[01] Moulham Saleh Ashtar, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates. [02] Hanan Ali Obaid, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates. [03] Ayesha Sultan Alolama, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates. [04] Fawzia Ahmed Abdouli, Health Centres Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates. [05] Laila Abdulla Al Kaabi, Health Centres Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates. [06] Mai Haider Mohammad Zain, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates. [07] Salah Ahmed Elbadawi, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates. [08] Nahed AbdulKhaleq Monsef, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates. [09] Amel Ibrahim Buharoun, Health Centres Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates. [10] Manal Mohammad Omran Taryam, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.

Introduction: The prevalence of Diabetes Mellitus in United Arab Emirates is estimated to be around 19%. Diabetes Mellitus Quality Care and Control program started in 2012 in all Primary Health Care Centers in Dubai in order to improve diabetes care services and clinical outcomes. The program adopted a multidisciplinary team approach to patients care to ensure proper implementation of diabetes management guidelines. Health care providers training and patients education supported this approach. During the period of program implementation, annual audits were conducted to monitor changes and gaps in the provided diabetes care services. Objectives: To assess the current Primary Health Care Diabetes Mellitus Quality Care and Control program, identify gaps in management, and other factors contributing to the improvement of diabetes care. Methods: A retrospective records review of 8642 registered diabetic patients was performed in all 13 primary health care centers of Dubai Health Authority during the period from 2012-2016. Annual convenience samples were taken. They were consisting of all diabetic patients who attended PHC health centers in the month of December in every year. An initial situational audit was conducted in 2012 before program implementation. The patient’s data was retrieved from Primary Health Care Electronic Medical Record. The sample was composed of 1578 in 2012; 1654 in 2013; 2139 in 2014; 1707 in 2015 and 1564 in 2016. Patients with Diabetes mellitus managed in PHC facilities were included and those receiving diabetic health care management from other health care facilities were excluded. Results: The results showed improvements in care of patients reflected in rates of recorded key clinical indicators outcomes. The percentage of diabetic patients with HBA1C <7% increased from 46.05% to 56.25%. The percentage of patients with LDL < 100 mg/dL increased from 54.40% to 63.20%, those with controlled blood pressure increased from 56.50% to 80.60%. Those on Statins increased from 76.70% to 85.00% and those on (ACEi / ARBs) increased from 73.50% to 80.20%. The percentage of patients who had pneumococcal vaccine increased from 55.30% to 71.21%. About 36.90% were overweight and 47.60% were obese. Conclusion: Managing Diabetes in a quality improvement setting produced outcomes that are more positive in terms of control compared to diabetes management prior program implementation. Recommendations: Continuous professional training of physicians and nurses on the standard DM guidelines, re-enforcing patients’ health education and diet control are essential for continuous improvement.

Non-Communicable Diseases (NCDs), Diabetes Mellitus (DM), Primary Health Care (PHC), Dubai Health Authority (DHA), Clinical Audit

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