Mark Dusheiko Ph.D., Tim Doran, Hugh Gravelle Ph.D., Catherine Fullwood, Martin Roland
To investigate the association between indicators of quality of diabetic management in English family practices and emergency hospital admissions for short‐term complications of diabetes.
A total of 8,223 English family practices from 2001/2002 to 2006/2007.
Multiple regression analyses of associations between admissions and proportions of practice diabetic patients with good (glycated hemoglobin [HbA1c] ≤7.4 percent) and moderate (7.4 percent
Practice quality measures extracted from practice records linked with practice‐level hospital admissions data and practice‐level covariates data.
Practices with 1 percent more patients with moderate rather than poor glycemic control on average had 1.9 percent (95 percent CI: 1.1–2.6 percent) lower rates of emergency admissions for acute hyperglycemic complications. Having more patients with good rather than moderate control was not associated with lower admissions. There was no association of moderate or good control with hypoglycemic admissions.
Cross‐sectionally, family practices with better quality of diabetes care had fewer emergency admissions for short‐term complications of diabetes. Over time, after controlling for national trends in admissions, improvements in quality in a family practice were associated with a reduction in its admissions.