Calderón-Larrañaga A. Soljak M. et al. Diabetic Medicine Doi: 10.1111/dme.12413
One way to measure GP performance is the impact on hospital admission rates. Although some would argue this is a crude outcome but if proven to reduce admission rates, it may justify further investment in primary care, so it is an important variable. This observational study based on over 8000 English practices, over 5 years looked at an impressive number of patients. Admission rates for diabetic complications were examined and the results were not entirely surprising. Using clever statistics, it was shown that better metabolic control and “better scheduled primary care access” were linked with lower admission rates associated with complications such as hypoglycaemia. This data can not only compare GP activity with other practices but can be compared with peers in other countries. The authors state that they have adjusted for factors in the population, I hope that these comparison factors will stand up to scrutiny. With programmes such as care.data ultimately to come on stream, this kind of outcome data may be used to allocate scare resources in years to come.