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In 2009–10, 18% of Australians with diabetes completed an annual cycle of care.
Completing an annual cycle of care is an important indicator for diabetes as it provides a measure of the clinical management of diabetes according to national guidelines. An annual cycle of care is a detailed set of patient management steps that general practitioners (GPs) can claim through Medicare for the management of diabetes. An annual cycle of care is important for preventing complications associated with diabetes.
While many people have their diabetes clinically managed by a GP, they must have undertaken all of the steps listed below for their annual cycle of care to be considered complete (Table 1).
(a) Not required if the patient is blind or does not have both eyes.(b) Initial visit: measure height and weight and calculate BMI.(c) Not required if patient does not have both feet.
Sources: DoHA 2007; DA & RACGP 2008
There are two main data sources:
This indicator compares:
MBS data on people with annual cycles of care may be incomplete because:
The NDSS is a voluntary scheme that people with medical practitioner- or nurse-diagnosed diabetes can enrol in. NDSS's coverage of the population with diagnosed diabetes is about 80–90%, but varies by region.
AIHW (Australian Institute of Health and Welfare) 2007. National indicators for monitoring diabetes: report of the Diabetes Indicators Review Subcommittee of the National Diabetes Data Working Group. Diabetes series no. 6. Cat. no. CVD 38. Canberra: AIHW.
DA & RACGP (Diabetes Australia & Royal Australian College of General Practitioners) 2008. Diabetes Management in General Practice: Guidelines for Type 2 diabetes 2008/9, 14th edition. Canberra: Diabetes Australia.
DoHA (Department of Health and Ageing) 2007. Medicare Benefits Schedule Book. Canberra: DoHA.
Medicare Australia 2011. Medicare Item Reports. Canberra: Medicare Australia. Viewed 8 February 2011, <www.medicareaustralia.gov.au/statistics/mbs_item.shtml>
NHPC (National Health Performance Committee) 2004. National report on health sector performance indicators 2003. Cat. no. HWI 78. Canberra: AIHW.
Steering Committee for the Review of Government Service Provision (SCRGSP) 2011. Report on Government Services 2011. Canberra: Productivity Commission.