Assessment tools
In assessing whether guidelines were being met, Hatherly et al (2011) measured access to the following range of practitioners: endocrinologist, paediatrician, diabetes nurse specialist, dietitian, psychologist, social worker, and general practitioner. The following targets, adapted from the guidelines, were also assessed:
care received from a full multidisciplinary diabetes team
family as part of the management team
received diabetes education from a diabetes nurse specialist
attendance at three to four clinics annually
annual nutrition review
annual psychological care (psychologist/social worker)
annual complications screening
insulin pump offered as treatment option
attended diabetes camp
HbA1c <59 mmol/mol.
The IDF guidelines (2011) state that diabetes teams should be able to register the numbers of adolescents in their district or region and be able to monitor attendance and metabolic control. Mechanisms should be in place for recalling patients who repeatedly fail to attend clinics.
Process
The proportion of young people with diabetes who have access to a multidisciplinary team with relevant knowledge and experience.
Numerator
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The number of people in the denominator accessing a multidisciplinary team with relevant knowledge and experience
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Denominator
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The number of young people with diabetes
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