A community based assessment of quality of Diabetes care in the urban area of Tirupati, A.P.
Journal Title: National Journal of Research in Community Medicine - Year 2018, Vol 7, Issue 7
Abstract
Introduction: Diabetes is a significant cause of morbidity and mortality among middle aged adults in India. Diabetes management requires high level of comprehensive integrated care involving multiple stakeholders. The objective of the study is to assess the diabetes care by quality indicators and to determine the factors associated with it in Tirupati area, Andhra Pradesh. Material and methods: A cross-sectional study was carried out in the urban areas of Tirupati. A sample of 750 diabetic patients were selected by applying two stage cluster sampling method. The data was collected by using pre-designed and pre-tested questionnaire. Results: Only 4.7% of total diabetic subjects have received optimal quality of diabetes care. The proportion for each process indicator received by the subjects was annual dilated eye examination in 22.1%, annual foot examination in 8.1%, urine micro-albumin in 48.4%, HbA1C in 11.5% and lipid profile test in 27.2%. The intermediate outcome indicators of blood pressure and glycemic target were poorly controlled in more than half of them. The self-care practices of regular physical activity (35%), diet control (64%), foot care (79%), drug compliance (86%), self-monitoring of blood glucose (5.5%) and smoking cessation (51%) were observed. Conclusion: The quality of diabetes care is poor among the diabetic individuals in this area compared to the recommended guidelines. Barriers identified are related to both patient and health care delivery factors. A comprehensive health care delivery system is required to provide optimal care for diabetic individuals.
Authors and Affiliations
Somavarapu P, Dudala SR, Reddy KA
Keywords
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- EP ID EP527928
- DOI 10.26727/NJRCM.2018.7.4.271-276
- Views 71
- Downloads 0
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