383 Cooperation Between Health Centres Supports Quality Work

Author(s): 
SOVERI P, WINELL K, HEIKKINEN M, HIRVONEN S, LAAKSONEN T, MATIKAINEN M, PIIROINEN A, VllTANIEMI M, CONMEDIC, Finland, pertti.soveri@porvoo.fi
Text: 
Introduction:
GP's and diabetes nurses have developed guidelines for the process of treating type II diabetic patients (NIDDM) at their Health Centres in Finland. 6 Health Centres were involved in the process. These guidelines are based on national guidelines but locally adapted. The Health Centres have agreed on common criteria for measuring quality of diabetes care.
Method: The annual measuring is now done four times during a two-week period in the autumn. HbA1c, blood pressure, cholesterol, BMI and registering of microalbuminuria are recorded on an audit sheet. The results are adjusted to age and gender. After each analysis the centres get together for evaluation and recommendations for future work. Every Health Centre decides independently about the improvements.
Results: The improvements have been: 1) written instructions, 2) initiation of insulin treatment by GP, 3) same targets for GPs and nurses, 4) education of personnel and 5) organising fundus photography. From 1997 to 1998 the HbA1c level was improved; from 1998 to 1999 no improvement was noticed. The results from 2000 are not yet analysed but will be shown in the poster.
Conclusion:
Cooperation supports Health Centres to improve the process of diabetes care. The Centres implement quickly functioning models of work from other Centres in the network.
Literature: 
383 COOPERATION BETWEEN HEALTH CENTRES SUPPORTS QUALITY WORK