Australian National Diabetes Information Audit & Benchmarking (ANDIAB) 2011 Final Report

4. Summary, Conclusions and Recommendations

A summary of the preceding document, conclusions drawn from its outcomes, and recommendations arising from these conclusions

Page last updated: December 2011

Since the initial 1998 pilot, the data collection form has been improved with changes that were predominantly enhancements to the collection. The additional fields collected in the 1999, 2000, 2002, 2004, 2006, 2009 and 2011 collections have enhanced the value of this exercise by providing additional data on individual’s status.

In summary, ANDIAB provides a ‘snapshot’ of the clinical condition of people with diabetes attending specialist diabetes services across Australia. It is important to record that there were no difficulties in the technical aspects of ANDIAB. A comparison with previous years’ data reveals a degree of ‘stability’ of the findings that suggests that these data do reliably reflect the clinical status of these individuals and could be used as a basis on which to gauge the effectiveness of diabetes management or intervention strategies aimed at improving health outcomes.

Finally, it should be noted that the Commonwealth funded ANDIAB Project 2011-2012 has provided funds not only for ANDIAB 2011, but also an ANDIAB2 collection in 2012 and for the Central ANDIAB database application to be further reviewed and revised. This has been happening progressively and will result in several improvements. Of note is that there were several enhancements to ANDIAB reporting capabilities in 2009, one of which is our ability to provide Full Site and Doctor Reports, and this Final Report of Pooled Data, in .pdf format, including all Tables and Graphs. Thus, because of the way reports are now generated, we have the ability to provide participants with complete electronic as well as hard copy reports – [the former having not been previously possible].

We conclude that this clinical audit and benchmarking exercise has again provided cross sectional data on the people with diabetes attending specialist diabetes services and will form the basis of ongoing diabetes data collection. All of ANDIAB’s stated objectives were met.

We recommend

  • That ANDIAB continue as a regular diabetes audit activity in specialist diabetes services;
  • That said, there needs to be a concerted effort by Specialist Diabetes Services to acquire electronic databases from which they can not only run their day-to-day activities and communicate with referring health professionals, but also undertake research and participate in quality initiatives such as ANDIAB;
  • That further improvements to the format of the data that are collected be supported in order to ensure the relevance of this exercise to participants is retained. This should include consideration of smaller and/or more targeted data collection in the future, or perhaps a longitudinal follow-up review analysis as was done in 2003; and

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Australian National Diabetes Information Audit & Benchmarking (ANDIAB) 2011 Final Report(PDF 559 KB)