People with diabetes regularly receiving metformin in the relevant year

Official name
Number and percent of people with diabetes dispensed metformin in three or four quarters in the relevant year.
Other names
Indicator #2; Metformin dispensing for people with diabetes
Description

This indicator shows the number and percent of people with diabetes receiving metformin regularly. Regular use was defined as metformin dispensed in three or more quarters in a year. 

Rationale

Analysing variation in metformin usage can offer insights into several aspects of diabetes management, including health care access and quality, provider practice, patient preferences, health literacy, adherence and tolerability. This information is valuable for designing targeted interventions to improve diabetes care and reduce disparities in health care delivery. 

Notes about this measure set
Measure type
Count
Percent
Numerator

People with diabetes dispensed metformin in three or four quarters in the relevant year

Numerator exclusions

Placeholder

Denominator

Count of distinct master NHIs identified as having diabetes as per the VDR.

Disaggregation

For single map analysis: By year (2018‒22), age group (0‒14 years, 15‒24 years, 25‒44 years, 45‒64 years, 65‒74 years and 75+ years), gender (female and male), ethnic group (Māori, Pacific peoples, Indian and European/other) and Health New Zealand district of domicile. 

For PHO analysis: By year (2022), age group (0‒14 years, 15‒24 years, 25‒44 years, 45‒64 years, 65‒74 years and 75+ years), gender (female and male), ethnic group (Māori, Pacific peoples, Indian and European/other), PHO most recently enrolled with (for the relevant year), PHO group (small, medium, medium‒large and large).

Notes

Metformin is also used to treat polycystic ovary syndrome in women aged 12‒45 years. The VDR attempts to partially address this issue by excluding women aged 12–45 years who are solely identified as a result of metformin use – that is, no other methods identify them as having diabetes.

Contact email
measures.library@hqsc.govt.nz
Measure methodology last updated
Last updated June 2024. This measure has not yet been updated. Refer to the Atlas of Healthcare Variation.