Table 6.
Definition of quality of care indicators
| Disease | Name | Description |
|---|---|---|
| Hypertension | hehbpb | If aged 50 or older & remains hypertensive after nonpharmacological intervention: |
| Did a doctor or nurse ever suggest that you take medication to lower your blood pressure? | ||
| hehbp | If aged 50 or older and hypertensive: | |
| Has a doctor or nurse explained high blood pressure in a way you could understand? | ||
| hehbpa | If aged 50 or older and hypertensive: | |
| Have doctors or nurses given you any choice about how to treat your high blood pressure? | ||
| High cholesterol | hecholb | If aged 50 or over and has high cholesterol: |
| Has a doctor or nurse explained high cholesterol in a way you could understand? | ||
| hecholc | If aged 50 or over and has high cholesterol: | |
| Have doctors or nurses taken your preferences into account when making treatment decisions about your high cholesterol? | ||
| IHD | hehrta | If aged 50 or older & has established CHD & is not on warfarin: |
| Did a doctor suggest that you take medication to thin your blood? | ||
| hecgstp | If aged 50 or older & has established CHD & smokes: | |
| Has a doctor or nurse ever advised you to stop smoking? | ||
| hebetall | If aged 50 or older & has had a recent myocardial infarction: | |
| Did any doctor ever tell you that you should take a medication called a betablocker? | ||
| Stroke | hehbpb1 | If aged 50 or older and has had a stroke: had a previous stroke |
| Doctor or nurse ever suggested you take any medication to lower your blood pressure? | ||
| Diabetes | hesuga | If aged 50 or over and has diabetes: |
| Glycosylated haemoglobin or fructosamine test performed in the past 12 months? | ||
| hewee | If diabetic person aged 50 or older & not have established renal disease & not receiving an ACE inhibitor or angiotensin II receptor blocker: | |
| Urine test for protein in the last 12 months? | ||
| heaceall | If diabetic person aged 50 or older & has one additional cardiac risk factor (i.e., smoker, hypertension, or renal insufficiency/microalbuminuria): | |
| Doctor discussed whether you should take ACE inhibitor or A2 receptor blocker? | ||
| heftchk | If aged 50 or over and has diabetes: | |
| In the past year, has any doctor or nurse examined your bare feet? | ||
| heslfcr | If aged 50 or over and has diabetes: | |
| Have you ever participated in a course or class about diabetes? | ||
| heslfcb | If aged 50 or over and has diabetes: | |
| How much do you think you know about managing your diabetes? | ||
| hechol | If aged 50 or over and has diabetes & has a fasting total cholesterol level of 5 mmol/l or greater: | |
| Has any doctor talked to you about how to lower your cholesterol? | ||
| Osteoarthritis | hekneb | If ambulatory person aged 50 or older & has had a diagnosis of symptomatic osteoarthritis of the knee for longer than 3 months & has no contraindications to exercise: |
| Doctor or nurse suggested physiotherapy for your knee pain? | ||
| heartall | If ambulatory person aged 50 or older & has had a diagnosis of osteoarthritis: | |
| Doctor or nurse ever talked to you about how to keep your pain from getting worse? | ||
| hearte | If aged 50 or older & has had a diagnosis of osteoarthritis: | |
| Did any doctor or nurse recommend you to try paracetamol before other medicines? | ||
| heartd | If aged 50 or older & has had a diagnosis of osteoarthritis: | |
| Has any doctor ever talked to you about what the specific purpose of the treatment is? | ||
| hepaf | If aged 50 or older with severe symptomatic osteoarthritis of the knee or hip, has failed to respond to non- pharmacological and pharmacological therapy: | |
| Did any doctor recommend that you should have surgery or joint replacement? | ||
| Osteoporosis | heoste | If aged 50 or older & has untreated osteoporosis: |
| Has any doctor or nurse recommended taking calcium pills or vitamin D? | ||
| heosted | If woman aged 50 or older & is newly diagnosed with osteoporosis: | |
| Were these medicines recommended within 3 months? | ||
| Prevention of falls | hefld | If aged 65 or older & reported 2 or more falls in the past year, or a single fall with injury requiring treatment: |
| With any of your past falls, did a doctor or nurse to try to understand why you fell? | ||
| heflall | If aged 65 or older & reported 2 or more falls in the past year, or a single fall with injury requiring treatment: | |
| Did a doctor recommend any additional tests to understand why you fell? | ||
| Pain | hepai | If aged 50 or older & has a newly reported chronic painful condition: |
| Did your doctor or nurse recommend any treatments for your pain? | ||
| Incontinence | heincall | If aged 65 or older & has new UI that persists for over 1 month: |
| Doctor or nurse took targeted history? | ||
| heinctall | If aged 65 or older & has new UI that persists for over 1 month: | |
| Did a doctor or specialist such as an urologist or gynaecologist perform an internal exam? | ||
| heincth | If aged 65 or older & has new UI that persists for over 1 month: | |
| Did a doctor or nurse talk with you about how to treat urinary incontinence? | ||
| heinctg | If aged 65 or older & has new UI that persists for over 1 month: | |
| Did a doctor or nurse ask you to provide a sample of urine for testing? | ||
| Hearing | hehrc | If aged 65 or older & has a problem with hearing: |
| Did doctor refer you to an ear specialist to check your hearing? | ||
| hehrall | If aged 65 or older & is a hearing aid candidate: | |
| Did you get a hearing aid? And did a doctor teach you how to use your hearing aid? | ||
| Vision | hedreye | If aged 50 or older & is diagnosed with a cataract that limits the patient’s ability to carry out needed or desired activities: |
| Did any doctor or optician recommend that you have your cataracts removed? | ||
| Depression | hepsye | If aged 50 or older & receives a diagnosis of a new depression episode: |
| When you talked about these feelings, did doctor ask if you had thoughts about suicide? | ||
| hepsyb | If aged 50 or older is diagnosed with clinical depression: diagnosed with clinical depression |
|
| Did you start medication or counselling within 2 weeks of being offered this treatment? |