Analysis of the quality of clinical follow-up care of patients with type 2 diabetes mellitus


Demicheva T.P.

Perm State Medical University n.a. Acad. E.A. Wagner, Perm, Russia
Background. The incidence of diabetes mellitus (DM), its complications and adverse outcomes tends to increase. Legislators and management structures, in search of more effective medical technologies to change the current situation, have increasingly begun to focus on the quality of medical care, including follow-up care.
Objective. Evaluation of the quality of follow-up for patients with type 2 diabetes mellitus (DM2).
Methods. Data on the condition of follow-up care in DM2 patients for the year were obtained from form 025/u (1043 sources of information). The main group (60.2%) consisted of elderly people. An expert method was used to assess the quality of follow-up. The opinions of patients on this issue were taken into account (80 respondents). The results of the survey of medical workers (210 doctors) are aimed at assessing the level of their competence in follow-up care.
Results. Defects in maintaining medical records for various items were identified in 91.8% of cases. In 32.9%, the records of primary accounting documents were uninformative and of a formal nature. The completeness of laboratory and instrumental studies did not meet the requirements. Thus, the glycated hemoglobin level was not studied in 48.1%, glomerular filtration rate – in 55.8%, biochemical blood test – in 36% of cases. Patients considered haste in work to be a shortcoming in the work of doctors (48%), 20% of respondents were dissatisfied with the insensitive behavior of medical workers.
Discussion. There are a few works from an organizational aspect on the problem of the quality of follow-up care of diabetic patients.
Conclusion. Statistical analysis showed that clinical follow-up as a technology for medical prevention of the development of complications requires changing its quality by improving control.

About the Autors

Corresponding author: Tatyana P. Demicheva, Cand. Sci. (Med.), Associate Professor at the Department of Endocrinology and Clinical Pharmacology, Perm State Medical University n.a. Acad. E.A. Wagner, Perm, Russia;; ORCID:; eLibrary SPIN: 3743-3914

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