Abstract
Background: Evaluation of the diabetic management programs among community hospitals is not
comparable. Therefore, it is recommended to use data analysis from EMRs in evaluating diabetic care in order to drive the quality of diabetic care at the community hospital level. Objective: To compare and evaluate the process and clinical outcomes of diabetic care. Method: EMRs from the period 2006-2009 were
retrieved from 18 community hospital database systems to evaluate the process and clinical outcomes of
diabetic care. The process of care was measured as having received at least one clinical lab test each year.
Data were encoded for patient confidentiality. Results: Process of Care Quality of the diabetic care process
increased from 2006 to 2009. The proportion of patients who received at least one HbA1c lab test, CHO,
TG, HDL, LDL, UA and Scr were determined in 3.95%, 37.85%, 39.80%, 29.40%, 34.14%, 17.61%, and 65.98%
of patients in 2006, respectively. These numbers increased to 26.55%, 56.09%, 59.30%, 52.07%, 57.52%,
32.15%, and 66.52% in 2009, correspondingly. Outcomes of care: Compared with 2006, the proportion of
patients who had LDL<100 mg%, TG <150 mg%, HDL ≥40 mg% were 39.53%, 32.88%, and 19.30% in 2009
respectively. In 2009, however, the proportion of patients whose HbA1c<7%, FBS 90-130 mg%, BP ≤130/
80 mmHg decreased to 25.63%, 11.55% and 12.01%, compared with 31.40%, 11.86% and 20.47% in 2006,
correspondingly. Conclusion: Although the process and some clinical outcomes of diabetic care improved
from 2006 to 2009, other clinical outcomes decreased. Proactive diabetic management programs should be implemented to enhance diabetic control.
