Quality of Diabetic Care among Patients in a Tertiary Care Hospital in Bangalore, South India: A Cross-sectional Study
Background: Despite high prevalence of diabetes, translation of practice recommendations to care is still deficient in Asian and developed countries. The objective of this study is to assess the quality of care provided to diabetic patients and extent of knowledge transfer by the provider to the...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2015-07-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/6215/11540_CE(RA1)_F(T)_PF1(ANAK)_PFA(AK)_PF2(PAG).pdf |
| _version_ | 1818689082975322112 |
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| author | Carolin Elizabeth George Sapna Mathew Gift Norman Devashri Mukherjee |
| author_facet | Carolin Elizabeth George Sapna Mathew Gift Norman Devashri Mukherjee |
| author_sort | Carolin Elizabeth George |
| collection | DOAJ |
| description | Background: Despite high prevalence of diabetes, translation of
practice recommendations to care is still deficient in Asian and
developed countries. The objective of this study is to assess
the quality of care provided to diabetic patients and extent of
knowledge transfer by the provider to these patients as a measure
of the quality of service.
Materials and Methods: A cross sectional study was done among
190 diabetic patients over a period of 6 months. All type II diabetic
patients, 30 years and above, who were diagnosed at least 1 year
back without any other co-morbidity satisfied the inclusion criteria.
They were interviewed based on an audit checklist formulated by
National Diabetes Quality Improvement Alliance.
Results: The results revealed that blood pressure is the only
parameter which is regularly monitored in majority (93%) of the
diabetics. Hb1AC, LDL cholesterol and eye check up were less
common and done only in 40%, 52.6% and 56.8% of diabetics
respectively. Only 33(17.37%) had at least 5 of the 7 essential
parameters monitored at least once in the last year. The knowledge
questionnaire showed that more than 70% of the diabetic patients
know that their condition requires lifelong management, diet
modifications and exercises. There was no difference in the
knowledge scores between the people who had no essential tests
done and those diabetics who got 5 essential tests done. Gender,
education, occupation and duration of diabetes were associated
with knowledge score.
Conclusion: There is a need to formulate the local standards of
care and clinical practice guidelines for the management of diabetes
that are easily affordable and available to the health care providers
and applicable to our country at the national level. Continuing audit
of patients with diabetes is a feasible and a very useful method
of promoting and helping to achieve the management goals of a
good quality care. |
| first_indexed | 2024-12-17T12:04:27Z |
| format | Article |
| id | doaj.art-d225a9cfdb18479cb629686de97c1fb2 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-17T12:04:27Z |
| publishDate | 2015-07-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-d225a9cfdb18479cb629686de97c1fb22022-12-21T21:49:41ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2015-07-0197LC07LC1010.7860/JCDR/2015/11540.6215Quality of Diabetic Care among Patients in a Tertiary Care Hospital in Bangalore, South India: A Cross-sectional StudyCarolin Elizabeth George0Sapna Mathew1Gift Norman2Devashri Mukherjee3Consultant, Department of Community Health, Bangalore Baptist Hospital, Hebbal, Bellary Road, Bangalore, Karnataka, India.DNB Resident, Department of Community Health, Bangalore Baptist Hospital, Hebbal, Bellary Road, Bangalore, Karnataka, India.Professor and Head, Department of Community Health and Family Medicine Department, Bangalore Baptist Hospital, Hebbal, Bellary Road, Bangalore, Karnataka, India.Research Consultant, Department of Community Health, Bangalore Baptist Hospital, Hebbal, Bellary Road, Bangalore, Karnataka, India.Background: Despite high prevalence of diabetes, translation of practice recommendations to care is still deficient in Asian and developed countries. The objective of this study is to assess the quality of care provided to diabetic patients and extent of knowledge transfer by the provider to these patients as a measure of the quality of service. Materials and Methods: A cross sectional study was done among 190 diabetic patients over a period of 6 months. All type II diabetic patients, 30 years and above, who were diagnosed at least 1 year back without any other co-morbidity satisfied the inclusion criteria. They were interviewed based on an audit checklist formulated by National Diabetes Quality Improvement Alliance. Results: The results revealed that blood pressure is the only parameter which is regularly monitored in majority (93%) of the diabetics. Hb1AC, LDL cholesterol and eye check up were less common and done only in 40%, 52.6% and 56.8% of diabetics respectively. Only 33(17.37%) had at least 5 of the 7 essential parameters monitored at least once in the last year. The knowledge questionnaire showed that more than 70% of the diabetic patients know that their condition requires lifelong management, diet modifications and exercises. There was no difference in the knowledge scores between the people who had no essential tests done and those diabetics who got 5 essential tests done. Gender, education, occupation and duration of diabetes were associated with knowledge score. Conclusion: There is a need to formulate the local standards of care and clinical practice guidelines for the management of diabetes that are easily affordable and available to the health care providers and applicable to our country at the national level. Continuing audit of patients with diabetes is a feasible and a very useful method of promoting and helping to achieve the management goals of a good quality care.https://jcdr.net/articles/PDF/6215/11540_CE(RA1)_F(T)_PF1(ANAK)_PFA(AK)_PF2(PAG).pdfdiabetesknowledgequality of care |
| spellingShingle | Carolin Elizabeth George Sapna Mathew Gift Norman Devashri Mukherjee Quality of Diabetic Care among Patients in a Tertiary Care Hospital in Bangalore, South India: A Cross-sectional Study Journal of Clinical and Diagnostic Research diabetes knowledge quality of care |
| title | Quality of Diabetic Care among Patients in a Tertiary Care Hospital in Bangalore, South India: A Cross-sectional Study |
| title_full | Quality of Diabetic Care among Patients in a Tertiary Care Hospital in Bangalore, South India: A Cross-sectional Study |
| title_fullStr | Quality of Diabetic Care among Patients in a Tertiary Care Hospital in Bangalore, South India: A Cross-sectional Study |
| title_full_unstemmed | Quality of Diabetic Care among Patients in a Tertiary Care Hospital in Bangalore, South India: A Cross-sectional Study |
| title_short | Quality of Diabetic Care among Patients in a Tertiary Care Hospital in Bangalore, South India: A Cross-sectional Study |
| title_sort | quality of diabetic care among patients in a tertiary care hospital in bangalore south india a cross sectional study |
| topic | diabetes knowledge quality of care |
| url | https://jcdr.net/articles/PDF/6215/11540_CE(RA1)_F(T)_PF1(ANAK)_PFA(AK)_PF2(PAG).pdf |
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