The St Vincent Declaration includes a commitment to continuous quality
improvement in diabetes care. This necessitates the collection of app
ropriate information to ensure that diabetes services are efficient, e
ffective and equitable. The quantity of information, and the need for
rapid access, means that this must be computer-based. The choice of ar
chitecture and the design of a database for diabetes care must take in
to account available equipment and operational requirements. Hardware
topology may be determined by the operating system and/or netware soft
ware. An effective database system will include: user-friendliness, ra
pid but secure access to data, a facility for multiple selections for
analysis and audit, the ability to be used as part of the patient cons
ultation process, the ability to interface or integrate with other app
lications, and cost efficiency. An example of a clinical information d
atabase for diabetes care, Diamond, is described.