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Although previous audits mentioned above have demonstrated poor attainment of cardiovascular risk factor modification targets, our audit has established that even less importance is being placed on these factors in young adults with diabetes.
The audit showed that while the educational attainment gap between people of different backgrounds had narrowed over the last few decades this has not been reflected in the job market.
AUDIT scores were positively associated educational attainment, urban residence, having children, high-quality housing, depression severity, disability severity and usage of tobacco products.
The rest of the three standards showed a high level of attainment (>95%) in both the initial audit and the re-audit: referred patients accompanied by a referral form; ambulances are available at all times and the district hospital is informed through short-wave radio by the health centre when a patient is referred.
The rest of the three standards showed a high level of attainment (>95%) in both the initial audit and the re-audit: all patients referred come with a referral form filled by the referring health facility; ambulances are available at all times to transport referred patients and the district hospital is informed by the health centre through short-wave radio when a patient is referred.
Furthermore, it is not clear whether the factors leading to poor attainment of treatment targets in previous audits with older populations are of equal importance in our population.
It was estimated that a minimum sample size of 52 was required for a power of 90% to detect a 30% increase (that is from 50%to80%0%) in standard attainment between the first and second audits with significance level of 5% (Table 2).
Thus, to fully realize the benefits of protocol-driven care, trained personnel or information technology is needed to ensure adherence to protocol and attainment of treatment targets through regular audits and feedback, a setup not dissimilar to a clinical trial setting (12).
Attainment of standards may only be achieved after several rounds of the audit cycle [ 7].
Educational attainment rose.
Attainment levels were low.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com