[Use of the resources in the diagnosis and control of diabetes mellitus in a rural area].
The clinical records of 135 diabetics from the Amposta rural area were reviewed and distributed in two groups: Group A consisted of four rural nuclei; each of them had a population of less than 1000 and a team of basic health care, and their overall population was 2967 with 88 recognized diabetics. Group B consisted of a rural nucleus with a population of 3337, served by three basic health care teams and administrative support; the number of diabetics was 47. The prevalences of type I (2.62% and 1.1%) and type II diabetes (35.91% and 17.18% were compared in the groups A and B, respectively. Also were compared the use of the available resources for the evaluation of the degree of metabolic compensation and for the detection of complications; and the use of the clinical record during the first year of operation of the basic health area. The results showed a significant difference in the prevalence of diabetes (p less than 0.001), in the use of resources both for the evaluation of metabolic compensation (p less than 0.001) and for the detection of complications (p less than 0.001), and in the quality of the clinical record (p less than 0.001).
Clúa Espuny
J L
JL
Queralt Tomás
M L
ML
D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D003922:Diabetes Mellitus, Type 1 / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D015276:Health Care Rationing; D006801:Humans; D010348:Patient Care Team; D012424:Rural Population; D013030:Spain / Q000453:epidemiology
Uso de los medios de diagnóstico y control del diabético en una zona rural.