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Diabetes in the Maltese Islands Recommendations for consideration by the Parliamentary Diabetes Working Group Professor Joseph Azzopardi October 2014 Diabetes Common, getting commoner Raised blood glucose levels Can cause serious


  1. Diabetes in the Maltese Islands Recommendations for consideration by the Parliamentary Diabetes Working Group Professor Joseph Azzopardi October 2014

  2. Diabetes Common, getting commoner • Raised blood glucose levels • Can cause serious problems, including early death • Serious financial burden on society

  3. The Diabetes Services in Malta • People with diabetes are entitled to free treatment • Diabetes Clinics in Mater Dei &Peripheral Centres – Adult and Paediatric • Take care of 95% of all diabetic people in Malta

  4. The Diabetes Services • Eyes: Screening, Laser and vitreous replacement • Cardiac and peripheral vascular unit • Podology, orthotics and prosthetics service • A joint Obstetrics – Diabetes clinic • Dialysis and Transplant Service

  5. Other Services • Education – Type 1: individual education with relatives – Type 2 Diabetes: Group Education – Maltese Diabetes Association – Health Promotion Unit • Dietetics • Limited free blood glucose monitoring service

  6. The Proposed National Diabetes Framework should help develop further and coordinate better these existent services

  7. This Document and Presentation • Background Information on Diabetes • The Electronic Medical Record • Shared Care • Complications • Dietary, Podology, Education Services • Psychosocial Services

  8. The main focus of this presentation is on the use of Information Technology in Diabetes in Malta

  9. Digital Records • Are instantly available • Easily readable • Increase speed of information exchange • Easily available for research, audit and reports

  10. Electronic Diabetes Data in the Health Department • 1980’s: WHO donated system • 1990’s: In house system developed that has been updated regularly. Last update: 2014 • As of June 2014 there were 23588 patients registered and 115161 patient visits on the database

  11. This Presentation • How the System works • Pending issues

  12. Functions of the Diabetes Computerised System Complete day to day Patient Management

  13. Functions of the System • A source of data for Research and Reports • A Basis for a National Diabetes Registry • A source of data information exchange for the European Union EUBIROD – EUBIROD can create comparative reports on data aggregated from various centres

  14. Patients seen by (JA) between January – June 2013 n(%) Patients Visits M F Smokers Ex Smokers BP Treat DR MI 770 880 404(53) 366(47) 27(4) 36(5) 114(15) 16(2) 15(2)

  15. Invitation to see the system working

  16. Pending Issues with the System • Use of System is on a voluntary basis • Manual data entry is still being used for a considerable proportion of patients • Data recording in our clinics is a mixture of manual and computer data entry • The System is not being used to its full potential

  17. What is needed • An agreed upon departmental policy that all patient data is computerized • It is only then that – Each patient will have an electronic record – The system will be able to generate statistically meaningfully national data

  18. May I respectfully ask that the parliamentary group include this policy in its report and recommendations

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