Quality of Diabetes Care in Primary Health Centres in North Al-Batinah of Oman
Mohammed Al-Shafaee*, 1, Yousuf Al-Farsi 1, Yousuf Al-Kaabi 1, Yajnavalka Banerjee 2, 3, Najat Al-Zadjali 1, Ibrahim Al-Zakwani 4, 5
Identifiers and Pagination:Year: 2014
First Page: 48
Last Page: 54
Publisher Id: TOCMJ-8-48
Article History:Received Date: 4/3/2014
Revision Received Date: 6/5/2014
Acceptance Date: 7/5/2013
Electronic publication date: 13 /6/2014
Collection year: 2014
open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
To assess the quality of diabetic care provided in primary health care settings in Oman.
This was a cross-sectional study of randomly selected 500 patients with diabetes mellitus (DM) attending 6 primary care diabetic clinics in the north Al-Batinah region of Oman from January to December 2010. Nine standards on the quality of diabetes care were audited.
The mean age of the sample was 51±13 years, ranging from 15 to 87 years; the majority (61%) were females. The mean duration of DM was 4±3 years, ranging from 1 to 18 years. Seventy-seven percent of the patients attended diabetic clinics at least 4 times per year. Of the 9 assessed diabetic standards, HbA1c was documented in 33% of the patients, body mass index in 12%, low-density lipoprotein cholesterol (LDL-C) in 40%, urinary albumin:creatinine ratio in 28%, creatinine in 63% and blood pressure (BP) in 96%. Optimal control among the documented indicators was noted in 32, 21, 25, 85, 95 and 19%, respectively. Twenty percent of the patients had their ECGs done while only 39% of the patients had foot examination. No patient had attained control in all of HbA1c., BP and LDL-C.
There is a gap between the recommended DM care guidelines and current practice with consequent poor quality of care in these patients.