To scale up outcomes of pilot project WDF12-761 from one to 11 municipalities of the Province of Buenos Aires to ensure early diagnosis of diabetes, increased control/treatment adherence and improved quality of care.
- Train physicians and nurses in high risk group identification (FINDRISK) and early diabetes diagnosis using material developed during WDF12-761. Select physicians and nurses to represent primary health care units in the targeted municipalities.
- Train physicians (online courses combined with practical clinical sessions) and nurses (class room sessions combined with practical clinical sessions and imitation of life as a person living with diabetes) to control and treat diabetes patients, applying methodologies developed during WDF12-761.
- Implement an interdisciplinary health team approach for care of diabetes patients, with emphasis on quality and efficiency.
- Establish a call centre in each health secretariat of the 11 involved municipalities to reduce patient dropout.
- Establish a continuous and systematic patient registry (as in the ‘QUALIDIAB form’ based on clinical, metabolic and therapeutic indicators, applied in project WDF12-761) to control and evaluate care quality and measure impact on performance.
- 120 physicians and 120 nurses, working at 120 primary health care units trained and provided follow-up and monitoring re application of acquired skills and the ability to implement the intended diabetes care.
- 120 primary health care units implement QUALIDIAB data collection.
- At least 5,000 diabetes patients registered for follow up and continuous evaluation of quality of care (incl. screening for late complications).
- 10,000 people at risk in the targeted municipalities screened to attain early diagnosis of diabetes or identified as high-risk.
- Improved access to care made available to more than 175,000 patients living in the targeted municipalities.