scholarly journals Geographical distribution of primary care clinics for elderly ambulatory diabetic patients in Ibaraki Prefecture

2015 ◽  
Vol 38 (2) ◽  
pp. 127-130
Author(s):  
Takashi Nakamura ◽  
Masanobu Okayama ◽  
Masakazu Aihara ◽  
Takao Kojo ◽  
Shizukiyo Ishikawa ◽  
...  
Keyword(s):  
Primary Care ◽  
Geographical Distribution ◽  
Diabetic Patients ◽  
Primary Care Clinics ◽  
Ibaraki Prefecture

scholarly journals Prevalence of Diabetic Retinopathy and its Associated Factors among Diabetic Patients in Primary Care Clinics, Kuantan, Pahang

2020 ◽  
Vol 17 (2) ◽  
Author(s):  
Mohd Aznan MA ◽  
Khairidzan MK ◽  
Razman MR ◽  
Fa’iza A
Keyword(s):  
Primary Care ◽  
Diabetic Retinopathy ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Uncontrolled Blood Pressure ◽  
Primary Care Clinics ◽  
High Hba1c ◽  
Retinal Examination ◽  
Disease Severity Scale

Introduction: Diabetic retinopathy (DR) is one of the commonest complications of diabetes mellitus. This study was to determine the prevalence of DR and its association with chronic kidney disease (CKD), high HbA1c and dyslipidemia among diabetic patients in government primary care clinics. Materials and Methods: A cross sectional study was carried out. The respondents were selected from diabetic registry at two government primary care clinics in Kuantan, Pahang via stratified random sampling method during the study period from May 2010 to April 2011. The respondents were interviewed and assessed clinically using a structured questionnaire. Retinal examination was performed by accredited staff using non-mydratic retinal imaging and DR was classified according to the International Clinical Diabetic Retinopathy Disease Severity Scale. Results: Out of 400 respondents, 58.8% were diagnosed with diabetes less than 5 years and 51.0% had uncontrolled blood pressure (>130/80 mmHg). The prevalence of DR and maculopathy were 33.5% and of 17.8% respectively. Most of these patients (22.3%) had mild non-proliferative DR. DR patients had higher percentages CKD (17.9% vs. 6.8%; p<0.001) and a higher mean of HbA1C (8.69 vs. 8.11; p=0.015) compared to non-DR patients. The study revealed that DR was independently associated with CKD {OR: 3.46, 95% CI (1.76, 6.80)} and high HbA1c {OR: 1.12, 95% CI (1.02, 1.23)}. Those with dyslipidemia however, has 39% less risk of DR {OR: 0.61, 95% CI (0.39, 0.94)}. Conclusion: This study showed that diabetic patients with CKD and high HbA1c have greater risks to develop DR but has protective risk with dyslipidemia.

scholarly journals Oral hygiene practices and periodontal disease status assessment among diabetic patients from three selected public medical primary care clinics in Kuantan, Malaysia

2016 ◽  
Vol 15 (1) ◽  
Author(s):  
Tin Myo Han ◽  
Razida Ismail ◽  
Munirah Yaacob ◽  
Mohd Aznan Md Aris ◽  
Iskandar Firzada Osman ◽  
...  
Keyword(s):  
Primary Care ◽  
Glycaemic Control ◽  
Periodontal Disease ◽  
Oral Hygiene ◽  
Disease Status ◽  
Tooth Brushing ◽  
Diabetic Patients ◽  
Race Difference ◽  
Primary Care Clinics ◽  
Hygiene Practices

