title: Evaluation of a diabetes care program using the effective coverage framework.
abstract: OBJECTIVE
  To measure the effective coverage of a program to control type 2 diabetes.
  
  
  METHODS
  Observational study combining multiple
  
  
  METHODS
  
  
  
  METHODS
  Hidalgo state, Mexico.
  
  
  METHODS
  Adults without social security health benefits and patients with a diagnosis of diabetes participating in the program.
  
  
  METHODS
  Detection of diabetes; glucose, cholesterol, triglyceride and blood pressure control; education; diabetic retinopathy, diabetic foot and nephropathy prevention.
  
  
  RESULTS
  Only 7.1% of individuals with diabetes participated in the control program. Fasting glucose and HbA1c values were available for 95.6 and 35.6 of patients, respectively. There were measurements of total cholesterol (52.1%), triglyceride (50.6%) and blood pressure (99.6%). Educative activities were realized for 64.8% of patients. The most important gaps were related with detection of illness, low-density lipoprotein cholesterol control, glucose control with HbA1c and nephropathy prevention. Effective coverage of these medical actions was 6.22, 5.07, 5.01 and 0.34%, respectively.
  
  
  CONCLUSIONS
  The greatest challenge to overcome is the detection of individuals with illness because a large number of individuals with type 2 diabetes do not use health services and the health system does not systematically search them out. Medical actions that require resources that must be paid for by patients tend to be used less and to be of lower quality. The use of effective coverage to measure the performance of diabetes care program provides practical information to improve health services.
authors.affiliation: Coordination of Research, Ministry of Health, Pachuca, Hidalgo, Mexico.
authors.forename: Erika
authors.initials: E
authors.lastname: López-López
authors.forename: David
authors.initials: D
authors.lastname: Gutiérrez-Soria
authors.forename: Alvaro J
authors.initials: AJ
authors.lastname: Idrovo
mesh_terms: D000328:Adult; D001786:Blood Glucose; D001794:Blood Pressure; D048909:Diabetes Complications / Q000517:prevention & control; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D006442:Glycated Hemoglobin; D006296:Health Services / Q000706:statistics & numerical data; D006801:Humans; D008055:Lipids / Q000097:blood; D008297:Male; D008800:Mexico; D008875:Middle Aged; D010353:Patient Education as Topic; D019984:Quality Indicators, Health Care; D011787:Quality of Health Care / Q000458:organization & administration*
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin; D008055:Lipids