Table 2. The definitions of indicators used to measure the quality of diabetes care in this study.
Category | Continuity of care | Process of care | Intermediate outcome | ||||
---|---|---|---|---|---|---|---|
Indicators | Medication possession ratio | HbA1c test | Lipid profile | Microalbuminuria test | Eye examination | BP control | LDL control |
Recommendation | 80% or morea | Twice a yearb | Once a yearb | Once a yearb | Biennialb | 140/80 mmHgc | 100 mg/dLb |
Standards for this study | 80% or more | Once a year | Once a year | Once a year | Biennial | 140/80 mmHg | 100 mg/dL |
Numerator | The sum of days prescribed diabetes medication | The number of the type 2 diabetes who received each test | The number of the diabetes who had target or lower level of BP or LDL | ||||
Denominator | The sum of person-days of the type 2 diabetes | Total number of the type 2 diabetes | Total number of the type 2 diabetes | ||||
Criteria | Medication | Procedure codes | Population | ||||
Biguanides, non-sulfonylureas, sulfonylureas, alpha-glucosidase inhibitors, insulin, thiazolidinediones, dipeptidyl peptidase-4 inhibitors, incretin analogues | C3825 | C2411 | C2301 | E6660 | Calculated only for those who received national health screening | ||
C2420 | C2302 | E6670 | |||||
C2443 | C7230 | E6681 | |||||
C2430 |
HbA1c = hemoglobin A1c, BP = blood pressure, LDL = low-density lipoprotein.
aStandard for the incentive for the medical care to chronic disease management (2012, Korean Health Insurance Review and Assessment Service); bTreatment guideline for diabetes (2015, Korean Diabetes Association); cClinical practice guideline for the prevention and management of diabetes in Korea (2015, Korean National Diabetes Program).