Diabetes Care Improvement at the Primary Care Level of the Buenos Aires Province using Education Strategies, WDF17-1546

Scaling up and refining a primary level diabetes care pilot project to 11 municipalities with a population 3 million (18% of the population of Province of Buenos Aires)

Objectives

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.

Approach

  • 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.

 

Expected results

  • 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.

Project information

Project impact

Expected results

  • 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.

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