American Journal of Clinical Neurology and Neurosurgery
Articles Information
American Journal of Clinical Neurology and Neurosurgery, Vol.1, No.1, Jul. 2015, Pub. Date: Jul. 20, 2015
Clinical Audit for Adult Type II Diabetes Mellitus and Patients Satisfaction at Primary Healthcare Services Facilities in Dubai
Pages: 33-37 Views: 2499 Downloads: 878
Authors
[01] Othman Z. J., Health Centers Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, UAE.
[02] Hussein H., School and Educational Institutions Health Unit, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, UAE.
[03] Al Faisal W., School and Educational Institutions Health Unit, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, UAE.
[04] Wasfy A., Research and Statistics Department, Ministry of Health, Dubai, UAE.
Abstract
Background: Type II diabetes represents a real challenge to the health planners in United Arab Emirates due to its high prevalence and increased economic cost. A recent survey done in (1999- 2000) found a prevalence of over 20%. Objectives: To study the importance of clinical audit among Diabetic patients at primary health care facilities and its relation with patient satisfaction. Methodology: A cross sectional study among adult diabetic patients attending Primary Health Care centers in Dubai Health Authority. Data were collected by using a standardized satisfaction questionnaire to assess diabetic patient satisfaction regarding the services provided in primary health care centers where they are being managed. Random cluster sample technique was used with proper allocation of 540 patients with diabetes. Results: As regards the process of care, the blood pressure was measured in every visit in all cases, the LDL was measured in the last 12 months in 98.9%, 93.5% had foot examination in the last 12 months, 83.5% had eye examination in the last 12 months and only 60.7% had their Hba1c measured every 3 months. For the outcome of care indicators, it can be noted that 60.2% had their blood pressure at target controlled as compared to 53.1% for LDL and only 44.1% for HbA1c. As regards the outcome of care, the LDL and the blood pressure kept at target controlled, showed association with overall satisfaction and this was statistically significant (Z = 2.32, P = 0.021 , Z = 2.20, P = 0.028 respectively). the most significant predictors of patient satisfaction are age, level of education and LDL being controlled at target. The most likely age group of being less satisfied is the <45 years old (OR = 4.90).The university educated patients are the most likely group to be less satisfied (OR = 5.94). Those patients with LDL not controlled at target are more likely to be less satisfied (OR = 1.59). Conclusions: The study concluded that clinical auditing is extremely vital tool for both Diabetes mellitus diseases management and patient satisfactions. Recommendations: Developing clinical Auding tool that linking auditing to diabetes mellitus diseases management outcomes and patients with DM satisfactions.
Keywords
Clinical Audit, Diabates, Satisfaction, Primary Healthcare
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