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Diabetic Retention in the National ‘Get Checked’ Programme

Diabetic Retention in the National ‘Get Checked’ Programme. Dr Rawiri Keenan Janet Amey Prof. Ross Lawrenson. Outline. What is MHN? Why we chose to do the study Methods Results/Discussion. MHN. Tairawhiti , Taupo, Waikato, Peak & Hauora 102 general practice teams

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Diabetic Retention in the National ‘Get Checked’ Programme

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  1. Diabetic Retention in the National ‘Get Checked’ Programme Dr Rawiri Keenan Janet Amey Prof. Ross Lawrenson

  2. Outline • What is MHN? • Why we chose to do the study • Methods • Results/Discussion

  3. MHN • Tairawhiti, Taupo, Waikato, Peak & Hauora • 102 general practice teams • 17,500 coded diabetics in 2009/10

  4. Why more diabetes research? • High profile • New lens, old problem • Research registrar

  5. Methods • Data held by MHN/MoH • DARs 06/07, had a further 2 in 3 years • Excluded Type 1 diabetes • Excluded if death or migrated

  6. The Questions • Relationship between QPvs retention? • Just the patient? • Just the practice? • What happens all together?

  7. Patient Characteristics Practice Characteristics 6610

  8. QP vs Cohort retention

  9. [RK1]Gary/ross throught on n here Univariate statistical analysis was performed using Mantel-Haenszel estimates of odds ratio

  10. Multivariate

  11. Discussion • Patient • Age – more time? Better understanding? • Māori/Non-Māori– relationship with service? • Practice • PN:GP ratio – nurse led process? • Rural – know patient better?

  12. Discussion • Cross sectional aligns with this definition of retention • Practice factors are important • Patient factors are important

  13. Thanks • Prof Ross Lawrenson, Waikato Clinical School, University of Auckland • Ben Amey (SAS programming) • Ass. Prof. Dharma Arunchalam, Monash University (Statistical advice) • Janet Amey • You

  14. Questions?

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