Clinic variation in glycaemic control for children with Type 1 diabetes in England and Wales: a population-based, multilevel analysis.

Dimitrios CharalampopoulosR AminJ T WarnerG Muniz-TerreraV Mazarello PaesR M VinerT Stephenson

Published in: Diabetic medicine : a journal of the British Diabetic Association (2017)

Differences between diabetes clinics accounted for only a small portion of the total variation in glycaemic control because most of the variation was within clinics. This implies that national glycaemic improvements might best be achieved not only by targeting poor centres but also by shifting the whole distribution of clinics to higher levels of quality.

Keyphrases

type diabetes
primary care
quality improvement
cardiovascular disease
glycemic control
young adults
insulin resistance
metabolic syndrome