Shifting of care for diabetes from secondary to primary care, 1990-5: review of general practices
BMJ 1998; 316 doi: https://doi.org/10.1136/bmj.316.7143.1505 (Published 16 May 1998) Cite this as: BMJ 1998;316:1505
- Elizabeth C Goyder, MRC/Trent training fellow in health services research (liddyg@pub.health.su.oz.au)a,
- Paul G McNally, consultant physicianb,
- Michael Drucquer, general practitionerc,
- Nicola Spiers, medical statisticiana,
- Johannes L Botha, senior lecturer in epidemiologya
- a Department of Epidemiology and Public Health, University of Leicester, Leicester LE1 6TP
- b Department of Diabetes and Endocrinology, Leicester Royal Infirmary NHS Trust, Leicester LE1 5WW
- c South Wigston Health Centre, South Wigston, Leicester LE8 2SE
- Correspondence to: Dr E C Goyder, Department of Public Health and Community Medicine, Edward Ford Building A27, University of Sydney, NSW 2006, Australia
- Accepted 21 November 1997
An annual and comprehensive review is regarded as a crucial element of structured diabetes care, 1 2 and general practice is increasingly providing this service.3 Developments in diabetes care in general practice have been encouraged by changes in national policy, which since 1993 have included specific payments for doctors offering structured diabetes care, and local initiatives including diabetes education programmes and multipractice audits.
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Numbers (percentages) of patients with diagnosed diabetes reviewed in general practices and diabetes outpatient clinics between 1990 and 1995
We examined attendance by diabetic patients at outpatient clinics and general practices between 1990 and 1995 to determine whether there had been a change in the proportion of patients with diabetes reviewed in primary and secondary care. The practices were running diabetes programmes that qualified for payments for management of chronic diseases in 1995. …