The Delivery of Diabetic Care and Preventive Services among Diabetic Patients in Family Practice.
- Author:
Jong Myoung KIM
1
;
Hye Gyoung KIM
;
Young Sik KIM
Author Information
1. Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. youngkim@amc.seoul.kr
- Publication Type:Original Article
- Keywords:
diabetes mellitus;
preventive service;
anti-smoking agent;
anti-platelet agent;
cancer screening
- MeSH:
Blood Pressure;
Breast;
Cervix Uteri;
Chungcheongnam-do;
Colon;
Counseling;
Diabetes Mellitus;
Diagnosis;
Early Detection of Cancer;
Electronic Health Records;
Family Practice*;
Female;
Hospitals, General;
Humans;
Male;
Outpatients;
Prescriptions;
Stomach
- From:Journal of the Korean Academy of Family Medicine
2006;27(12):982-987
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The delivery of proper diabetes care and preventive services is essential for diabetic patients in family practice. However, there are few studies on preventive service practice. This study aimed to survey the delivery of preventive services among diabetic patients in an outpatient department of family medicine in a general hospital. METHODS: We reviewed all of the electronic medical records and charts of patients with a recent diagnosis code of type II diabetes mellitus in an outpatient department of family medicine at Asan Medical Center from January 1, 2001, to December 31, 2002, encompassing documentation of laboratory tests, treatment, and cancer screening. RESULTS: This study included 124 patients with diabetes. Blood pressure measurement, fundus examination, and nutritional counseling were performed in 96.7%, 80.6%, and 50% of subjects, respectively. Lipid profiles and urine microalbumin were checked in 91.1% and 58.2%, respectively. Anti-platelet and anti-smoking agents were prescribed in 17.7% and 13.2%, respectively. In males, the rate of cancer screening for stomach and colon were 55.9 and 53.2%, respectively. In females, the rate of cancer screening for stomach, colon, breast, and cervix were 45.5, 51.6, 43.2, and 38.6%, respectively. CONCLUSION: Diabetic care related services were delivered more often than those of preventive services, such as cancer screening and prescription of anti-smoking or anti-platelet agents. Efforts to improve the delivery of preventive services are needed among diabetic patients in family practice.
