Results of Specialized Ambulatory Diabetes Care Among Diabetes Patients at the Level of Primary Health Care – in the Light of Nationwide Research
Journal Title: Advances in Clinical and Experimental Medicine - Year 2012, Vol 21, Issue 1
Abstract
[b]Background.[/b] The availability of health services, understood as the ease of access to a given service or help, is a basic element of the operation of the health care system. In the case of people suffering from diabetes, availability of medical services, alongside the duration of the disease and social-economic status, has been deemed as a factor which determines the risk of diabetes-related complications. Research shows that specialized care may delay the development of diabetes complications, therefore it has been assumed that this care should be available to all patients. Combined diabetes patient care management, based on cooperation between general practitioners and specialists, is regarded as an effective way of improving the care of this group of patients. [b]Objectives.[/b] The paper presents the results of specialized ambulatory care among diabetes patients. [b]Material and Methods.[/b] Research materials were obtained from 1366 families and 1986 patients with diabetes, aged above 16 years, within the scope of NCSR grant no. 6P05D02320. Tests included directed interviews, assessment of relative fitness and independence of patients, anonymous questionnaires conducted among patients and their families and medical data analysis. The frequency analysis was carried out using the chi-square test of independence. [b]Results.[/b] The research has shown that specialized care provided by diabetes health care centers is not used by more than half of people suffering from diabetes (60.3%). People who state that they use the care provided by doctors in diabetes health care centers in the majority of cases follow most of the recommendations related to nutrition (p = 0.00000) and foot care (p = 0.00698), however they more frequently smoke (p = 0.04209). The findings among the patients who use specialist care most often included complete physical efficiency (p = 0.01821) and self-sufficiency (p = 0.00001), no requirements for treatment of additional diseases (p = 0.00551), normal body weight (p = 0.00655), and blood pressure (p = 0.00589) and lack of knowledge of health indicators essential in diabetes treatment (p = 0.00004). People using the care provided by doctors in diabetes health care centers more often function in a better social situation and living conditions (p = 0.01859) and do not have any difficulty accessing medical services (p = 0.00000). [b]Conclusions[/b]. The research showed positive results among patients using specialized care...
Authors and Affiliations
Anna Abramczyk
Keywords
Related Articles
- EP ID EP114254
- DOI -
- Views 85
- Downloads 0
Inability to Have Children Caused by Recurrent HELLP Syndrome in Early Pregnancies – Implications for a Review of Literature
This review is inspired by a case of two pregnancies of the same patient complicated by HELLP syndrome, which suggests that there is a predisposition for the occurrence of preeclampsia and HELLP syndrome in early pregnan...
Tryptaza w diagnostyce reakcji niepożądanych podejrzanych o anafilaksję podczas znieczulenia oraz w okresie okołooperacyjnym
Oznaczenie stężenia tryptazy (Mast Cell Tryptase – MCT) w surowicy krwi znajduje coraz szersze zastosowanie w diagnostyce reakcji alergicznych z udziałem komórki tucznej. Może być wykorzystywane w celu oceny alergizujące...
Badania in vivo dystrybucji kul krzemionkowych w organizmach szczurów
[b]Wprowadzenie.[/b] Obecnie trwają poszukiwania nośników leków, które po spełnieniu swojej funkcji transportowania substancji aktywnych rozłożą się w organizmie żywym do nietoksycznych produktów. Bada się układy opieraj...
Second-Trimester IL-15 and IL-18 Levels in the Amniotic Fluid of Fetuses with Normal Karyotypes and with Chromosome Abnormalities
[b]Background.[/b] Little is known about the behavior of interleukin 15 (IL-15) and 18 (IL-18) in the amniotic fluid in the second trimester of gestations complicated by chromosomal defects in the fetus. Likewise, it has...
Rezultaty ambulatoryjnej specjalistycznej opieki diabetologicznej wśród pacjentów chorych na cukrzycę na poziomie podstawowej opieki zdrowotnej – w świetle badań ogólnopolskich
Wprowadzenie. Podstawowym elementem działania systemu opieki zdrowotnej jest dostępność świadczeń zdrowotnych. Dla osób chorych na cukrzycę dostępność usług medycznych została uznana za czynnik determinujący ryzyko powik...