2018 Quality Survey of Diabetes Health Promotion Institutes in Taiwan

Regular waves of surveys are conducted in Taiwan in order to evaluate the quality of diabetes care among accredited Diabetes Health Promotion Institutes. Methods of study: This survey was conducted in 40 Diabetes Health Promotion Institutes in 2018. Diabetes subjects who regularly visited the same institute for at least 1 year were selected by one per every 5 consecutive visits. A total of 5,851 subjects participated in this survey. The percentage of subjects whose HbA1c < 7%, BP< 130/80 mmHg and LDL cholesterol<100 mg/dL were 44.1%, 36.3% and 70.9%, respectively. Accountabilities examination revealed that annular tests of HbA1c (> 3 times/year), urinary albumin, lipids, eye examination, and foot evaluation were 94.2%, 97.5%, 88.0%, 88.8%, and 90.6%, respectively. Most of these results are better than the last two surveys. We observed an improvement in overall attainments of treatment goals and accountabilities of diabetes care in Taiwan. We anticipate that these improvements will translate into reductions of both macrovascular and microvascular complications.