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.
|Permanent link:||http://hdl.handle.net/10197/10621||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 prevention; Gestational diabetes; Primary care; Quality improvement collaboratives; General 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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