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GooD4Mum: A general practice-based quality improvement collaborative for diabetes prevention in women with previous gestational diabetes
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File | Description | Size | Format | |
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PCD-D-17-00290R1.pdf | 2.8 MB |
Date Issued
15 November 2018
Date Available
22T14:05:50Z May 2019
Abstract
Aims: Gestational diabetes (GDM) and Type 2 diabetes pose tremendous health and economic burdens as worldwide incidence increases. Primary care-based systematic diabetes screening and prevention programs could be effective in women with previous GDM. GooD4Mum aimed to determine whether a Quality Improvement Collaborative (QIC) would improve postpartum diabetes screening and prevention planning in women with previous GDM in general practice.
Methods: Fifteen general practices within Victoria (Australia) participated in a 12-month QIC, consisting of baseline and four quarterly audits, guideline-led workshops and Plan-Do-Study-Act feedback cycles after each audit. The primary outcome measures were the proportion of women on local GDM registers completing a diabetes screening test and a diabetes prevention planning consultation within the previous 15 months.
Results: Diabetes screening increased with rates more than doubled from 26% to 61% and postpartum screening increased from 43% to 60%. Diabetes prevention planning consultations did not show the same level of increase (0% to 10%). The recording of body mass index improved overall (51% to 69%) but the number of women with normal body mass index did not.
Conclusions: GooD4Mum supported increased diabetes screening and the monitoring of high risk women with previous GDM in general practice.
Other Sponsorship
National Health and Medical Research Council - NHMRC Translating Research Into Practice Fellowship
Greater Green Triangle University Department of Rural Health
Flinders University
Deakin University
Type of Material
Journal Article
Publisher
Elsevier
Journal
Primary Care Diabetes
Volume
13
Issue
2
Start Page
134
End Page
141
Copyright (Published Version)
2018 Primary Care Diabetes Europe
Language
English
Status of Item
Peer reviewed
ISSN
1751-9918
This item is made available under a Creative Commons License
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Scopus© citations
10
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