A Web-Based Interactive Diabetes Registry for Health Care Management and Planning in Saudi Arabia

BackgroundWorldwide, eHealth is a rapidly growing technology. It provides good quality health services at lower cost and increased availability. Diabetes has reached an epidemic stage in Saudi Arabia and has a medical and economic impact at a countrywide level. Data are greatly needed to better unde...

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Main Authors: Al-Rubeaan, Khalid A, Youssef, Amira M, Subhani, Shazia N, Ahmad, Najlaa A, Al-Sharqawi, Ahmad H, Ibrahim, Heba M
Format: Article
Language:English
Published: JMIR Publications 2013-09-01
Series:Journal of Medical Internet Research
Online Access:http://www.jmir.org/2013/9/e202/
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author Al-Rubeaan, Khalid A
Youssef, Amira M
Subhani, Shazia N
Ahmad, Najlaa A
Al-Sharqawi, Ahmad H
Ibrahim, Heba M
author_facet Al-Rubeaan, Khalid A
Youssef, Amira M
Subhani, Shazia N
Ahmad, Najlaa A
Al-Sharqawi, Ahmad H
Ibrahim, Heba M
author_sort Al-Rubeaan, Khalid A
collection DOAJ
description BackgroundWorldwide, eHealth is a rapidly growing technology. It provides good quality health services at lower cost and increased availability. Diabetes has reached an epidemic stage in Saudi Arabia and has a medical and economic impact at a countrywide level. Data are greatly needed to better understand and plan to prevent and manage this medical problem. ObjectiveThe Saudi National Diabetes Registry (SNDR) is an electronic medical file supported by clinical, investigational, and management data. It functions as a monitoring tool for medical, social, and cultural bases for primary and secondary prevention programs. Economic impact, in the form of direct or indirect cost, is part of the registry’s scope. The registry’s geographic information system (GIS) produces a variety of maps for diabetes and associated diseases. In addition to availability and distribution of health facilities in the Kingdom, GIS data provide health planners with the necessary information to make informed decisions. The electronic data bank serves as a research tool to help researchers for both prospective and retrospective studies. MethodsA Web-based interactive GIS system was designed to serve as an electronic medical file for diabetic patients retrieving data from medical files by trained registrars. Data was audited and cleaned before it was archived in the electronic filing system. It was then used to produce epidemiologic, economic, and geographic reports. A total of 84,942 patients were registered from 2000 to 2012, growing by 10% annually. ResultsThe SNDR reporting system for epidemiology data gives better understanding of the disease pattern, types, and gender characteristics. Part of the reporting system is to assess quality of health care using different parameters, such as HbA1c, that gives an impression of good diabetes control for each institute. Economic reports give accurate cost estimation of different services given to diabetic patients, such as the annual insulin cost per patient for type 1, type 2, and gestational diabetes, which are 1155 SR (US $308), 1406 SR (US $375), and 1002 SR (US $267), respectively. Of this, 72.02% of the total insulin cost is spent on type 2 patients and 55.39% is in the form of premixed insulin. The SNDR can provide an accurate assessment of the services provided for research purposes. For example, only 27.00% of registered patients had an ophthalmic examination and only 71.10% of patients with proliferative retinopathy had laser therapy. ConclusionsThe SNDR is an effective electronic medical file that can provide epidemiologic, economic, and geographic reports that can be used for disease management and health care planning. It is a useful tool for research and disease health care quality monitoring.
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spelling doaj.art-ac1b5ec0681e4cd1880c5f69847f3b1f2022-12-21T21:10:37ZengJMIR PublicationsJournal of Medical Internet Research1438-88712013-09-01159e20210.2196/jmir.2722A Web-Based Interactive Diabetes Registry for Health Care Management and Planning in Saudi ArabiaAl-Rubeaan, Khalid AYoussef, Amira MSubhani, Shazia NAhmad, Najlaa AAl-Sharqawi, Ahmad HIbrahim, Heba MBackgroundWorldwide, eHealth is a rapidly growing technology. It provides good quality health services at lower cost and increased availability. Diabetes has reached an epidemic stage in Saudi Arabia and has a medical and economic impact at a countrywide level. Data are greatly needed to better understand and plan to prevent and manage this medical problem. ObjectiveThe Saudi National Diabetes Registry (SNDR) is an electronic medical file supported by clinical, investigational, and management data. It functions as a monitoring tool for medical, social, and cultural bases for primary and secondary prevention programs. Economic impact, in the form of direct or indirect cost, is part of the registry’s scope. The registry’s geographic information system (GIS) produces a variety of maps for diabetes and associated diseases. In addition to availability and distribution of health facilities in the Kingdom, GIS data provide health planners with the necessary information to make informed decisions. The electronic data bank serves as a research tool to help researchers for both prospective and retrospective studies. MethodsA Web-based interactive GIS system was designed to serve as an electronic medical file for diabetic patients retrieving data from medical files by trained registrars. Data was audited and cleaned before it was archived in the electronic filing system. It was then used to produce epidemiologic, economic, and geographic reports. A total of 84,942 patients were registered from 2000 to 2012, growing by 10% annually. ResultsThe SNDR reporting system for epidemiology data gives better understanding of the disease pattern, types, and gender characteristics. Part of the reporting system is to assess quality of health care using different parameters, such as HbA1c, that gives an impression of good diabetes control for each institute. Economic reports give accurate cost estimation of different services given to diabetic patients, such as the annual insulin cost per patient for type 1, type 2, and gestational diabetes, which are 1155 SR (US $308), 1406 SR (US $375), and 1002 SR (US $267), respectively. Of this, 72.02% of the total insulin cost is spent on type 2 patients and 55.39% is in the form of premixed insulin. The SNDR can provide an accurate assessment of the services provided for research purposes. For example, only 27.00% of registered patients had an ophthalmic examination and only 71.10% of patients with proliferative retinopathy had laser therapy. ConclusionsThe SNDR is an effective electronic medical file that can provide epidemiologic, economic, and geographic reports that can be used for disease management and health care planning. It is a useful tool for research and disease health care quality monitoring.http://www.jmir.org/2013/9/e202/
spellingShingle Al-Rubeaan, Khalid A
Youssef, Amira M
Subhani, Shazia N
Ahmad, Najlaa A
Al-Sharqawi, Ahmad H
Ibrahim, Heba M
A Web-Based Interactive Diabetes Registry for Health Care Management and Planning in Saudi Arabia
Journal of Medical Internet Research
title A Web-Based Interactive Diabetes Registry for Health Care Management and Planning in Saudi Arabia
title_full A Web-Based Interactive Diabetes Registry for Health Care Management and Planning in Saudi Arabia
title_fullStr A Web-Based Interactive Diabetes Registry for Health Care Management and Planning in Saudi Arabia
title_full_unstemmed A Web-Based Interactive Diabetes Registry for Health Care Management and Planning in Saudi Arabia
title_short A Web-Based Interactive Diabetes Registry for Health Care Management and Planning in Saudi Arabia
title_sort web based interactive diabetes registry for health care management and planning in saudi arabia
url http://www.jmir.org/2013/9/e202/
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