Evidence map›Paper›PMID 29343291›Full record

ArticleIsrael journal of health policy research2018

Trends in the performance of quality indicators for diabetes care in the community and in diabetes-related health status: an Israeli ecological study.

Ronit Calderon-Margalit, Michal Cohen-Dadi, Dana Opas, Dena H Jaffe, Jacob Levine, Arie Ben-Yehuda, Ora Paltiel, Orly Manor

Open access · goldAbstract read
In one paragraph

Article in Israel journal of health policy research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. The Israeli eye care system through a public and global health lens.Israel journal of health policy research · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Israeli COVID lockdowns mildly reduced overall use of preventive health services, but exacerbated some disparities.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2022
    Article
  9. Review
  10. Article
  11. Reflections of the quality of primary care in Canada and Israel.Israel journal of health policy research · 2018
    Article
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Ronit Calderon-MargalitHadassah-Hebrew University Braun School of Public Health, POB 12272, 9112102, Jerusalem, Israel. ronitcm@gmail.com.
Michal Cohen-DadiHadassah-Hebrew University Braun School of Public Health, POB 12272, 9112102, Jerusalem, Israel.
Dana OpasHadassah-Hebrew University Braun School of Public Health, POB 12272, 9112102, Jerusalem, Israel.
Dena H JaffeHadassah-Hebrew University Braun School of Public Health, POB 12272, 9112102, Jerusalem, Israel.
Jacob LevineHadassah-Hebrew University Braun School of Public Health, POB 12272, 9112102, Jerusalem, Israel.
Arie Ben-YehudaHadassah Medical Organization, Jerusalem, Israel.
Ora PaltielHadassah-Hebrew University Braun School of Public Health, POB 12272, 9112102, Jerusalem, Israel.
Orly ManorHadassah-Hebrew University Braun School of Public Health, POB 12272, 9112102, Jerusalem, Israel.
Hebrew University of Jerusalem · ILHadassah Medical Center · IL

Funding

NIHPR - Israel National Institute for Health Policy Research grant #118-12
6 · The paper itself

Abstract

backgroundIsrael is one of the few countries that have a national program for quality assessment of community healthcare. We aimed to evaluate whether improved performance in diabetes care was associated with improved health of diabetic patients on a national level.

methodsWe conducted a nationwide ecological study estimating improvements in diabetes-related quality indicators and health outcomes. We estimated both correlations between composite measures of diabetes-related quality indicators and selected outcomes, and assessed through a joinpoint analysis whether trends in selected outcomes changed 4 years after the inception of the national program.

resultsBetween 2002 and 2010, the prevalence of diabetes in Israeli adults increased from 4.8% to 7.4%. During these years, an improvement was noticed in most quality indicators (from 53% to 75% for the composite score). Declines were noted in rates of blindness, diabetes-related end-stage kidney disease, lower limbs amputations and diabetes-related mortality. Significant accelerations in decline were noted for amputations in men and diabetes-related mortality in both Arab men and women 4 years after the inception of the national program.

conclusionThis study suggests that Israel's national program for quality indicators in diabetes care in the community has probably had a significant impact on the health status of the whole population and may have contributed to narrowing gaps in life expectancy between Israeli Jews and Arabs. Future studies based on individual-level data are needed to confirm these results.

Indexed as

Disease ManagementHealth StatusAdultCommunity Health ServicesDiabetes MellitusFemaleHumansIsraelMaleMiddle AgedQuality Assurance, Health Care

Identifiers

PMID29343291
PMCPMC5773014
OpenAlexW2787262660

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.