Introduction: Evidences on the bilateral relationship between diabetes mellitus (DM) and periodontal diseases (PD) have been growing. Oral hygiene practice (OHP) is one of major determinants for PD. Thus, the aim of this study was to assess periodontal disease status and oral hygiene practices of DM-patients from public medical primary care clinics (PMPCCs). Methods: A medical-dental research team conducted an active PD-screening among 193 DMpatients using both self-reported questions (SRQs) and basic periodontal examination (BPE)  by professionals at 3-PMPCCs in Kuantan in 2015. OHP was categorized into two groups; acceptable OHP (two/three-time tooth-brushing/day using with/without mouthwash/flossing) and need to improve OHP (one-time tooth brushing/day using with/without mouth-wash/flossing). HbA1C ≤ 6.5% was used as cut-off for glycaemic control achievement. A cross- analysis was done to infer the influences of demographic-background and OHP on PD- status and relationship between PD- status and glycaemic control achievement. Results: Out of 193 DM-patients, 72.5% (140/193) were PD-screening positive in self-reporting while 54.9% (106/193) had PD in professional screening. OHP of majority (86%) were acceptable. Only 14% (27/193) achieved glycaemic-control status. Influence of demographic and OHP on PD-status ( by BPE) and relationship between PD and glycaemic control achievement did not found out. There were no age and race difference in OHP; however, acceptable OHP was significantly higher (p<0.05) in female than male DM-patients (94% vs 77.4%). Conclusions:  High prevalence of PD indicated to promote oral health education/care among DM-patients from PMPCCs.  In-detailed OHP/PD assessment and other influencing factors on glycaemic-control achievement should be considered to get more valid results in further study.

scholarly journals Impact of Pharmacist-Led Diabetes Management in Primary Care Clinics

2018 ◽  
Vol 9 (2) ◽  
pp. 17
Author(s):  
Benjamin Pontefract ◽  
Benjamin S. King ◽  
Cynthia A. King ◽  
David M Gothard
Keyword(s):  
Primary Care ◽  
Patient Satisfaction ◽  
Usual Care ◽  
Diabetes Management ◽  
Intervention Group ◽  
Control Group ◽  
Original Research ◽  
Diabetic Patients ◽  
Primary Care Clinics ◽  
The Impact

Purpose: Current literature supports that pharmacists effectively lower hemoglobin A1c (HbA1c) in diabetic patients. Little data exists on pharmacists’ effects on comorbidity management, patient satisfaction, or financial viability of these positions. This study looked to assess the impact of pharmacists on diabetes management compared to usual care. Methods: This multi-site, two-part study includes a retrospective chart review of patients referred to the pharmacist versus usual care within a large academic health system. The pharmacists collaborated under a consult agreement with primary care physicians. The second part of the study assessed patient satisfaction through an abbreviated CG-CAHPS survey. Results:A total of 206 patients with diabetes for an average of 12 years were included. The average patient age was 62 years with 60% of patients identifying as female and 81% as African-American. Patients were enrolled in a 2:1 fashion with 138 patients in the intervention group. Average baseline HbA1c was 10.1% in the intervention group and 9.3% in the control group (p= 0.0125). At 6 months, the mean change in HbA1c was -2.17% and 0.48% for the intervention and control groups respectively (p Conclusion: Pharmacists are effective at lowering HbA1c in primary care clinics, and patients were highly satisfied with these services. While direct revenue from this service did not meet cost, the pharmacist did positively affect outcomes that contribute to reimbursement. Treatment of Human Subjects: IRB review/approval required and obtained   Type: Original Research

scholarly journals The Status of Metabolic Control in Patients With Diabetes Attending Primary Care Clinics in Madinah, Saudi Arabia

2021 ◽  
Author(s):  
Eman Mohammed ALFADHLI ◽  
Ghada Mohamed SOBHY ◽  
Ruqaya Saleh MASOUD ◽  
Yaseera Ali GADI ◽  
Amal Mohammed Surrati ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Primary Care ◽  
Saudi Arabia ◽  
Glycemic Control ◽  
Metabolic Control ◽  
Diabetes Management ◽  
Diabetes Duration ◽  
Diabetic Patients ◽  
Primary Care Clinics ◽  
Patients With Diabetes

