title: Quality of diabetes care in family medicine practices in eastern Bosnia and Herzegovina.
abstract: OBJECTIVE
  In the present study, the audit of medical files of patients with diabetes, followed in family medicine practices in the eastern region of Bosnia and Herzegovina (BiH), was carried out in order to investigate the frequency of the use of screening tests for early diagnosis of diabetes complications.
  
  
  METHODS
  The audit was conducted in 32 family medicine practices from 12 primary health care centers in the eastern part of BiH over one-year period (March 2010 to March 2011). A specially established audit team randomly selected medical files of 20 patients with diabetes from the Diabetes Registry administered by each family medicine team database. Screening tests assessed are selected according to the ADA guidelines.
  
  
  RESULTS
  Frequency of the individual screening test varied between 99%, found for at least one blood pressure measurement, and 3.8% for ABI measurement. When the frequency of optimal use of screening was analyzed, only 1% of patients received all recommended screening tests.
  
  
  CONCLUSIONS
  The frequency of the use of screening tests for chronic diabetes complications was found to be low in the eastern part of Bosnia and Herzegovina. Multivariate linear regression analysis showed that longer duration of diabetes and a larger number of diabetics per practice were associated with a smaller number of screening tests, but specialists in family medicine provided a higher number of screening tests compared to other physicians.
authors: University of East Sarajevo, Faculty of Medicine Foča, Studentska 4, Foča, Bosnia and Herzegovina. Electronic address: majaracic@excite.com.
authors: Maja
authors: M
authors: Račić
authors: University of East Sarajevo, Faculty of Medicine Foča, Studentska 4, Foča, Bosnia and Herzegovina.
authors: Srebrenka
authors: S
authors: Kusmuk
authors: University of East Sarajevo, Faculty of Medicine Foča, Studentska 4, Foča, Bosnia and Herzegovina.
authors: Srđan
authors: S
authors: Mašić
authors: University of East Sarajevo, Faculty of Medicine Foča, Studentska 4, Foča, Bosnia and Herzegovina.
authors: Siniša
authors: S
authors: Ristić
authors: University of East Sarajevo, Faculty of Medicine Foča, Studentska 4, Foča, Bosnia and Herzegovina.
authors: Nedeljka
authors: N
authors: Ivković
authors: University of Belgrade, Faculty of Medicine, Suboticeva 10, Belgrade, Serbia.
authors: Ljubica
authors: L
authors: Djukanović
authors: University of East Sarajevo, Faculty of Medicine Foča, Studentska 4, Foča, Bosnia and Herzegovina.
authors: Djordje
authors: D
authors: Božović
mesh_terms: D000328:Adult; D000368:Aged; D015415:Biomarkers / Q000097:blood; D001786:Blood Glucose / Q000032:analysis; D001794:Blood Pressure; D015992:Body Mass Index; D017522:Bosnia and Herzegovina / Q000453:epidemiology; D016009:Chi-Square Distribution; D048909:Diabetes Complications / Q000097:blood / Q000175:diagnosis* / Q000453:epidemiology / Q000503:physiopathology / Q000628:therapy; D042241:Early Diagnosis; D005194:Family Practice / Q000592:standards*; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D016014:Linear Models; D008055:Lipids / Q000097:blood; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D015999:Multivariate Analysis; D010818:Practice Patterns, Physicians' / Q000592:standards*; D011237:Predictive Value of Tests; D011320:Primary Health Care / Q000592:standards*; D019984:Quality Indicators, Health Care / Q000592:standards*; D012042:Registries; D013997:Time Factors
chemical_list: D015415:Biomarkers; D001786:Blood Glucose; D006442:Glycated Hemoglobin; D008055:Lipids; C517652:hemoglobin A1c protein, human
keywords: Chronic complications; Diabetes mellitus; Quality of care; Screening