{"id":615,"date":"2021-04-08T16:45:39","date_gmt":"2021-04-08T16:45:39","guid":{"rendered":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/?p=615"},"modified":"2021-04-08T16:45:39","modified_gmt":"2021-04-08T16:45:39","slug":"attainment-of-primary-care-quality-of-care-indicators-and-emergency-hospital-admissions-in-people-with-type-2-diabetes","status":"publish","type":"post","link":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/04\/08\/attainment-of-primary-care-quality-of-care-indicators-and-emergency-hospital-admissions-in-people-with-type-2-diabetes\/","title":{"rendered":"Attainment of primary care quality of care indicators and emergency hospital admissions in people with type 2 diabetes"},"content":{"rendered":"

England has invested considerably in diabetes care over recent years through programmes such as the Quality and Outcomes Framework and National Diabetes Audit. However, associations between specific programme indicators and key clinical endpoints, such as emergency hospital admissions, remain unclear. In a study published in the Journal of the Royal Society of Medicine<\/a>, we aimed to examine whether attainment of Quality and Outcomes Framework and National Diabetes Audit primary care diabetes indicators is associated with diabetes-related, cardiovascular, and all-cause emergency hospital admissions.<\/p>\n

Diabetes, cardiovascular and all-cause unplanned hospital admission rates were 7%\u201312% lower among those who met the Quality and Outcomes Framework HbA1c indicator, and 8%\u201314% lower among those who met the cholesterol indicator. By contrast, univariate analyses demonstrated that blood pressure indicator attainment was associated with higher rates of all types of unplanned admission. However, this association only persisted for diabetes-related admissions in multivariate analyses, and blood pressure attainment was associated with a significantly lower rate of cardiovascular-related unplanned admissions after adjustment for confounders.<\/p>\n

Longer latency to diabetes, cardiovascular and all-cause unplanned admissions was also observed among those who met the HbA1c or cholesterol indicators, and again an association was not observed for the blood pressure indicator. Completing 7\u20139 National Diabetes Audit processes was associated with lower rates of all types of unplanned admissions, and meeting all nine National Diabetes Audit care processes was linked to 22%\u201326% lower rates for all types of unplanned admissions.<\/p>\n

DOI:\u00a0https:\/\/doi.org\/10.1177\/01410768211005109<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

