GooD4Mum: A general practice-based quality improvement collaborative for diabetes prevention in women with previous gestational diabetes Academic Article uri icon

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.

authors

  • O'Reilly, SL
  • Dunbar, JA
  • Best, JD
  • Versace, V
  • Ford, D
  • Young, A
  • Shih, S
  • Bills, R
  • Shepherdley, W
  • Janus, ED
  • Carter, Rob
  • Oats, Jeremy
  • Skinner, Timothy
  • Ackland, Micheal
  • Phillips, Paddy
  • Nankervis, Alison
  • Johnson, Greg
  • Catford, John
  • Jeffries, Bill
  • Rasa, John
  • Kelsall, Liza
  • Boyle, Douglas
  • Hague, Bill
  • Sikaris, Ken
  • Schell, Wendy
  • Bennett, Craig
  • Baghurst, Peter
  • Phillips, Sue
  • Lim, Siew

publication date

  • 2019

has subject area