TITLE

Diabetes and GMS2: sensible and achievable targets?

AUTHOR(S)
Hughes, Eugene; Barrett-Lee, P.
PUB. DATE
May 2004
SOURCE
Update;5/6/2004, Vol. 68 Issue 8, p389
SOURCE TYPE
Trade Publication
DOC. TYPE
Article
ABSTRACT
The targets for diabetes and the new GMS contract are deemed by some to be 'unrealistic' or 'unachievable.' There has been argument about the inclusion of some indicators and the exclusion of others. With regard to inclusion, the author says to the detractors that the new contract is an evolving, dynamic structure, which will surely change as it matures. It would certainly be unreasonable to expect practices to obtain HbA 1c levels of less than 7.4% for all patients with diabetes. The given range, however, is 25-50%, which means one has to reach this level of glycaemic control in 50% of the diabetic population at most. To achieve perfect glycaemic, blood pressure and lipid control in an individual is indeed difficult. To achieve it in a carefully selected proportion of the population is not.
ACCESSION #
13188661

 

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