{"id":"https://openalex.org/W3034669727","doi":"https://doi.org/10.2337/db20-1205-p","title":"1205-P: Diabetes Medical Care Quality Index (ICAD): A Nationwide Experience of Continuous Improvement in Primary Health Care Clinics","display_name":"1205-P: Diabetes Medical Care Quality Index (ICAD): A Nationwide Experience of Continuous Improvement in Primary Health Care Clinics","publication_year":2020,"publication_date":"2020-06-01","ids":{"openalex":"https://openalex.org/W3034669727","doi":"https://doi.org/10.2337/db20-1205-p","mag":"3034669727"},"language":"en","primary_location":{"id":"doi:10.2337/db20-1205-p","doi":"https://doi.org/10.2337/db20-1205-p","is_oa":false,"landing_page_url":"https://doi.org/10.2337/db20-1205-p","pdf_url":null,"source":{"id":"https://openalex.org/S129060628","display_name":"Diabetes","issn_l":"0012-1797","issn":["0012-1797","1939-327X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320274","host_organization_name":"American Diabetes Association","host_organization_lineage":["https://openalex.org/P4310320274"],"host_organization_lineage_names":["American Diabetes Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetes","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5062844403","display_name":"H\u00e9ctor Gallardo\u2010Rinc\u00f3n","orcid":"https://orcid.org/0000-0002-0811-4606","observed_orcids":["https://orcid.org/0000-0002-0811-4606"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"HECTOR GALLARDO","raw_affiliation_strings":["Mexico City, Mexico, London, United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mexico City, Mexico, London, United Kingdom","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010275120","display_name":"Lorena Su\u00e1rez\u2010Idueta","orcid":"https://orcid.org/0000-0003-0909-7737","observed_orcids":["https://orcid.org/0000-0003-0909-7737"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"LORENA SUAREZ-IDUETA","raw_affiliation_strings":["Mexico City, Mexico, London, United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mexico City, Mexico, London, United Kingdom","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5069698983","display_name":"Julieta Lomel\u00edn\u2010Gasc\u00f3n","orcid":"https://orcid.org/0000-0001-7665-5351","observed_orcids":["https://orcid.org/0000-0001-7665-5351"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"JULIETA LOMELIN-GASCON","raw_affiliation_strings":["Mexico City, Mexico, London, United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mexico City, Mexico, London, United Kingdom","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5030911350","display_name":"Alejandra Montoya","orcid":"https://orcid.org/0000-0002-9466-8452","observed_orcids":["https://orcid.org/0000-0002-9466-8452"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"ALEJANDRA MONTOYA","raw_affiliation_strings":["Mexico City, Mexico, London, United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mexico City, Mexico, London, United Kingdom","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063047588","display_name":"Ricardo M\u00fajica\u2010Rosales","orcid":"https://orcid.org/0000-0001-6320-827X","observed_orcids":["https://orcid.org/0000-0001-6320-827X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"RICARDO MUJICA-ROSALES","raw_affiliation_strings":["Mexico City, Mexico, London, United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mexico City, Mexico, London, United Kingdom","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020996253","display_name":"ROBERTO C. TAPIA-CONYER","orcid":"https://orcid.org/0000-0001-9425-7322","observed_orcids":["https://orcid.org/0000-0001-9425-7322"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"ROBERTO C. TAPIA-CONYER","raw_affiliation_strings":["Mexico City, Mexico, London, United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mexico City, Mexico, London, United Kingdom","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5006246398","display_name":"EDUARDO R. SAUCEDO-MARTINEZ","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"EDUARDO R. SAUCEDO-MARTINEZ","raw_affiliation_strings":["Mexico City, Mexico, London, United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mexico