England has invested considerably in diabetes care over recent years through programmes such as the Quality and Outcomes Framework and National Diabetes Audit. However, associations between specific programme indicators and key clinical endpoints, such as emergency hospital admissions, remain unclear. In a study published in the Journal of the Royal Society of Medicine, we aimed […]<\/p>\n","protected":false},"author":1115,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[404],"tags":[131],"class_list":["post-615","post","type-post","status-publish","format-standard","hentry","category-health","tag-diabetes"],"yoast_head":"\nAttainment of primary care quality of care indicators and emergency hospital admissions in people with type 2 diabetes - Medical Centre<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/04\/08\/attainment-of-primary-care-quality-of-care-indicators-and-emergency-hospital-admissions-in-people-with-type-2-diabetes\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Attainment of primary care quality of care indicators and emergency hospital admissions in people with type 2 diabetes - Medical Centre\" \/>\n<meta property=\"og:description\" content=\"England has invested considerably in diabetes care over recent years through programmes such as the Quality and Outcomes Framework and National Diabetes Audit. However, associations between specific programme indicators and key clinical endpoints, such as emergency hospital admissions, remain unclear. In a study published in the Journal of the Royal Society of Medicine, we aimed […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/04\/08\/attainment-of-primary-care-quality-of-care-indicators-and-emergency-hospital-admissions-in-people-with-type-2-diabetes\/\" \/>\n<meta property=\"og:site_name\" content=\"Medical Centre\" \/>\n<meta property=\"article:published_time\" content=\"2021-04-08T16:45:39+00:00\" \/>\n<meta name=\"author\" content=\"Azeem Majeed\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Azeem Majeed\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/04\/08\/attainment-of-primary-care-quality-of-care-indicators-and-emergency-hospital-admissions-in-people-with-type-2-diabetes\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/04\/08\/attainment-of-primary-care-quality-of-care-indicators-and-emergency-hospital-admissions-in-people-with-type-2-diabetes\/\"},\"author\":{\"name\":\"Azeem Majeed\",\"@id\":\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/#\/schema\/person\/b22e0e53db849fda7de9e32c14d3df25\"},\"headline\":\"Attainment of primary care quality of care indicators and emergency hospital admissions in people with type 2 diabetes\",\"datePublished\":\"2021-04-08T16:45:39+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/04\/08\/attainment-of-primary-care-quality-of-care-indicators-and-emergency-hospital-admissions-in-people-with-type-2-diabetes\/\"},\"wordCount\":255,\"commentCount\":0,\"keywords\":[\"Diabetes\"],\"articleSection\":[\"Health\"],\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/04\/08\/attainment-of-primary-care-quality-of-care-indicators-and-emergency-hospital-admissions-in-people-with-type-2-diabetes\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/04\/08\/attainment-of-primary-care-quality-of-care-indicators-and-emergency-hospital-admissions-in-people-with-type-2-diabetes\/\",\"url\":\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/04\/08\/attainment-of-primary-care-quality-of-care-indicators-and-emergency-hospital-admissions-in-people-with-type-2-diabetes\/\",\"name\":\"Attainment of primary care quality of care indicators and emergency hospital admissions in people with type 2 diabetes - Medical Centre\",\"isPartOf\":{\"@id\":\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/#website\"},\"datePublished\":\"2021-04-08T16:45:39+00:00\",\"author\":{\"@id\":\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/#\/schema\/person\/b22e0e53db849fda7de9e32c14d3df25\"},\"breadcrumb\":{\"@id\":\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/04\/08\/attainment-of-primary-care-quality-of-care-indicators-and-emergency-hospital-admissions-in-people-with-type-2-diabetes\/#breadcrumb\"},\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/04\/08\/attainment-of-primary-care-quality-of-care-indicators-and-emergency-hospital-admissions-in-people-with-type-2-diabetes\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/04\/08\/attainment-of-primary-care-quality-of-care-indicators-and-emergency-hospital-admissions-in-people-with-type-2-diabetes\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Attainment of primary care quality of care indicators and emergency hospital admissions in people with type 2 diabetes\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/#website\",\"url\":\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/\",\"name\":\"Medical Centre\",\"description\":\"Updates from Imperial College London's Professor of Primary Care\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-GB\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/#\/schema\/person\/b22e0e53db849fda7de9e32c14d3df25\",\"name\":\"Azeem Majeed\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\/\/secure.gravatar.com\/avatar\/d2985c036ad0b1b454e88876b26c4c477be22a2218f7b5ce5e589d35efd30d78?s=96&d=mm&r=g\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/d2985c036ad0b1b454e88876b26c4c477be22a2218f7b5ce5e589d35efd30d78?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/d2985c036ad0b1b454e88876b26c4c477be22a2218f7b5ce5e589d35efd30d78?s=96&d=mm&r=g\",\"caption\":\"Azeem Majeed\"},\"description\":\"I am Professor of Primary Care and Public Health, and Head of the Department of Primary Care & Public Health at Imperial College London. I am also involved in postgraduate education and training in both general practice and public health, and I am the Course Director of the Imperial College Master of Public Health (MPH) programme.