دورية أكاديمية

Assessment of quality of care provided to adults with type 2 diabetes mellitus at public hospitals in Gamo Gofa zone, Southern Ethiopia: Facility based Cross-Sectional study.

التفاصيل البيبلوغرافية
العنوان: Assessment of quality of care provided to adults with type 2 diabetes mellitus at public hospitals in Gamo Gofa zone, Southern Ethiopia: Facility based Cross-Sectional study.
المؤلفون: Russo TT; Department of Biomedical Sciences, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia., Sorato MM; Department of Pharmacy, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia., Mesfin AA; Department of Pharmacy, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia., Hailu T; School of Medicine, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia., Tanga AT; School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia., Bussa Z; Department of Pharmacy, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
المصدر: Endocrinology, diabetes & metabolism [Endocrinol Diabetes Metab] 2022 Sep; Vol. 5 (5), pp. e355. Date of Electronic Publication: 2022 Jun 27.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: John Wiley & Sons Ltd Country of Publication: England NLM ID: 101732442 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2398-9238 (Electronic) Linking ISSN: 23989238 NLM ISO Abbreviation: Endocrinol Diabetes Metab Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [Oxford] : John Wiley & Sons Ltd., [2018]-
مواضيع طبية MeSH: Diabetes Mellitus, Type 2*/therapy, Adult ; Blood Glucose ; Cholesterol, LDL ; Cross-Sectional Studies ; Ethiopia ; Hospitals, Public ; Humans ; Middle Aged ; Obesity ; Quality of Health Care
مستخلص: Purpose: Proactive management of type 2 diabetes is important for restoring beta-cell function and improving sustained blood glucose control. Evidence on quality of diabetes care in Ethiopia is inadequate.
Method: Facility-based cross-sectional study was conducted to assess level of quality of care provided to adult type 2 diabetes patients at three public hospitals in Gamo Gofa Zone, Southern Ethiopia.
Results: A total of 210 adult type 2 diabetes patients were included. The mean age of patients was 44.1 ± 9.94 years. Fifty-one (24.3%) of patients adhered to prescribed medicines. Sixty-seven (31.9%) patients could benefit from neuropathy screening and referral. Diabetes-specific evidence-based guidelines, operational plan to reduce overweight and obesity were not available. There was no periodic lipid profile, renal function and glycated haemoglobin testing. Sixty-three (30%) patients achieved fasting blood glucose (FBG) level. Only 41 (19.5%) achieved the recommended target value for composite intermediate outcomes. All three sub-components of quality care structure, process and outcome (SPO) were below the agreed minimum score and the quality of care provided to adult type 2 diabetes was poor. Only 41 (19.5%) achieved agreed quality indicator targets for type 2 diabetes (fasting blood glucose blood pressure and low-density lipoprotein cholesterol).
Conclusion: The quality of care provided to adult type 2 diabetes patients was poor particularly in areas such as availability of evidence-based guidelines, operational plan to reduce obesity, monitoring of lipid profile and glycaemic control. Therefore, developing strategies for addressing structure, process and outcome-related gaps by involving all stakeholders is critical for improving the quality of care provided to these patients.
(© 2022 The Authors. Endocrinology, Diabetes & Metabolism published by John Wiley & Sons Ltd.)
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فهرسة مساهمة: Keywords: quality of care; southern Ethiopia; theory is Donabedian triad model; type 2 diabetes mellitus
المشرفين على المادة: 0 (Blood Glucose)
0 (Cholesterol, LDL)
تواريخ الأحداث: Date Created: 20220628 Date Completed: 20220915 Latest Revision: 20221018
رمز التحديث: 20240829
مُعرف محوري في PubMed: PMC9471586
DOI: 10.1002/edm2.355
PMID: 35762043
قاعدة البيانات: MEDLINE
الوصف
تدمد:2398-9238
DOI:10.1002/edm2.355