Abstract
In its first year 747 diabetics were entered into a comprehensive shared care scheme in which general practitioners agreed to follow up their own patients. After two years patients were recalled to hospital for review through a computer based recall system. Analysis of the first 209 patients reviewed showed that the recall system worked well with failure to trace only eight patients. Six new cases of foot ulcer, 15 of retinopathy, 14 of macular degeneration, and 15 of raised blood pressure requiring treatment were detected at review. Sixty four patients appeared to have had no check on their diabetes during the two years. Of the 117 with written evidence in their cooperation books that they had received some diabetic supervision, many had had no measurement of weight (32), blood pressure (49), or urine (68) or blood glucose (70), and only 55 had had foot and 65 eye examination. This erratic and generally poor standard of supervision suggests that much tighter organisation is required within each practice, with time being set aside specifically for care of diabetics. Practice nurses could have an important role in the delivery and organisation of care.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Hayes T. M., Harries J. Randomised controlled trial of routine hospital clinic care versus routine general practice care for type II diabetics. Br Med J (Clin Res Ed) 1984 Sep 22;289(6447):728–730. doi: 10.1136/bmj.289.6447.728. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hill R. D. Community care service for diabetics in the Poole area. Br Med J. 1976 May 8;1(6018):1137–1139. doi: 10.1136/bmj.1.6018.1137. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mellor J. G., Samanta A., Blandford R. L., Burden A. C. Questionnaire survey of diabetic care in general practice in Leicestershire. Health Trends. 1985 Aug;17(3):61–63. [PubMed] [Google Scholar]
- Moor M. J., Gadsby R. Non-insulin dependent diabetes mellitus in general practice. Practitioner. 1984 Jul;228(1393):675–679. [PubMed] [Google Scholar]
- Thorn P. A., Russell R. G. Diabetic clinics today and tomorrow: mini-clinics in general practice. Br Med J. 1973 Jun 2;2(5865):534–536. doi: 10.1136/bmj.2.5865.534. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wilkes E., Lawton E. E. The diabetic, the hospital and primary care. J R Coll Gen Pract. 1980 Apr;30(213):199–206. [PMC free article] [PubMed] [Google Scholar]
- Yudkin J. S., Boucher B. J., Schopflin K. E., Harris B. T., Claff H. R., Whyte N. J., Taylor B., Mellins D. H., Wootliff A. B., Safir J. G. The quality of diabetic care in a London health district. J Epidemiol Community Health. 1980 Dec;34(4):277–280. doi: 10.1136/jech.34.4.277. [DOI] [PMC free article] [PubMed] [Google Scholar]