National diabetes registry improves care for people with diabetes in Croatia

The Croatian National Diabetes Registry was established in 2000. Called CroDiab, the registry is an online system for collecting data on diabetic patients, which analyzes health indices with the aim of improving healthcare. people with diabetes.

Data on people with diabetes are collected from the Croatian Health Insurance Fund, other registers, reports from primary care level, doctors and health centers, and reports from hospitals regarding their patients with diabetes. of diabetes who were hospitalized the previous year. Since 2004, the use of the CroDiab registry has been compulsory for all primary and secondary care physicians caring for diabetic patients.

“CroDiab is the only registry in Croatia that receives data directly from diabetes panels completed by general practitioners,” explains Dr Tamara Poljicanin, head of the CroDiab registry at the Croatian Institute of Public Health. “Diabetes panels are particularly valuable in public health because not only are they used to monitor indicators, but they also serve as a checklist for general practitioners and a reminder to regularly monitor patients and perform annual diabetes check-ups. , the intervention that was found to have a significant impact on improving diabetes control.

Registry also used for public health interventions

In addition to monitoring diabetes indicators, CroDiab data is also used for public health interventions. For example, indicator analysis revealed the problem of the unavailability of screening for HbA1c (a test used to monitor type 1 and type 2 diabetes) at the primary level of healthcare in Croatia. At the initiative of the Croatian Institute of Public Health, since 2013 general practitioners can indicate this test, while in 2021 the albumin / creatinine ratio (a test that determines whether people with diabetes have kidney problems) has also been activated at primary level of health care, thus becoming accessible to the entire population.

The continuous development of the registry takes place on the initiative and in cooperation with all relevant professional associations and institutions, but also through international diabetes-related projects and registries, which continues to strengthen intersectoral cooperation and improve quality. data in the registry.

Key plans for future development are to provide insight into patients’ own data within a central national health information portal, which has proven to empower patients and better regulate diabetes, as well. that to increase the proportion of general practitioners completing the panels.

“We try to empower patients to participate actively in the treatment of their disease. I believe that with CroDiab we will not only succeed in more actively involving patients in their healthcare, but we will also have a powerful tool that will impact all levels of care to ensure a similar quality of care for patients. diabetics in Croatia, ”says Dr Poljicanin.

This report is part of a series developed for the WHO European Conference on Tackling NCDs through Digital Solutions – showing how digital technologies can be harnessed to deliver smarter health care.

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