Analysis of Changes of Diabetes Care Quality under Implementation of Unified Clinical Pathway for Caring Diabetic Type 2 Patients
Journal Title: Міжнародний ендокринологічний журнал - Year 2015, Vol 2, Issue 66
Abstract
After the adoption of a unified clinical pathway for diabetes mellitus type 2 care in 2012 in Ukraine it is relevant to analyze the results of its implementation and the quality of diabetes care. The aim is to analyze the quality of diabetes care and results of implementation of unified clinical pathway for caring diabetic type 2 patients in Ukraine and Kyiv region for 2003–2012–2014 years (Order of MH of Ukraine № 1118, d/d December, 21, 2012). Materials and methods. We developed a methodology that includes monitoring quality indicators, statistical analysis of reports of medical establishments, that were complemented by survey of 543 doctors and 92 patients with type 2 diabetes mellitus and analysis of outpatient records. Results. The quality of diabetes care on the early stages of pathway implementation is improper. The recommended annual monitoring is incomplete. It does not cover all recommended parameters and all patients. In addition, insufficient preventive measures are used and not all patients achieve target levels as a result. This led to increasing hospitalizations and reducing primary diseases incidence caused by both a lack of physicians commitment and a lack of patients adherence to treatment and the impact of socio-economic aspects of life in Ukraine nowadays. Our data are similar to European experience in implementation of a clinical pathway for diabetes mellitus care. Due to the growing prevalence and incidence of type 2 diabetes mellitus, the burden on endocrinologists continues to increase. In order to optimize the quality of diabetes mellitus care it is necessary to ensure the availability of laboratory tests and more active involvement of general practitioners. For this purpose we have developed and implemented a typical local protocol, form of monitoring the quality of diabetes mellitus care, conducted the additional educational activities (lectures, seminars, workshops, thematic improvement cycles) for physicians, nurses and patients. Conclusions. The quality of diabetes mellitus care on the early stage is insufficient. Introduced measures optimizing the quality of diabetes mellitus care in the Kyiv region had positive results.
Authors and Affiliations
V. I. Tkachenko
Keywords
Related Articles
- EP ID EP222667
- DOI -
- Views 60
- Downloads 0
Evaluating treatment effectiveness in small for gestational age children by optimizing growth hormone dose
Background. According to world statistics, about 5–10 % of newborns are small for gestational age (SGA). They can have inadequate rates of postnatal growth during first two years of life. This growth deficiency is observ...
Hyperleptinemia as One of the Factors for Renal Dysfunction in Patients with Hypothyroidism
In order to study the features of renal function in patients with hypothyroidism we have examined 132 patients with primary hypothyroidism. The results showed that in patients with overt hypothyroidism there is renal dys...
Lymph node dissection in differentiated thyroid cancer: review of modern tendencies
Recently, there has been a significant increase in the incidence of thyroid cancer (TC), both due to the adverse environmental effects and the rapid development of imaging methods. This led to the search for adapted and...
Appeal of Editor-in-Chief
.
The Many Faces of Glimepiride: on the Question of Interchangeability of Oral Hypoglycemic Agents
The article presents a literature review on the use of glimepiride while treating patients with diabetes mellitus. Characteristics of generic drugs of glimepiride are provided.