Abstract OBJECTIVE: Comprehensive control of diabetes and its related comorbidities is essential to avoid diabetes complications and reduce diabetes care expenses. Nevertheless, several reports have uncovered the gap in diabetes management and confirmed the suboptimal glycemic control globally. This study aims to assess the metabolic control among patients with diabetes attending primary care clinics (PCCs) in Madinah, Saudi Arabia. METHODS: A cross-sectional study was conducted at 15 PCCS in Madinah, Saudi Arabia. Consecutive 692 adult diabetic patients who attended the clinics between January 2016 to December 2017 were included. The primary outcome measures were achieving blood glucose, blood pressure, and lipids goals. The achievement of adequate metabolic control followed the American diabetes association (ADA) guidelines. RESULT: Majority (98%) of the patients had type 2 diabetes (T2DM) with a mean age of 55.1±11.6 years and a mean diabetes duration of 11.02±7.8 years. The mean HbA1c was 8.39±1.7, and glycemic goals (HbA1C < 7%) were achieved in 15.7%. Achievement of LDL, triglyceride, and HDL goals were as follow; 46.4%. 53.3%, 70.8%, respectively. 66.3% of subjects achieved systolic blood pressure, and 88.7% achieved diastolic blood pressure goals. Younger age, longer diabetes duration, and higher LDL levels were associated with poor glycemic control. CONCLUSION: Glycemic control is inadequate among patients with diabetes following at the PCCs in Madinah, Saudi Arabia. A patient-centered approach and individualized management plan considering all risk factors are required.

scholarly journals Prevalence of complications among Chinese diabetic patients in urban primary care clinics: a cross-sectional study

2014 ◽  
Vol 15 (1) ◽  
Author(s):  
Kenny Kung ◽  
Kai Ming Chow ◽  
Eric Ming-Tung Hui ◽  
Maria Leung ◽  
Shuk Yun Leung ◽  
...  
Keyword(s):  
Primary Care ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Sectional Study ◽  
Cross Sectional ◽  
Primary Care Clinics

scholarly journals Charateristics and reasons for diabetic-defaulters between primary care clinics and diabetic specialist clinic: A prospective cohort study in Kuantan, Malaysia

2016 ◽  
Vol 15 (1) ◽  
Author(s):  
Fa'iza Abdullah ◽  
Tin Myo Han ◽  
Mohd Aznan Md Aris ◽  
Iskandar Firzada Osman
Keyword(s):  
Primary Care ◽  
Cohort Study ◽  
Demographic Data ◽  
Geographical Location ◽  
Diabetic Patients ◽  
Primary Care Clinics ◽  
Self Employment ◽  
One Year ◽  
Type 1 Dm

Introduction: Defaulted appointment in diabetic clinics is a great concern as it affects disease controlled and complications. Geographical location, clinic-types and quality of health services provided are known determinant reasons for defaulting. Thus, this study aimed to identify characteristics and reasons for default between diabetic-patients at public-primary-care-clinics (PPCCs) and public-hospital-diabetic-specialist-clinic (DS-OPD). Methods: A prospective one-year-cohort study was conducted among 405 diabetic patients from two PPCCs and DS-OPD in Kuantan (2015-2016). There were 2-point visits (at 6-month and 12-month) assessing follow-up appointments within one year. Defaulter is defined by at least one-time defaulted either at 6-month or 12-month. Regular-attendees were included as control. Type-1-DM-patients, missing-records, known-deceased and transferout cases were excluded. Background socio-demographic data of diabetic-defaulters were collected from DM-records and reasons for defaulting were traced via 3-times-telephone contacts which 51.6% diabetic-defaulters responded. A stratified cross-analysis was done to compare the prevalence and characteristics between defaulters and regular attendees. Reasons for defaults were analyzed using open-ended-questions analysis method. Results: Prevalence of defaulters was 18% (73/405); higher prevalence was found in DS-OPD than PPCCs (32.4% vs 10.3%). Gender, race, age, education, occupation and the duration of DM were not significantly different between defaulters and regular-attendees at DS-OPD. However, self-employment (25.9%), housewives (25.9%), aged less than 45-years (33.3%) and≥ 55 years-old (44.4%) were significant defaulters in PPCCs. Significant different of reasons for default found at DS-OPD compare to PPCCs for postponing the date (54.5% vs 12.5%), while refusing treatment/used alternative medicine (18.2% vs 43.8%); and movedout/transferred/referred cases (27.3% vs 31.2%) were more in PPCCs. Conclusions: Distinctive characteristics and diverse reasons for default between DS-OPD and PPCCs among diabetic-patients fortified to set tailored remedial to reduce defaulter-rate in different clinic.

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