ArticleBMC medical informatics and decision making2012
Evaluating quality of care for patients with type 2 diabetes using electronic health record information in Mexico.
Article in BMC medical informatics and decision making, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Electronic data sources for drug utilization research and healthcare decision-making in Mexico.BMC health services research · 2025Article
- Evaluation of effective coverage for type 2 diabetes in Mexican primary care health information systems: a retrospective registry analysis.International journal for equity in health · 2023Article
- The road to recovery: an interrupted time series analysis of policy intervention to restore essential health services in Mexico during the COVID-19 pandemic.Journal of global health · 2022Article
- Evaluation of Medical Care for Diabetic and Hypertensive Patients in Primary Care in Mexico: Observational Retrospective Study.Journal of diabetes research · 2021Observational
- Article
- Application of machine learning methodology to assess the performance of DIABETIMSS program for patients with type 2 diabetes in family medicine clinics in Mexico.BMC medical informatics and decision making · 2019Observational
- Feasibility of extracting data from electronic medical records for research: an international comparative study.BMC medical informatics and decision making · 2016Article
- Adaptation and validation of the Distress Scale for Mexican patients with type 2 diabetes and hypertension: a cross-sectional survey.BMJ open · 2016Article
- Implementation and Outcomes of a Comprehensive Type 2 Diabetes Program in Rural Guatemala.PloS one · 2016Article
- Quality of Diabetes Care: The Challenges of an Increasing Epidemic in Mexico. Results from Two National Health Surveys (2006 and 2012).PloS one · 2015Article
- Quality of diabetes care at outpatient clinic, sultan qaboos university hospital.Oman medical journal · 2015Article
- Opportunity cost for early treatment of Chagas disease in Mexico.PLoS neglected tropical diseases · 2014Article
- Linking quality of healthcare and health-related quality of life of patients with type 2 diabetes: an evaluative study in Mexican family practice.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2013Article
- Electronic Health Records as Valuable Data Sources in the Health Care Quality Improvement Process.Health services research and managerial epidemiologyArticle
- Review
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9 authors.
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Abstract
backgroundSeveral low and middle-income countries are implementing electronic health records (EHR). In the near future, EHRs could become an efficient tool to evaluate healthcare performance if appropriate indicators are developed. The aims of this study are: a) to develop quality of care indicators (QCIs) for type 2 diabetes (T2DM) in the Mexican Institute of Social Security (IMSS) health system; b) to determine the feasibility of constructing QCIs using the IMSS EHR data; and c) to evaluate the quality of care (QC) provided to IMSS patients with T2DM.
methodsWe used a three-stage mixed methods approach: a) development of QCIs following the RAND-UCLA method; b) EHR data extraction and construction of indicators; c) QC evaluation using EHR data from 25,130 T2DM patients who received care in 2009.
resultsWe developed 18 QCIs, of which 14 were possible to construct using available EHR data. QCIs comprised both process of care and health outcomes. Several flaws in the EHR design and quality of data were identified. The indicators of process and outcomes of care suggested areas for improvement. For example, only 13.0% of patients were referred to an ophthalmologist; 3.9% received nutritional counseling; 63.2% of overweight/obese patients were prescribed metformin, and only 23% had HbA1c <7% (or plasma glucose≤130 mg/dl).
conclusionsEHR data can be used to evaluate QC. The results identified both strengths and weaknesses in the electronic information system as well as in the process and outcomes of T2DM care at IMSS. This information can be used to guide targeted interventions to improve QC.
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