Monitoring the standard of care of diabetes mellitus type 2 in a primary health care setting
Abstract: Background: Complying of diabetic patients with the standard administered medical care at primary health care units is an important issue. Revealing the rates of compliance provide important information that can be used both by the medical staff to evaluate the administered medical care an...
| Publicado en: | Alexandria Journal of Medicine Vol. 47; no. 3; pp. 251 - 255 |
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| Autores principales: | , , , |
| Formato: | Journal Article |
| Publicado: |
Taylor & Francis Ltd
Sep2011
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=66947598&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 66947598 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20905068 DBOB jtl: Alexandria Journal of Medicine issn: 20905068 maglogo: N pubinfo: dt: Sep2011 vid: 47 iid: 3 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 66947598 10.1016/j.ajme.2011.08.006 66947598 ppf: 251 ppct: 4 formats: tig: atl: Monitoring the standard of care of diabetes mellitus type 2 in a primary health care setting aug: au: Alshaheen, Nadiah A. AlSharrad, Sahar N. Al-Saeed, Meshal M. Kamel, Mohammed Ibrahim affil: Al-Yarmouk Primary Clinic, Primary Health Care, Ministry of Health, Kuwait sug: ab: Abstract: Background: Complying of diabetic patients with the standard administered medical care at primary health care units is an important issue. Revealing the rates of compliance provide important information that can be used both by the medical staff to evaluate the administered medical care and by the patients to evaluate their efforts to control glycemia and its possible complications. Objectives: Reveal compliance rates of diabetics with targeted levels of medical indicators of diabetes. Methods: Two hundred type 2 diabetic patients from Al-Yarmouk Health Center were randomly selected and followed for 2years. Four indicators, namely, glycated hemoglobin A1c (HbA1c), microalbuminuria (MA), low density lipoprotein (LDL), and fundus examination (FE) were measured at the start and end of the field period. Age, sex, and nationality of the studied patients were recorded and their association with complying to the studied indicators was illustrated. Results: The majority of the studied sample were females (53.5%), non-Kuwaitis (56.0%) with a mean age of 51.2±8.8years. A significant improvement has been achieved for all the targeted indicators. Full complying increased from just 7.5% at the start of the intervention program to 24.6% at the end. The measure with the highest percentage at the end of the program was the control of MA (85.2%) followed by FE (76.6%) while the least controlled indicator was HbA1c (46.4%). Kuwaitis were more likely to control their LDL than non-Kuwaitis by the end of the trial after adjusting for age and gender. Conclusion: Administering standard medical care significantly improved compliance of type 2 diabetics to achieve the targeted level of medical indicators. In view of the low rate of full complying and poor glycemic control, major efforts should be undertaken to substantially increase this rate among all individuals with diabetes. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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