An audit of diabetes care at 3 centres in Alexandria.
Selected indicators for structure, process and outcome of care were used to audit diabetes care in 3 centres in Alexandria. Structure was poor: main problems included absence of appointment and recall system, deficiencies in laboratory resources and lack of educational material. Process of care was poor for 69.2% of patients: deficiencies included absence of essential information in records and missing some essential clinical examinations. Degree of control was poor for 49.2% of patients and only 30.6% had no complications. Compliance to appointment was good for about 80% of patients. Better outcome (fewer complications and higher compliance) was significantly associated with poor process of care. This cannot, however, be considered a valid predictor of outcome as good care might be initiated by the presence of complications.
Abou El-Enein
N Y
NY
Department of Health Administration and Behavioural Sciences, High Institute of Public Health, University of Alexandria, Alexandria, Egypt.
Abolfotouh
M A
MA
D000328:Adult; D016009:Chi-Square Distribution; D003922:Diabetes Mellitus, Type 1 / Q000378:metabolism / Q000523:psychology / Q000628:therapy*; D003924:Diabetes Mellitus, Type 2 / Q000378:metabolism / Q000523:psychology / Q000628:therapy*; D004534:Egypt; D005215:Fasting; D005260:Female; D005947:Glucose / Q000378:metabolism; D019983:Guideline Adherence / Q000592:standards; D006301:Health Services Needs and Demand; D006302:Health Services Research; D006786:Hospitals, Urban / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration*; D010349:Patient Compliance / Q000523:psychology / Q000706:statistics & numerical data; D010353:Patient Education as Topic; D017410:Practice Guidelines as Topic; D019984:Quality Indicators, Health Care / Q000458:organization & administration*; D012042:Registries; D011795:Surveys and Questionnaires; D014944:World Health Organization
D005947:Glucose