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https://hdl.handle.net/2440/121220
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Type: | Journal article |
Title: | GooD4Mum: a general practice-based quality improvement collaborative for diabetes prevention in women with previous gestational diabetes |
Author: | O'Reilly, S.L. Dunbar, J.A. Best, J.D. Versace, V. Ford, D. Young, A. Shih, S. Bills, R. Shepherdley, W. Janus, E.D. Carter, R. Oats, J. Skinner, T. Ackland, M. Phillips, P. Nankervis, A. Johnson, G. Catford, J. Jeffries, B. Rasa, J. et al. |
Citation: | Primary Care Diabetes, 2019; 13(2):134-141 |
Publisher: | Elsevier |
Issue Date: | 2019 |
ISSN: | 1878-0210 1878-0210 |
Statement of Responsibility: | S.L.O’Reilly, J.A.Dunbar J.D.Best, V.Versace, D.Ford, D.Young, S.Shih, R.Bills, W.Shepherdley, E.D.Janus, the MAGDA Study Group |
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%–60%. Diabetes prevention planning consultations did not show the same level of increase (0%–10%). The recording of body mass index improved overall (51%–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. |
Keywords: | MAGDA Study Group Humans Diabetes, Gestational Diabetes Mellitus, Type 2 Mass Screening Risk Assessment Risk Factors Predictive Value of Tests Health Status Primary Prevention Pregnancy Adult Aged Middle Aged Primary Health Care Quality Indicators, Health Care Victoria Female General Practice Quality Improvement Protective Factors Maternal Health |
Rights: | © 2018 Primary Care Diabetes Europe. Published by Elsevier Ltd.All rights reserved. |
DOI: | 10.1016/j.pcd.2018.10.006 |
Grant ID: | http://purl.org/au-research/grants/nhmrc/1069254 |
Published version: | http://dx.doi.org/10.1016/j.pcd.2018.10.006 |
Appears in Collections: | Aurora harvest 8 Medicine publications |
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