Biomedical and Health Informatics
Articles Information
Biomedical and Health Informatics, Vol.2, No.3, Jun. 2017, Pub. Date: Jun. 15, 2017
Twelve-Years Follow-up of Type II Diabetes Mellitus Structured Care Key Performance Indicators, Dubai, 2017
Pages: 15-19 Views: 1649 Downloads: 362
Authors
[01] Hamid Hussein, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, UAE.
[02] Waleed Al Faisal, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, UAE.
[03] Mohammed Farghali, Fuding Department, Dubai Health Authority, Dubai, UAE.
[04] Nahed Monsef, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, UAE.
Abstract
Poor access to health care, ineffective management of chronic disease and Diabetes mellitus accounts for a large burden of morbidity and mortality. Clinical audits as a process of improving quality of patient care and outcomes by reviewing care against specific criteria and then reviewing the change can help in optimizing care. The paper will evaluate the quality of diabetes care in primary health centers in Dubai through a medical audit. It will assess also the extent to which clinical practice complied with pre-determined explicit criteria of long-term management. A retrospective record review based audit was carried out among patients registered for diabetes care in primary health care centers, Dubai Health Authority for the period from 2004-2016. Adult type II Diabetes Mellitus patient’s medical records were selected randomly at 10 primary health care centers in Dubai Health Authority where family medicine services provided. An Audit records form contained socio demographic data including age, sex etc…, clinical assessments data including ophthalmological assessment, laboratory findings related parameter including (HBA1C) were all obtained, raw data tabulated, analyzed. Results: The study revealed that as for HBA1C results for diabetic patients attending primary health care centers in Dubai for the period 2004-2016, the mean result of the test for all patients were 8.6 during 2004 which reflect bad outcomes of DM control status of the patients as above 7.5 means non controlled patients. Strict and comprehensive DM control measures kept applied. The study showed that in 2012, the mean HBA1C of all registered diabetic patients was significantly improved to reach to 7.5 which is upper than normal cut of point. As the measures maintained and strengthened further, the results showed significant improvement where the mean HBA1c was 7.2 in 2016 which reflect good control level. Although the audit revealed significant improvement in quality of diabetes care, yet there are still significant gaps needs to be closed like consistency in care provision between primary care teams. Clinical guidelines and continuing education about acceptable diabetes care should be well maintained and strengthened. Physician education and adhering to standard guidelines for management helps in better health care delivery to diabetes patients. Improvement in process of diabetes care can be achieved even in resource-limited settings. Continuous auditing of care quality, adhering to standards and guidelines and protocols and continuous training are key components in effective management of diabetes mellitus.
Keywords
Diabetes Mellitus Type II, Audit, Gaps, Primary Health Care, Dubai
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