Does enhanced audit feedback improve clinical outcomes in diabetes care?

The Australian National Diabetes Audit (ANDA) is an annual benchmarking activity which collects, collates and compares data from diabetes centres across Australia (audit). Participating centres receive summarised results, benchmarked against other centres (feedback). Feedback can assist practitioners in identifying areas to improve care and help improve diabetes outcomes for their patients. This thesis examined factors related to contemporary diabetes care in Australia, including use of ANDA feedback in practice. Redesigned feedback and cointerventions to assist in use of ANDA feedback for clinical quality improvement were implemented and evaluated in a cluster randomised trial, offering valuable lessons for future diabetes registries.