City, Mexico, London, United Kingdom","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"69","issue":"Supplement_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.9535999894142151,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.9535999894142151,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10793","display_name":"Diabetes Management and Education","score":0.02019999921321869,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.01269999984651804,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/type-2-diabetes","display_name":"type 2 diabetes","score":0.9509999752044678},{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.7329999804496765},{"id":"https://openalex.org/keywords/quality-of-care","display_name":"quality of care","score":0.8080000281333923},{"id":"https://openalex.org/keywords/patient-retention","display_name":"patient retention","score":0.7730000019073486},{"id":"https://openalex.org/keywords/clinical-guideline-adherence","display_name":"clinical guideline adherence","score":0.9110000133514404},{"id":"https://openalex.org/keywords/glycemic-control","display_name":"glycemic control","score":0.906000018119812},{"id":"https://openalex.org/keywords/hba1c","display_name":"HbA1c","score":0.7269999980926514},{"id":"https://openalex.org/keywords/performance-feedback","display_name":"performance feedback","score":0.4690000116825104},{"id":"https://openalex.org/keywords/community-screening-program","display_name":"community screening program","score":0.640999972820282},{"id":"https://openalex.org/keywords/point-of-care-testing","display_name":"point-of-care testing","score":0.828000009059906},{"id":"https://openalex.org/keywords/insulin-availability","display_name":"insulin availability","score":0.6399999856948853},{"id":"https://openalex.org/keywords/oral-antidiabetic-drugs","display_name":"oral antidiabetic drugs","score":0.8790000081062317},{"id":"https://openalex.org/keywords/mexico","display_name":"Mexico","score":0.3790000081062317},{"id":"https://openalex.org/keywords/continuous-quality-improvement","display_name":"continuous quality improvement","score":0.6380000114440918},{"id":"https://openalex.org/keywords/health-information-systems","display_name":"health information systems","score":0.4009999930858612}],"concepts":[{"id":"https://openalex.org/C2779820911","wikidata":"https://www.wikidata.org/wiki/Q5969307","display_name":"ICAD","level":3,"score":0.9494941234588623},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7424829602241516},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.5114637613296509},{"id":"https://openalex.org/C71405471","wikidata":"https://www.wikidata.org/wiki/Q757012","display_name":"Quality management","level":3,"score":0.4131818413734436},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3845033347606659},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.35003572702407837},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.08718973398208618},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.08125877380371094},{"id":"https://openalex.org/C185592680","wikidata":"https://www.wikidata.org/wiki/Q2329","display_name":"Chemistry","level":0,"score":0.0},{"id":"https://openalex.org/C104317684","wikidata":"https://www.wikidata.org/wiki/Q7187","display_name":"Gene","level":2,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C55493867","wikidata":"https://www.wikidata.org/wiki/Q7094","display_name":"Biochemistry","level":1,"score":0.0},{"id":"https://openalex.org/C198783460","wikidata":"https://www.wikidata.org/wiki/Q629173","display_name":"Management system","level":2,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.2337/db20-1205-p","doi":"https://doi.org/10.2337/db20-1205-p","is_oa":false,"landing_page_url":"https://doi.org/10.2337/db20-1205-p","pdf_url":null,"source":{"id":"https://openalex.org/S129060628","display_name":"Diabetes","issn_l":"0012-1797","issn":["0012-1797","1939-327X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320274","host_organization_name":"American Diabetes Association","host_organization_lineage":["https://openalex.org/P4310320274"],"host_organization_lineage_names":["American