\",\"sameAs\":[\"http:\/\/www.imperial.ac.uk\/people\/a.majeed\"],\"url\":\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/author\/amajeed\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Attainment of primary care quality of care indicators and emergency hospital admissions in people with type 2 diabetes - Medical Centre","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/04\/08\/attainment-of-primary-care-quality-of-care-indicators-and-emergency-hospital-admissions-in-people-with-type-2-diabetes\/","og_locale":"en_GB","og_type":"article","og_title":"Attainment of primary care quality of care indicators and emergency hospital admissions in people with type 2 diabetes - Medical Centre","og_description":"England has invested considerably in diabetes care over recent years through programmes such as the Quality and Outcomes Framework and National Diabetes Audit. However, associations between specific programme indicators and key clinical endpoints, such as emergency hospital admissions, remain unclear. In a study published in the Journal of the Royal Society of Medicine, we aimed […]","og_url":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/04\/08\/attainment-of-primary-care-quality-of-care-indicators-and-emergency-hospital-admissions-in-people-with-type-2-diabetes\/","og_site_name":"Medical Centre","article_published_time":"2021-04-08T16:45:39+00:00","author":"Azeem Majeed","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Azeem Majeed","Estimated reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/04\/08\/attainment-of-primary-care-quality-of-care-indicators-and-emergency-hospital-admissions-in-people-with-type-2-diabetes\/#article","isPartOf":{"@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/04\/08\/attainment-of-primary-care-quality-of-care-indicators-and-emergency-hospital-admissions-in-people-with-type-2-diabetes\/"},"author":{"name":"Azeem Majeed","@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/#\/schema\/person\/b22e0e53db849fda7de9e32c14d3df25"},"headline":"Attainment of primary care quality of care indicators and emergency hospital admissions in people with type 2 diabetes","datePublished":"2021-04-08T16:45:39+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/04\/08\/attainment-of-primary-care-quality-of-care-indicators-and-emergency-hospital-admissions-in-people-with-type-2-diabetes\/"},"wordCount":255,"commentCount":0,"keywords":["Diabetes"],"articleSection":["Health"],"inLanguage":"en-GB","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/04\/08\/attainment-of-primary-care-quality-of-care-indicators-and-emergency-hospital-admissions-in-people-with-type-2-diabetes\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/04\/08\/attainment-of-primary-care-quality-of-care-indicators-and-emergency-hospital-admissions-in-people-with-type-2-diabetes\/","url":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/04\/08\/attainment-of-primary-care-quality-of-care-indicators-and-emergency-hospital-admissions-in-people-with-type-2-diabetes\/","name":"Attainment of primary care quality of care indicators and emergency hospital admissions in people with type 2 diabetes - Medical Centre","isPartOf":{"@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/#website"},"datePublished":"2021-04-08T16:45:39+00:00","author":{"@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/#\/schema\/person\/b22e0e53db849fda7de9e32c14d3df25"},"breadcrumb":{"@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/04\/08\/attainment-of-primary-care-quality-of-care-indicators-and-emergency-hospital-admissions-in-people-with-type-2-diabetes\/#breadcrumb"},"inLanguage":"en-GB","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/04\/08\/attainment-of-primary-care-quality-of-care-indicators-and-emergency-hospital-admissions-in-people-with-type-2-diabetes\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/04\/08\/attainment-of-primary-care-quality-of-care-indicators-and-emergency-hospital-admissions-in-people-with-type-2-diabetes\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/"},{"@type":"ListItem","position":2,"name":"Attainment of primary care quality of care indicators and emergency hospital admissions in people with type 2 diabetes"}]},{"@type":"WebSite","@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/#website","url":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/","name":"Medical Centre","description":"Updates from Imperial College London's Professor of Primary Care","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-GB"},{"@type":"Person","@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/#\/schema\/person\/b22e0e53db849fda7de9e32c14d3df25","name":"Azeem Majeed","image":{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/secure.gravatar.com\/avatar\/d2985c036ad0b1b454e88876b26c4c477be22a2218f7b5ce5e589d35efd30d78?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/d2985c036ad0b1b454e88876b26c4c477be22a2218f7b5ce5e589d35efd30d78?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/d2985c036ad0b1b454e88876b26c4c477be22a2218f7b5ce5e589d35efd30d78?s=96&d=mm&r=g","caption":"Azeem Majeed"},"description":"I am Professor of Primary Care and Public Health, and Head of the Department of Primary Care & Public Health at Imperial College London. I am also involved in postgraduate education and training in both general practice and public health, and I am the Course Director of the Imperial College Master of Public Health (MPH) programme.","sameAs":["http:\/\/www.imperial.ac.uk\/people\/a.majeed"],"url":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/author\/amajeed\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/posts\/615","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/users\/1115"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/comments?post=615"}],"version-history":[{"count":1,"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/posts\/615\/revisions"}],"predecessor-version":[{"id":616,"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/posts\/615\/revisions\/616"}],"wp:attachment":[{"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/media?parent=615"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/categories?post=615"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/tags?post=615"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}