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

Version 2 2024-06-06, 07:10
Version 1 2018-11-27, 10:32
journal contribution
posted on 2024-06-06, 07:10 authored by SL O'Reilly, James DunbarJames Dunbar, JD Best, V Versace, D Ford, D Young, S Shih, R Bills, W Shepherdley, ED Janus
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.

History

Journal

Primary Care Diabetes

Volume

13

Pagination

134-141

Location

England

ISSN

1751-9918

eISSN

1878-0210

Language

English

Publication classification

C1 Refereed article in a scholarly journal

Copyright notice

2018, Primary Care Diabetes Europe

Issue

2

Publisher

ELSEVIER SCI LTD