assessment of quality of care given to diabetic patients at jimma university specialized hospital diabetes follow-up clinic, jimma, ethiopia给糖尿病患者的医疗质量评估jimma大学专业医院糖尿病随访诊所,jimma,埃塞俄比亚.pdfVIP

Gudina et al. BMC Endocrine Disorders 2011, 11:19 /1472-6823/11/19 RESEARCH ARTICLE Open Access Assessment of quality of care given to diabetic patients at Jimma University Specialized Hospital diabetes follow-up clinic, Jimma, Ethiopia 1* 2 3 4 Esayas K Gudina , Solomon T Amade , Fessahaye A Tesfamichael and Rana Ram Abstract Background: Sub-Saharan Africa is currently enduring the heaviest global burden of diabetes and diabetes care in such resource poor countries is far below standards. This study aims to describe the gaps in the care of Ethiopian diabetic patients at Jimma University Specialized Hospital. Methods: 329 diabetic patients were selected as participants in the study, aged 15 years or greater, who have been active in follow-up for their diabetes for more than 1 year at the hospital. They were interviewed for their demographic characters and relevant clinical profiles. Their charts were simultaneously reviewed for characters related to diabetes and related morbidities. Descriptive statistics was used for most variables and Chi-square test, where necessary, was used to test the association among various variables. P-value of 0.05 was used as statistical significance. Results: Blood glucose determination was done for 98.5% of patients at each of the last three visits, but none ever had glycosylated haemoglobin results. The mean fasting blood sugar (FBS) level was 171.7 ± 63.6 mg/dl and 73.1% of patients had mean FBS levels above 130 mg/dl. Over 44% of patients have already been diagnosed to be hypertensive and 64.1% had mean systolic BP of 130 and/or diastolic 80 mmHg over the last three visits. Diabetes eye and neurologic evaluations were ever done for 42.9% and 9.4% of patients respec