{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T19:09:56Z","timestamp":1715713796180},"reference-count":32,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,5,18]],"date-time":"2015-05-18T00:00:00Z","timestamp":1431907200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Rationale, aims and objectives<\/jats:title><jats:p>To assess the quality of diabetes mellitus (<jats:styled-content style=\"fixed-case\">DM<\/jats:styled-content>) care provided by a group of family doctors in <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>eirut.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An observational study, conducted at the <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>merican <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>niversity of <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>eirut <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>edical <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>enter\u2013<jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>amily <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>edicine <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>linics (<jats:styled-content style=\"fixed-case\">AUBMC<\/jats:styled-content>\u2013<jats:styled-content style=\"fixed-case\">FMC<\/jats:styled-content>), examined the electronic health records (<jats:styled-content style=\"fixed-case\">EHRs<\/jats:styled-content>) of the beneficiaries of the <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ealth <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>nsurance <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>lan at the <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>merican <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>niversity of <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>eirut (<jats:styled-content style=\"fixed-case\">AUB<\/jats:styled-content>\u2013<jats:styled-content style=\"fixed-case\">HIP<\/jats:styled-content>) who were older than 20 years (<jats:italic>n<\/jats:italic>\u2009=\u20099469) in 2009. The eligible population included patients with <jats:styled-content style=\"fixed-case\">DM<\/jats:styled-content> (<jats:italic>n<\/jats:italic>\u2009=\u2009701). Several provider\/patient\u2010directed interventions were introduced in the late 2000s, including a comprehensive <jats:styled-content style=\"fixed-case\">EHRs<\/jats:styled-content> system with point\u2010of\u2010care computer reminders, a provider financial incentive based on an annual performance appraisal ranked against that of the <jats:styled-content style=\"fixed-case\">US H<\/jats:styled-content>ealthcare <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>ffectiveness <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>ata and <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>nformation <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>et (<jats:styled-content style=\"fixed-case\">HEDIS<\/jats:styled-content>) <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>omprehensive <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>iabetes <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>are indicators, as well as periodic up\u2010to\u2010date training.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Optimal control for <jats:styled-content style=\"fixed-case\">HbA1c<\/jats:styled-content>, low\u2010density lipoprotein cholesterol, high\u2010density lipoprotein cholesterol, triglycerides and blood pressure were found in 58.6%, 51.0%, 22.4%, 53.3% and 60.2% of the population, respectively. 64.1% and 70.0% received screening for diabetic nephropathy and a dilated eye examination, respectively. When benchmarked against the <jats:styled-content style=\"fixed-case\">HEDIS C<\/jats:styled-content>omprehensive <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>iabetes <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>are indicators, the <jats:styled-content style=\"fixed-case\">AUB<\/jats:styled-content>\u2013<jats:styled-content style=\"fixed-case\">HIP<\/jats:styled-content>'s quality of care was 13% higher than the average of all plans in the <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>nited <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>tates. Screening for nephropathy, however, did not reach the above benchmark.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Benchmarking served as an important tool in evaluating the current <jats:styled-content style=\"fixed-case\">DM<\/jats:styled-content> care offered and in detecting gaps, yet interventions are recommended for further improvement.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jep.12386","type":"journal-article","created":{"date-parts":[[2015,5,18]],"date-time":"2015-05-18T11:31:07Z","timestamp":1431948667000},"page":"824-830","source":"Crossref","is-referenced-by-count":5,"title":["Diabetes quality of care at a university community in <scp>B<\/scp>eirut"],"prefix":"10.1111","volume":"21","author":[{"given":"Najla A.","family":"Lakkis","sequence":"first","affiliation":[{"name":"Department of Family Medicine American University of Beirut Medical Center (AUBMC)  Beirut Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dina M.","family":"Mahmassani","sequence":"additional","affiliation":[{"name":"Department of Family Medicine American University of Beirut Medical Center (AUBMC)  Beirut Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ghassan N.","family":"Hamadeh","sequence":"additional","affiliation":[{"name":"Department of Family Medicine American University of Beirut Medical Center (AUBMC)  Beirut Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,5,18]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp068177"},{"key":"e_1_2_7_3_1","unstructured":"Centers for Disease Control and Prevention(2011)National diabetes fact sheet. 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