Quality of diabetes care in outpatient department.
- Author:
Han Kyu CHO
1
;
Min Jung KIM
;
Sung Sun WOO
;
Hong Jun CHO
;
Young Sik KIM
Author Information
1. Department of Family Medicine, College of Medicine, Ulsan University, Korea.
- Publication Type:Original Article
- Keywords:
diabetes mellitus;
quality;
chart audit;
survey
- MeSH:
Blood Pressure;
Chungcheongnam-do;
Diabetes Mellitus;
Diagnosis;
Education;
Family Practice;
Hospitals, General;
Humans;
Hypertension;
Neurologic Examination;
Outpatients*;
Physical Examination
- From:Journal of the Korean Academy of Family Medicine
1998;19(9):700-707
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUNDS: Proper managements of diabetes is important in family practice. this study aimed to assess the quality of diabetes care in an outpatient department of family medicine in a general hospital. METHODS: We reviewed all the charts of patients who had a new diagnosis code of diabetes in an outpatient department if family medicine at Asan medical center from January 1, 1994 to December 31, 1995. The documentation of medical history, physical examination, laboratory tests and treatments were examined. We surveyed the doctors who had managed the above patients. RESULTS: This study include d95 patients with diabetes were documented in 61,1 % and 336%, respectively. Blood pressure measurement, fundus examination and neurologic examination were done in 100.0%., 47.4% and 18.9%, respectively. Lipid profile and urine microalbumin were checked in 477.4 % and 1.00%, respectively. Management if hypertension and exercise education were documented in 65.0% and 47.4%, respectively. In the doctor survey, doctors responded that they had provided services to diabetic patients more frequently than the results of chart audit except on a few items. CONCLUSIONS: The care of diabetic patients was relatively adequate in many items, but insufficient in some item. Efforts to improve the quality of diabetes care in family practice ar needed.
