Assessment of quality of care provided to adults with type 2 diabetes mellitus at public hospitals in Gamo Gofa zone, Southern Ethiopia : Facility based Cross-Sectional study
(2022) In Endocrinology, Diabetes & Metabolism 5(5).- Abstract
PURPOSE: Proactive management of type 2 diabetes is important for restoring beta-cell function and improving sustained blood glucose control. Evidence on quality of diabetes care in Ethiopia is inadequate.
METHOD: Facility-based cross-sectional study was conducted to assess level of quality of care provided to adult type 2 diabetes patients at three public hospitals in Gamo Gofa Zone, Southern Ethiopia.
RESULTS: A total of 210 adult type 2 diabetes patients were included. The mean age of patients was 44.1 ± 9.94 years. Fifty-one (24.3%) of patients adhered to prescribed medicines. Sixty-seven (31.9%) patients could benefit from neuropathy screening and referral. Diabetes-specific evidence-based guidelines, operational plan... (More)
PURPOSE: Proactive management of type 2 diabetes is important for restoring beta-cell function and improving sustained blood glucose control. Evidence on quality of diabetes care in Ethiopia is inadequate.
METHOD: Facility-based cross-sectional study was conducted to assess level of quality of care provided to adult type 2 diabetes patients at three public hospitals in Gamo Gofa Zone, Southern Ethiopia.
RESULTS: A total of 210 adult type 2 diabetes patients were included. The mean age of patients was 44.1 ± 9.94 years. Fifty-one (24.3%) of patients adhered to prescribed medicines. Sixty-seven (31.9%) patients could benefit from neuropathy screening and referral. Diabetes-specific evidence-based guidelines, operational plan to reduce overweight and obesity were not available. There was no periodic lipid profile, renal function and glycated haemoglobin testing. Sixty-three (30%) patients achieved fasting blood glucose (FBG) level. Only 41 (19.5%) achieved the recommended target value for composite intermediate outcomes. All three sub-components of quality care structure, process and outcome (SPO) were below the agreed minimum score and the quality of care provided to adult type 2 diabetes was poor. Only 41 (19.5%) achieved agreed quality indicator targets for type 2 diabetes (fasting blood glucose blood pressure and low-density lipoprotein cholesterol).
CONCLUSION: The quality of care provided to adult type 2 diabetes patients was poor particularly in areas such as availability of evidence-based guidelines, operational plan to reduce obesity, monitoring of lipid profile and glycaemic control. Therefore, developing strategies for addressing structure, process and outcome-related gaps by involving all stakeholders is critical for improving the quality of care provided to these patients.
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- author
- Russo, Teklu Teshome ; Sorato, Mende Mensa ; Mesfin, Akililu Ayele ; Hailu, Tadiwos ; Tanga, Abayneh Tunje LU and Bussa, Zebenay
- publishing date
- 2022-09
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Adult, Blood Glucose, Cholesterol, LDL, Cross-Sectional Studies, Diabetes Mellitus, Type 2/therapy, Southern Ethiopia, Hospitals, Public, Humans, Middle Aged, Obesity, Quality of Health Care, quality of care, theory is Donabedian triad model, type 2 diabetes mellitus
- in
- Endocrinology, Diabetes & Metabolism
- volume
- 5
- issue
- 5
- article number
- e355
- pages
- 13 pages
- publisher
- John Wiley & Sons Inc.
- external identifiers
-
- pmid:35762043
- scopus:85137928449
- ISSN
- 2398-9238
- DOI
- 10.1002/edm2.355
- language
- English
- LU publication?
- no
- additional info
- © 2022 The Authors. Endocrinology, Diabetes & Metabolism published by John Wiley & Sons Ltd.
- id
- fb52eae4-c9b3-40ed-aadf-a97db1c8487e
- date added to LUP
- 2022-11-09 10:30:07
- date last changed
- 2024-06-15 01:06:46
@article{fb52eae4-c9b3-40ed-aadf-a97db1c8487e,
abstract = {{<p>PURPOSE: Proactive management of type 2 diabetes is important for restoring beta-cell function and improving sustained blood glucose control. Evidence on quality of diabetes care in Ethiopia is inadequate.</p><p>METHOD: Facility-based cross-sectional study was conducted to assess level of quality of care provided to adult type 2 diabetes patients at three public hospitals in Gamo Gofa Zone, Southern Ethiopia.</p><p>RESULTS: A total of 210 adult type 2 diabetes patients were included. The mean age of patients was 44.1 ± 9.94 years. Fifty-one (24.3%) of patients adhered to prescribed medicines. Sixty-seven (31.9%) patients could benefit from neuropathy screening and referral. Diabetes-specific evidence-based guidelines, operational plan to reduce overweight and obesity were not available. There was no periodic lipid profile, renal function and glycated haemoglobin testing. Sixty-three (30%) patients achieved fasting blood glucose (FBG) level. Only 41 (19.5%) achieved the recommended target value for composite intermediate outcomes. All three sub-components of quality care structure, process and outcome (SPO) were below the agreed minimum score and the quality of care provided to adult type 2 diabetes was poor. Only 41 (19.5%) achieved agreed quality indicator targets for type 2 diabetes (fasting blood glucose blood pressure and low-density lipoprotein cholesterol).</p><p>CONCLUSION: The quality of care provided to adult type 2 diabetes patients was poor particularly in areas such as availability of evidence-based guidelines, operational plan to reduce obesity, monitoring of lipid profile and glycaemic control. Therefore, developing strategies for addressing structure, process and outcome-related gaps by involving all stakeholders is critical for improving the quality of care provided to these patients.</p>}},
author = {{Russo, Teklu Teshome and Sorato, Mende Mensa and Mesfin, Akililu Ayele and Hailu, Tadiwos and Tanga, Abayneh Tunje and Bussa, Zebenay}},
issn = {{2398-9238}},
keywords = {{Adult; Blood Glucose; Cholesterol, LDL; Cross-Sectional Studies; Diabetes Mellitus, Type 2/therapy; Southern Ethiopia; Hospitals, Public; Humans; Middle Aged; Obesity; Quality of Health Care; quality of care; theory is Donabedian triad model; type 2 diabetes mellitus}},
language = {{eng}},
number = {{5}},
publisher = {{John Wiley & Sons Inc.}},
series = {{Endocrinology, Diabetes & Metabolism}},
title = {{Assessment of quality of care provided to adults with type 2 diabetes mellitus at public hospitals in Gamo Gofa zone, Southern Ethiopia : Facility based Cross-Sectional study}},
url = {{http://dx.doi.org/10.1002/edm2.355}},
doi = {{10.1002/edm2.355}},
volume = {{5}},
year = {{2022}},
}