98974 - Type 2 diabetes management in general practice: Clinical audit quality improvement activity
- : Online
The prevalence of type 2 diabetes mellitus (T2DM) is continuing to rise in Australia and is quickly becoming a major public health challenge nationally and internationally. According to the Australian Institute of Health and Welfare, almost one million Australians were living with diabetes in 2011–12. General practitioners (GPs) are at the forefront of the provision of long term, continuous care and education to patients with T2DM.
The clinical audit developed by the RACGP will assist GPs to identify patients with T2DM who have not met their treatment targets, as defined by the national standards. This process will allow GPs to then select and evaluate 5 of these patients and to develop and implement strategies into their clinical practice to assist these, and other, patients to meet the national treatment targets.
Early detection of cardiovascular risk factors in patients with T2DM is pivotal to minimising the risk of cardiac morbidity and mortality. Despite this, international studies have shown that patients often struggle to meet targets for glycaemia, blood pressure and lipids. A prescribing gap internationally and in Australian primary care population has been identified which shows T2DM patients were undertreated with antihypertensive and lipid lowering medication. This puts patients at higher risk of developing diabetes related complications.
These studies indicate that interventions are required to redress the current gap in diabetes management in primary care. This audit aims to assist GPs to develop and implement processes into their practice which will help patients with T2DM to reach their treatment targets.