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
1 Department of Family Medicine and Public Health, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman
2 Department of Biochemistry, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman
3 Familial Hypercholesterolemia Study Group, Oman Society for Lipid and Atherosclerosis (OSLA), Muscat, Oman
4 Department of Pharmacology & Clinical Pharmacy, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman
5 Gulf Health Research, Muscat, Oman


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© Al-Shafaee et al.; Licensee Bentham Open.

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.

* Address correspondence to this author at the Department of Family Medicine and Public Health, College of Medicine & Health Sciences, Sultan Qaboos University, P.O. Box: 35, Postal Code 123, Al-khod, Sultanate of Oman; Tel: +968-2414-1128; Fax: +968-24413419 E-mail: shafaee@squ.edu.om


Abstract

Objective:

To assess the quality of diabetic care provided in primary health care settings in Oman.

Methods:

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.

Results:

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.

Conclusion:

There is a gap between the recommended DM care guidelines and current practice with consequent poor quality of care in these patients.

Keywords: Arab, diabetes mellitus, diabetic standards, Oman, quality of care..