[Assessment of the quality of ambulatory care in type 2 diabetes mellitus].
BACKGROUND
Long asymptomatic course of diabetes and insufficient treatment lead to many chronic complications.


OBJECTIVE
Assessment of the quality of ambulatory diabetes care in Szczecin and nearest region.


METHODS
In year 2001 patients with previously diagnosed diabetes hospitalized in 35 wards of several hospitals in Szczecin were inquired for data concerning ambulatory care before hospitalization.


METHODS
120 subjects (60 women and 60 men), aged 65 +/- 13 years, diabetes duration 9.1 +/- 7.1 years. Type 2 diabetes--104 cases, type 1-10 cases, other types of diabetes--6 cases.


RESULTS
Health care was provided by general practitioners (GPs) for 63% of patients, by diabetologist for 31% of them; 6% stayed out of control. In the proceeding month 49% of subjects attended visit related to diabetes; in 10% such a visit was reported in the period longer than 6 months. Glucose measurement performed every day was reported by 28% of subjects, once a month--by 36%, rarely--by 15%. Blood pressure measurements were performed by doctors in 43% of subjects, self control was performed by 42% of them and in 10% blood pressure was not measured at all. In the proceeding year eyes examination related to diabetes was performed in 63% of patients; in 26% such examination was never done. Foot examination was never done in 66% of diabetics. ECG examination was done in 57% of subjects last year, in 39% it was never done. Cholesterol serum level was measured last year in 52% of subjects.


CONCLUSIONS
1. Quality of ambulatory diabetes care is highly unsatisfactory and insufficient. 2. To improve health care for diabetics obligatory training in practical diabetology was conducted for all GPs from north-west region of Poland in 2002 y.
Majkowska
Liliana
L
Klinika Endokrynologii, Nadciśnienia Tetniczego i Chorób Przemiany Materii Pomorskiej AM w Szczecinie.
Tejchman
Karol
K
Slozowski
Paweł
P
Majchrzycka
Izabela
I
Lisienko
Jowita
J
Bielewska
Katarzyna
K
Sikorska
Paulina
P
Franków
Mirosław
M
D000368:Aged; D000553:Ambulatory Care / Q000592:standards*; D001786:Blood Glucose / Q000378:metabolism; D001794:Blood Pressure; D002784:Cholesterol / Q000097:blood; D003920:Diabetes Mellitus / Q000628:therapy; D003922:Diabetes Mellitus, Type 1 / Q000628:therapy; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000628:therapy*; D017719:Diabetic Foot / Q000517:prevention & control; D004562:Electrocardiography; D004704:Endocrinology; D005194:Family Practice; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D007668:Kidney / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D009887:Ophthalmoscopy; D010043:Outcome and Process Assessment, Health Care; D011044:Poland
D001786:Blood Glucose; D002784:Cholesterol; D006442:Glycated Hemoglobin