Quality priorities related to the management of type 2 diabetes in primary care: Results from the COMPAS+ quality improvement collaborative

Abstract Structured Abstract Background: This study aims to describe the main type 2 diabetes mellitus (T2DM) quality improvement (QI) challenges identified by primary care teams in the province of Quebec who participated in the COMPAS+ QI collaborative. Methods: A qualitative descriptive design was used to analyse the results of 8 COMPAS+ workshops conducted in 4 regions of the province between 2016 to 2020. Deductive content analysis was performed to classify the reported QI priorities under the Consolidated Framework for Implementation Research domains; and proposed change strategies under the Behavior Change Wheel (BCW) intervention functions. Results: A total of 177 participants attended the T2DM COMPAS+ workshops. Three QI priorities were identified: 1) lack of coordination and integration of T2DM care and services; 2) lack of preventive services for pre-diabetes and T2DM; and 3) lack of integration of the patient-as-partner approach to support T2DM self-management. The proposed QI strategies to address those priorities were classified under the education, training, persuasion, habilitation and restructuring BCW intervention functions. Conclusion: This study provides insights on how QI collaboratives can support the identification of QI priorities and strategies to improve T2DM management in primary care.