GooD4Mum: A general practice-based quality improvement collaborative for diabetes prevention in women with previous gestational diabetes

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Title: GooD4Mum: A general practice-based quality improvement collaborative for diabetes prevention in women with previous gestational diabetes
Authors: O’Reilly, Sharleen
Dunbar, James A.
Best, James D.
et al.
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Date: 15-Nov-2018
Online since: 2019-05-22T14:05:50Z
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.
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
Keywords: Diabetes preventionGestational diabetesPrimary careQuality improvement collaborativesGeneral practice
DOI: 10.1016/j.pcd.2018.10.006
Language: en
Status of Item: Peer reviewed
Appears in Collections:Agriculture and Food Science Research Collection

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