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Table 4 Primary process of care indicators: combined measures of receipt of service during past 12 months, % (n)

From: Diabetes care in Switzerland: good, but perfectible: a population-based cross-sectional survey

Combined measures among patients who reported knowing what HbA1C is (i.e. among HbA1C-aware patients, n=219)

 1) All 10 processes of care §

Complete cases*

Composite: mean % of recommended care (SD)

82% (13.5)

(n=175)

All-or-none: receipt of10/10 care processes, % (n)

17. 7% (31)

All patients (n=219)

Lowest ** % (n) – Highest*** % (n) of patients receiving 10/10 care processes

14. 2% ( 31) - 16.9% ( 37)

 

Lowest ** % (n) – Highest*** % (n) of patients receiving at least 8/10 care processes

65.3% ( 143) - 74. 4% ( 163)

 2) Six “Diabetes-specific” processes of care †

Complete cases *

Composite: mean % of recommended care (SD)

82. 4% ( 15. 5)

(n=182)

All-or-none: receipt of 6/6 care processes, % (n)

30. 2% ( 55)

All patients (n=219)

Lowest ** % (n) – Highest*** % (n) of patients receiving 6/6 care processes

25. 1% ( 55) - 28. 8% ( 63)

 

Lowest ** % (n) – Highest*** % (n) of patients receiving at least 5/6 care processes

64. 4% ( 141) - 71. 2% ( 156)

 3) Restricted list of four processes of care ‡

Complete cases*

Composite: mean % of recommended care (SD)

85. 3% ( 16. 2)

(n=204)

All-or-none: receipt of 4/4 care processes, % (n)

50% ( 102)

All patients (n=219)

Lowest ** % (n) – Highest*** % (n) of patients receiving 4/4 care processes

46. 6% ( 102) - 50. 7% ( 111)

 

Lowest ** % (n) – Highest*** % (n) of patients receiving at least 3/4 care processes

88. 6% ( 194) - 90. 9% ( 199)

Combined measures without consideration of HbA1C check (i. e. among all patients, irrespective of their HbA1C knowledge status, n= 406)

 1) Nine processes of care (all 10 except HbA1C) §§

Complete cases*

Composite: mean % of recommended care (SD)

75. 3% ( 18)

(n=304)

All-or-none: receipt of 9/9 care processes, % (n)

12. 5% ( 38)

All patients (n=406)

Lowest ** % (n) – Highest*** % (n) of patients receiving 9/9 care processes

9. 4% ( 38) - 12. 3% ( 50)

 

Lowest ** % (n) – Highest*** % (n) of patients receiving at least 7/9 care processes

53% ( 215) - 65. 8% ( 267)

 2) Five “Diabetes-specific” process of care (all six “Diabetes-specific” except HbA1C) ††

Complete cases*

Composite: mean % of recommended care (SD)

72.6% (22.7)

(n=319)

All-or-none: receipt of 5/5 care processes, % (n)

24.1% (77)

All patients (n=406)

Lowest ** % (n) – Highest*** % (n) of patients receiving 5/5 care processes

19% (77) - 23.4% (95)

 

Lowest ** % (n) – Highest*** % (n) receiving at least 4/5 care processes

49.5% (201) - 59.9% (243)

  1. § HbA1C check (among HbA1C-aware patients who answered the HbA1C process of care question), eye assessment, microalbuminuria check, feet examination, lipid test, blood pressure and weight measurement, influenza immunization, physical activity and diet recommendations.
  2. * Only results for cases that are “complete”: cases with “don’t know” answers and cases with missing data are dropped from analysis.
  3. ** Lowest (minimal) percentage of patients having received at least a certain number of processes of care where “don’t know” and missing data are assumed as “not having received the process of care”.
  4. ***Highest (maximal) percentage of patients having received at least a certain number of processes of care where “don’t know” and missing data are assumed as “having received the process of care”.
  5. † HbA1C check (among HbA1C-aware patients who answered the HbA1C process of care question), eye assessment, microalbuminuria check, feet examination, lipid test, influenza immunization.
  6. ‡ HbA1C check (among the HbA1C-aware and thus answered the HbA1C process of care question), eye assessment, feet examination, lipid test (diabetes indicator used in the 2008 Commonwealth Fund survey).
  7. §§ Eye assessment, micro-albuminuria test, feet examination, lipid test, blood pressure measure, weight measure, influenza immunization, physical activity recommendations, diet recommendations.
  8. †† Eye assessment, microalbuminuria check, feet examination, lipid test, influenza immunization.
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