Evaluation of medical care for Diabetic and Hypertensive patients in primary care in Mexico: Observational retrospective study (Preprint)

2020 ◽  
Author(s):  
Agustin Lara-Esqueda ◽  
Sergio A Zaizar-Fregoso ◽  
Violeta M Madrigal-Perez ◽  
Mario Ramirez-Flores ◽  
Daniel A Montes-Galindo ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Medical Care ◽  
Serum Lipids ◽  
Quality Care ◽  
Premature Death ◽  
Current Standard ◽  
Anonymized Data ◽  
Quality Of Medical Care

BACKGROUND Diabetes Mellitus is a worldwide health problem and the leading cause of premature death with increasing prevalence over time. Usually, along with it, Hypertension presents and acts as another risk factor that increases mortality risk. Both diseases impact the country's health while also producing an economic burden for society, causing billions of dollars to be invested in their management. OBJECTIVE The present study evaluated the quality of medical care for patients diagnosed with diabetes mellitus (DM), hypertension (HBP), and both pathologies (DM+HBP) within a public health system in Mexico, according to the official Mexican standard for each pathology. METHODS 45,498 patients were included from 2012 to 2015. All information was taken from the electronic medical records database, exported as anonymized data for research purposes. Each patient record was compared against the standard to test the quality of medical care. RESULTS Glycemia with hypertension goals reached 29.6% in DM+HBP, 48.6% in DM, and 53.2% in HBP. The goals of serum lipids were reached by 3% in DM+HBP, 5% in DM, and 0.2% in HBP. Glycemia, hypertension, and LDL cholesterol reached 0.04%. 15% of patients had an undiagnosed disease of diabetes or hypertension. Clinical follow-up examinations reached 20% for foot examination and clinical eye examination in the whole population. Specialty referral reached 1% in angiology or cardiology in the whole population. CONCLUSIONS Goals for glycemic and hypertension reached 50% in the overall population, while serum lipids, clinical follow-up examinations, and referral to a specialist were deficient. Patients who had both diseases had more consultations, better control for hypertension and lipids, but inferior glycemic control. Overall, quality care for DM and/or HBP has not been met according to the standards. While patients with DM and HBP do not have a current standard to evaluate their own needs.

scholarly journals Evaluation of Medical Care for Diabetic and Hypertensive Patients in Primary Care in Mexico: Observational Retrospective Study

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Agustin Lara-Esqueda ◽  
Sergio A. Zaizar-Fregoso ◽  
Violeta M. Madrigal-Perez ◽  
Mario Ramirez-Flores ◽  
Daniel A. Montes-Galindo ◽  
...  
Keyword(s):  
Medical Care ◽  
Serum Lipids ◽  
Ldl Cholesterol ◽  
Quality Care ◽  
Undiagnosed Disease ◽  
Eye Examination ◽  
Quality Of Medical Care ◽  
Electronic Medical Record Database

Introduction. The present study evaluated the quality of medical care for patients diagnosed with diabetes mellitus (DM), hypertension (HBP), and both pathologies (DM+HBP) within a public health system in Mexico. Methods. 45,498 patients were included from 2012 to 2015. All information was taken from the electronic medical record database. Each patient record was compared against the standard to test the quality of medical care. Results. Glycemia with hypertension goals reached 29.6% in DM+HBP, 48.6% in DM, and 53.2% in HBP. The goals of serum lipids were reached by 3% in DM+HBP, 5% in DM, and 0.2% in HBP. Glycemia, hypertension, and LDL cholesterol reached 0.04%. 15% of patients had an undiagnosed disease. Clinical follow-up examinations reached 20% for foot examination and clinical eye examination. Specialty referrals reached 1% in angiology or cardiology. Conclusion. Goals for glycemic and hypertension reached 50% in the overall population, while serum lipids, clinical follow-up examinations, and referral to a specialist were deficient. Patients who had both diseases had more consultations, better control for hypertension and lipids, but inferior glycemic control. Overall, quality care for DM and/or HBP has not been met according to the standards.

scholarly journals SYSTEMIC LUPUS ERYTHEMATOSUS: CLINICAL RECOMMENDATIONS. PART 2

2018 ◽  
Vol 17 (2) ◽  
pp. 110-125
Author(s):  
Ekaterina I. Alexeeva ◽  
Tatiana M. Dvoryakovskaya ◽  
Irina P. Nikishina ◽  
Rina V. Denisova ◽  
Nadezhda S. Podchernyaeva ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Medical Care ◽  
Lupus Erythematosus ◽  
Genetically Engineered ◽  
Systemic Lupus ◽  
Clinical Recommendations ◽  
Follow Up Care ◽  
Quality Of Medical Care

The article presents modern ideas about the treatment of systemic lupus erythematosus (SLE). The details of the management of patients with SLE during immunosuppressive and genetically engineered therapy is given. The article also reflects the aspects of rehabilitation, prevention of exacerbations, and follow-up care of children with SLE. The criteria for assessing the quality of medical care for children with SLE are presented. The detailed information on systemic lupus erythematosus for patients with SLE and their parents is outlined specifically.

scholarly journals Diabetologic Training Program for endocrinologists of Moscow devoted to type II diabetes mellitus

