Health Services and Quality of Care

Calvin Ke, Lorraine L. Lipscombe, Walter P. Wodchis, Fatema M. Ali, Yu Qing Bai, Karen Tu, Shadia Adekunte, Baiju R. Shah

The quality of diabetes services in the Mississauga OHT is broadly similar to those in the rest of Ontario.
Diabetes Canada’s recommended ideal standard for regular blood glucose monitoring (HbA_1ctesting) was not met in more than 50% of people with diabetes in the Mississauga OHT.
Nearly 40% of people with diabetes in the Mississauga OHT did not meet Diabetes Canada’s ideal recommended target HbA_1c level.
Diabetes Canada’s recommended ideal standard for regular blood cholesterol monitoring (LDL cholesterol testing) was not met in around 30% of people with diabetes in the Mississauga OHT.
43% of people with diabetes in the Mississauga OHT did not meet Diabetes Canada’s recommended ideal target cholesterol level.
Diabetes Canada’s recommended ideal standard for regular retinopathy (eye) screening was not met in around 45% of people with diabetes in the Mississauga OHT.
The proportion of those attending retinopathy screening was slightly lower in the Mississauga OHT than in the rest of Ontario.
In the Mississauga OHT, 65% and 74% of people with diabetes aged 65 years or older received kidney- and heart-protective medications; these figures fell short of the recommended ideal standard benchmark of 80% despite these medications being subsidized by the provincial drug benefit plan.

director.novonordiskhp@utoronto.ca