DOCUMENTATION SHEET FOR:
Indicator: 84. Diabetes control
SHORTLIST sub-division: D) Health interventions: health services
Status: development section
Date first publication documentation sheet: 30-01-2012
Proportion of adult diabetics receiving appropriate care, in terms of regular retinal exams.
Key issues and problems
Topic needs further development. The keys issues are:
Preferred data type and data source
Preferred data type
Surveys at clinical sites.
Review of patient records.
Population based surveys.
Preferred data source
Not decided yet.
Eurostat, WHO-HfA and OECD: No data available.
OECD Health Care Quality Indicators project: data on retinal exams in diabetics available in 7 MSs (FR, DE, IT, LV, SK, SE and UK) only for the years 1999 to 2005. Slightly different age ranges are used. In some countries no data by sex is available. Data sources differ (population surveys, patient records, clinical surveys). The first rounds of data collection have shown that the availability of comparable data on this indicator was very limited. Hence, it has now been excluded from the regular HCQI data collection.
Indicator for the quality of diabetes care. Nearly all patients who have type 1 diabetes for about 20 years will have evidence of diabetic retinopathy. Timely treatment and appropriate follow-up care can delay progression and eventual blindness.
Work to do
Needs further development.
Monitor OECD, EUCID and EUBIROD with regards to indicator development and data availability.
Monitor also EHES developments with regards to data from health examination surveys.