Diabetes in the Maltese Islands Recommendations for consideration by - - PowerPoint PPT Presentation

▶

Jan 22, 2023 582 likes •882 views

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

SLIDE 1

Diabetes in the Maltese Islands

Recommendations for consideration by the Parliamentary Diabetes Working Group

Professor Joseph Azzopardi October 2014

SLIDE 2

Diabetes Common, getting commoner

Raised blood glucose levels
Can cause serious problems, including early death
Serious financial burden on society

SLIDE 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

SLIDE 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

SLIDE 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

SLIDE 6

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

SLIDE 7

This Document and Presentation

Background Information on Diabetes
The Electronic Medical Record
Shared Care
Complications
Dietary, Podology, Education Services
Psychosocial Services

SLIDE 8

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

SLIDE 9

Digital Records

Are instantly available
Easily readable
Increase speed of information exchange
Easily available for research, audit and reports

SLIDE 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

SLIDE 11

This Presentation

How the System works
Pending issues

SLIDE 12

Functions of the Diabetes Computerised System

Complete day to day Patient Management

SLIDE 13

SLIDE 14

SLIDE 15

SLIDE 16

SLIDE 17

SLIDE 18

SLIDE 19

SLIDE 20

SLIDE 21

SLIDE 22

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

SLIDE 23

SLIDE 24

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)

Patients seen by (JA) between January – June 2013 n(%)

SLIDE 25

SLIDE 26

Invitation to see the system working

SLIDE 27

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

SLIDE 28

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

SLIDE 29