Diabetes Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetes","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2948481854","https://openalex.org/W3011811917","https://openalex.org/W2395792090","https://openalex.org/W4407903420","https://openalex.org/W3206198747","https://openalex.org/W4401462018","https://openalex.org/W1482861041","https://openalex.org/W2091785999","https://openalex.org/W1966833270","https://openalex.org/W2889420014"],"abstract_inverted_index":{"Digital":[0],"health":[1,296],"and":[2,18,65,90,141,159,172,190,234,251,270,281,295],"robust":[3],"analytics":[4],"have":[5],"shown":[6],"to":[7,24,41,73,110,121,153,197,212],"improve":[8],"the":[9,25,34,43,75,84,91,114,128,201,208,213,216,291],"quality":[10,292],"of":[11,21,28,46,77,93,103,136,139,143,146,176,181,186,192,215,237,246,293],"care":[12,47,238,294],"by":[13],"enabling":[14,285],"data-driven":[15],"decision":[16],"making":[17],"accurate":[19],"allocation":[20],"resources.":[22],"Due":[23],"fast-growing":[26],"burden":[27],"T2D":[29,66,123,299],"in":[30,48,156,168,287],"Mexico,":[31],"we":[32,163,205,278],"created":[33],"Diabetes":[35],"Medical":[36],"Care":[37],"Quality":[38],"Index":[39],"(ICAD)":[40],"favor":[42],"continuous":[44],"improvement":[45,214],"primary":[49],"healthcare":[50],"clinics":[51],"(PHC).The":[52],"ICAD":[53,102,130,152,169,175,217],"assesses":[54],"three":[55],"components:":[56,174],"patient":[57],"retention":[58],"(PR),":[59],"adherence":[60],"with":[61,95,119,134],"clinical":[62],"guidelines":[63],"(ACG),":[64],"control":[67],"(DMC)":[68],"through":[69,113,200],"a":[70,157,165],"100-point":[71],"score,":[72],"estimate":[74],"percentage":[76,92],"patients":[78,94],"that":[79,207,289],"regularly":[80],"visit":[81],"their":[82],"clinic,":[83],"medical":[85,263],"actions":[86],"provided":[87],"each":[88,154],"visit,":[89],"A1c":[96,235],"<7%,":[97],"respectively.":[98],"We":[99],"monthly":[100,150],"computed":[101],"9,958":[104],"Mexican":[105],"PHC":[106,288],"from":[107],"June":[108,126],"2016":[109],"October":[111,147],"2018":[112],"NCDs":[115],"Information":[116],"System":[117],"(SIC)":[118],"up":[120],"537,752":[122],"patients.":[124,300],"In":[125,276],"2016,":[127],"national":[129],"score":[131,171],"was":[132],"54.6,":[133],"PR":[135,180],"46.6,":[137],"ACG":[138,185],"69.9,":[140],"DMC":[142,191],"40.9.":[144],"As":[145],"2018,":[148],"after":[149],"emailing":[151],"clinic":[155],"meaningful":[158],"transparent":[160],"performance":[161],"report,":[162],"found":[164,206],"significant":[166],"increase":[167],"overall":[170],"its":[173],"66.0":[177],"(+21.0%":[178],"p<0.001);":[179],"64.0":[182],"(+37.4%":[183],"p<0.001),":[184,189],"79.3":[187],"(+13.5%":[188],"60.0":[193],"(+24.7%":[194],"p<0.001).When":[195],"compared":[196],"data":[198],"collected":[199],"National":[202],"Infrastructure":[203],"Inventory,":[204],"major":[209],"determinants":[210],"related":[211],"are:":[218],"community":[219],"screening":[220],"programs":[221],"(\u03b2":[222,240],"=":[223],"4.06":[224],"95%CI":[225,232,249,256,268,274],"3.50-4.62),":[226],"availability":[227,245],"for":[228,265,298],"CBG":[229],"testing":[230,239],"(\u03b2=3.08,":[231],"2.83-3.34)":[233],"point":[236],"=2.52":[241],"95%":[242],"CI":[243],"2.40-2.63);":[244],"insulin":[247],"(\u03b2=3.05":[248],"2.94-3.16)":[250],"oral":[252],"hypoglycemic":[253],"drugs":[254],"(\u03b2=1.51":[255],"1.40-1.63),":[257],"as":[258,260],"well":[259],"online":[261],"continuing":[262],"education":[264],"providers":[266],"(\u03b2=0.92,":[267],"0.79-1.1)":[269],"IT":[271],"infrastructure":[272],"(\u03b2=0.57,":[273],"0.44-0.72).":[275],"sum,":[277],"creates,":[279],"measured":[280],"systematically":[282],"communicated":[283],"ICAD,":[284],"interventions":[286],"improved":[290],"outcomes":[297],"Disclosure":[301],"H.":[302],"Gallardo:":[303],"None.":[304,307,319,322,325,328],"L.":[305],"Suarez-Idueta:":[306],"J.":[308],"Lomelin-Gascon:":[309],"Other":[310],"Relationship;":[311],"Self;":[312],"Lilly":[313],"Global":[314],"Health":[315],"Partnership.":[316],"A.":[317],"Montoya:":[318],"R.":[320],"Mujica-Rosales:":[321],"R.C.":[323],"Tapia-Conyer:":[324],"E.R.":[326],"Saucedo-Martinez:":[327]},"counts_by_year":[],"updated_date":"2026-09-29T14:09:16.559479","created_date":"2020-06-19T00:00:00"}
