From: Improving organisational systems for diabetes care in Australian Indigenous communities
Process items | Scheduled interval (months) | Baseline (n = 295) | Year 1 (n = 253) | Year 2 (n = 252) | Risk Ratios (95% CI)†Year 1 vs baseline | Risk Ratios (95% CI)†Year 2 vs baseline |
---|---|---|---|---|---|---|
 |  | % of patients receiving services (95%CI) |  |  | ||
Basic measurement | Â | Â | Â | Â | Â | Â |
   Weight | 3 | 47 (41, 53) | 43 (37, 49) | 61 (54, 67) | 0.90 (0.72, 1.10) | 1.34 (1.14, 1.52) |
   Height | Any time | 32 (27, 38) | 48 (42, 55) | 71 (65, 76) | 1.61 (1.30, 1.91) | 2.35 (2.08, 2.56) |
   BMI | 12 | 16 (12, 21) | 21 (16, 26) | 46 (40, 53) | 1.24 (0.84, 1.76) | 3.09 (2.36, 3.82) |
   Waist circumference | 3 | 23 (18, 28) | 28 (23, 34) | 54 (48, 60) | 1.28 (0.92, 1.70) | 2.42 (2.00, 2.82) |
   BP | 3 | 63 (57, 69) | 63 (56, 68) | 76 (71, 82) | 0.94 (0.76, 1.10) | 1.27 (1.13, 1.37) |
Eye check | Â | Â | Â | Â | Â | Â |
   Visual acuity | 12 | 40 (35, 46) | 42 (36, 48) | 58 (52, 65) | 1.06 (0.83, 1.31) | 1.49 (1.26, 1.71) |
   Cataracts | 12 | 28 (23, 34) | 35 (29, 41) | 24 (19, 30) | 1.31 (0.97, 1.68) | 0.80 (0.58, 1.08) |
   Fundi (dilated pupils) | 12 | 34 (29, 40) | 36 (30, 42) | 30 (25, 37) | 1.10 (0.83, 1.39) | 0.90 (0.68, 1.15) |
   Ophthalmologist review | 24 | 34 (29, 40) | 41 (34, 47) | 54 (48, 61) | 1.28 (0.99, 1.57) | 1.68 (1.39, 1.95) |
Feet check | Â | Â | Â | Â | Â | Â |
   Check done | 3 | 20 (16, 25) | 24 (19, 29) | 58 (51, 64) | 1.23 (0.84, 1.72) | 3.01 (2.52, 3.47) |
   Sensation | 3 | 9 (6, 13) | 12 (8, 16) | 48 (41, 54) | 1.49 (0.87, 2.46) | 5.81 (4.43, 7.16) |
   Peripheral pulses | 3 | 8 (5, 12) | 13 (9, 17) | 48 (42, 54) | 1.79 (1.05, 2.92) | 6.61 (5.00, 8.17) |
   Pressure areas | 3 | 7 (5, 11) | 11 (7, 16) | 44 (38, 51) | 1.78 (0.99, 3.06) | 6.96 (5.10, 8.85) |
   Infections | 3 | 8 (6, 12) | 12 (8, 17) | 27 (22, 33) | 1.64 (0.95, 2.69) | 3.56 (2.39, 5.03) |
Laboratory investigations | Â | Â | Â | Â | Â | Â |
   BSL (finger prick or venous) | 3 | 61 (55, 67) | 51 (44, 57) | 69 (63, 74) | 0.76 (0.60, 0.92) | 1.13 (0.97, 1.27) |
   HbA1c | 6 | 41 (35, 47) | 61 (55, 67) | 74 (68, 80) | 1.54 (1.31, 1.75) | 1.93 (1.71, 2.10) |
   Total cholesterol | 12 | 56 (50, 62) | 70 (64, 76) | 74 (68, 79) | 1.29 (1.13, 1.42) | 1.36 (1.20, 1.49) |
   Urine – Dipstix | 3 | 20 (15, 25) | 24 (19, 30) | 48 (42, 55) | 1.29 (0.93, 1.74) | 2.66 (2.15, 3.16) |
   Creatinine | 12 | 65 (59, 71) | 68 (62, 74) | 74 (69, 80) | 1.03 (0.88, 1.16) | 1.15 (1.02, 1.26) |
   ACR | 12 | 54 (48, 59) | 54 (47, 60) | 61 (55, 67) | 0.99 (0.80, 1.16) | 1.15 (0.99, 1.31) |
Counselling/advice | Â | Â | Â | Â | Â | Â |
   Diet | 3 | 15 (11, 19) | 23 (18, 29) | 36 (30, 42) | 1.73 (1.17, 2.45) | 2.54 (1.90, 3.26) |
   Activity | 3 | 13 (9, 17) | 22 (17, 27) | 37 (31, 43) | 1.82 (1.21, 2.62) | 2.97 (2.20, 3.83) |
   Smoking | 3 | 10 (7, 14) | 21 (16, 26) | 30 (25, 37) | 2.30 (1.50, 3.36) | 3.21 (2.24, 4.37) |
   Alcohol | 3 | 9 (6, 13) | 21 (16, 27) | 33 (27, 39) | 2.59 (1.67, 3.82) | 3.78 (2.64, 5.11) |
   Diabetes medications | 3 | 10 (7, 14) | 26 (21, 32) | 36 (30, 42) | 2.95 (1.94, 4.20) | 3.65 (2.63, 4.82) |
Immunisations | Â | Â | Â | Â | Â | Â |
   Influenza vaccination | 12 | 54 (48, 59) | 47 (41, 53) | 83 (78, 87) | 0.83 (0.65, 1.01) | 1.63 (1.50, 1.72) |
   Pneumococcal vaccination | 5 yrs | 73 (68, 78) | 72 (66, 77) | 80 (74, 85) | 0.91 (0.73, 1.06) | 1.10 (0.99, 1.18) |