translational Research Unit, Ciudad Real University Hospital, Ciudad Real, Spain |
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| Abstract: | ![]()
AimsType 2 diabetes mellitus (T2DM) rates continue to increase across women of reproductive age in the United States. The Ohio Type 2 Diabetes Learning Collaborative aimed to improve education and screening for T2DM among women aged 18–44 years at high risk for developing T2DM.MethodsFifteen primary care practices across Ohio participated in a 12-month quality improvement (QI) collaborative, which included monthly calls to share best practices, one-on-one QI coaching, and Plan-Do-Study-Act cycles. Monthly, practices submitted data on three outcome measures on preventive education and three measures on clinical screening for T2DM.ResultsIncreases across each of the three preventive education rates (range of percent increase: 53.6% – 60.0%) and each of the three screening rates for T2DM (15.0% – 19.4%) were observed. Specifically, screening rates for high-risk women with two or more risk factors for T2DM (excluding gestational diabetes mellitus (GDM)) increased by 16.8% (60.5%–77.3%) while rates for T2DM among women with a history of GDM increased by 15.0% (75.0 – 90.0).ConclusionsA quality improvement collaborative increased preventive education and screening rates for women at high-risk for T2DM in primary care settings. |
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| Keywords: | Gestational diabetes Type 2 diabetes Primary care Quality improvement |
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