Quality of diabetes care and its consequences in Northern Iran
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Abstract
Background. Diabetes is an important public health
problem. This study aimed to investigate the quality
of care in patients with diabetes type 2 and its consequences
in rural areas at Golestan province, North
of Iran, in comparison to standards of the Ministry of
Health and Education of Iran and the American Diabetes
Association.
Methods. This was a cross-sectional study based on
data from 308 patients with diabetes type 2 in rural
areas at Golestan province, which was conducted
through a two-stage classified sampling method and
random selection. Data of this research was gathered
through a questionnaire (fulfilled by the interviewer),
assessment blood sugar, and information obtained
from patients’ files. Data were analyzed by descriptive
statistics and SPSS version19.
Results. The mean age of patients was 57 years and
88 patients (29%) were male. Only 35% of patients
were visited seasonally by a family physician. In addition,
only 24% of patients were visited at least once
a year by an ophthalmologist, and 31% of patients
underwent a glycated hemoglobin test at least twice
a year. Influenza and hepatitis vaccines were given to
1.6% and 9.4% of patients, respectively. 85% of patients
were evaluated once a year for lipid profile and
61% for creatine and albumin. Only 31% of patients
received nutrition counseling at least once a year.
Controlled glycated hemoglobin (HBA1c) was 27% and
most patients were in the range of overweight and
obesity (> 75%).
Conclusion. The findings of this study showed that
the quality of diabetes care and its consequences in
patients is not desirable and is far from the standards
provided by the Iran’s Ministry of Health and the
American Diabetes Association and requires revision in
the current program of diabetes control.
Keywords: diabetes type 2quality controlquality of health care
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