1995 ◽  
Vol 41 (6) ◽  
pp. 47-48
Author(s):  
M. B. Antsiferov ◽  
M. Ryabchun
Keyword(s):  
Diabetes Mellitus ◽  
Medical Care ◽  
Type Ii Diabetes ◽  
Diabetes Education ◽  
Type Ii Diabetes Mellitus ◽  
Type Ii ◽  
Care Level ◽  
Primary Care Level ◽  
Quality Of Medical Care

In April 1995, the Diabetes Education Program was opened for endocrinologists on type II diabetes mellitus. The emergence of this initiative is due to the need to significantly improve the quality of medical care for patients with type II diabetes mellitus at the primary care level of specialized medical care.

scholarly journals THE MEDICAL AND LEGAL ASPECTS OF EFFECTIVENESS EVALUATIONOF THE EXAMINATION AND TREATMENT OF COMPLICATED FORMS OF DIABETICFOOT IN PATIENTS DISSATISFIED WITH THE QUALITY OF MEDICAL CARE PROVIDED

2017 ◽  
Vol 9 (3) ◽  
pp. 121-126
Author(s):  
K N Movchan ◽  
R B Iskhakov ◽  
A V Kovalenko ◽  
K I Rusakevich
Keyword(s):  
Diabetes Mellitus ◽  
Medical Care ◽  
Quality Assessment ◽  
Diabetic Foot ◽  
Healthcare Providers ◽  
Legal Aspects ◽  
Care Quality ◽  
Patient Cooperation ◽  
Quality Of Medical Care

Medical care quality assessment in patients suffering from ulcerous-necrotic forms of diabetic foot is a rather problematic question, especially in cases of negative disease outcome. Patients fighting against diabetes mellitus and its complications for saving their lives occasionally not only criticize the healthcare organization without a good cause but use civil law procedures, bringing in an indictment accusing healthcare practitioners of unsuitable medical care. The article discusses deonto- logical aspects of providing medical care to patients with diabetic foot dissatisfied with the quality of examination and treatment in healthcare providing institutions. It also demonstrates the medical and legal conflict which arose due to medical care quality assessment in a patient with complicated form of diabetic foot who regularly was consulted and was under the care of different health care practitioners as an in-patient so as an out-patient. The article illustrates that important factors in successful treat- ment of patient with diabetes mellitus are professional engagement and interaction between healthcare providers of specialized centres and healthcare practitioners at the out-patient stage as well as case follow-up with suitable and well-timed correction of glucemia. Special attention should be given to doctor-patient cooperation. Only a multidisciplinatory approach offers the possibility to improve the quality of medical care provided to patients with complicated forms of diabetic foot and to reduce the frequency of complaints to different medical, social and politico-administrative authoritative bodies.

scholarly journals Organization, problems and development prospects of endocrinology care and specialist training

2020 ◽  
Vol 66 (3) ◽  
pp. 4-5
Author(s):  
Ekaterina A. Pigarova
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Professional Training ◽  
Quality Care ◽  
Medical Personnel ◽  
Primary Health ◽  
Quality Of Medical Care ◽  
Staffing Needs ◽  
Development Prospects

Currently, among the priority tasks of the health care system is to improve the quality of medical care provided to the population and the accessibility of services. Incomplete staffing is a serious slowdown to the provision of quality care. The shortage of medical personnel is widespread in medicine, which is especially pronounced in primary health care, and endocrinology is no exception. The shortage of personnel is directly related to the problems of accessibility and quality of medical care. Reorganizing the system of professional training, retraining and continuing medical education in a volume that allows eliminating quantitative and qualitative defects in providing care for people with endocrine diseases, as well as analyzing staffing needs and planning based on the real needs of the population, will help to achieve the solution to the set tasks of the healthcare system.

scholarly journals Register of patients with diabetes mellitus in Moscow: possibilities of analysis and control of clinical and epidemiological parameters

2021 ◽  
Vol 1 (2) ◽  
pp. 8-19
Author(s):  
Mikhail B. Аntsiferov ◽  
Nikolay A. Demidov
Keyword(s):  
Diabetes Mellitus ◽  
Glycemic Control ◽  
Medical Care ◽  
Medical Institutions ◽  
Patients With Diabetes ◽  
Quality Of Medical Care ◽  
And Control ◽  
Epidemiological Parameters

Database of patients with diabetes mellitus (Federal Register of Diabetes Mellitus) allows to track changes in the epidemiological parameters of a cohort of patients with diabetes mellitus (prevalence, morbidity), to assess indicators of glycemic control, prevalence of complications and concomitant diseases, as well as long-term dynamics. The data obtained allow assessing the quality of medical care in Moscow in general and in individual districts and medical institutions, and to plan measures to improve glycemic control and reduce the risk of developing complications of diabetes mellitus.

Responsibility for a quality of medical care provided via telemedicine

2018 ◽  
Vol 2018 (1-2) ◽  
pp. 9-15
Author(s):  
Morozov S.P. ◽  
◽  
Vladzymyrskyy A.V. ◽  
Varyushin M.S. ◽  
Aronov A.V. ◽  
...  
Keyword(s):  
Medical Care ◽  
Quality Of Medical Care

METHODOLOGICAL APPROACH TO EVALUATING THE EFFECTIVENESS OF RESOURCE USE BY MEDICAL ORGANIZATIONS

2020 ◽  
Vol 3 (7) ◽  
pp. 62-69
Author(s):  
S. S. BUDARIN ◽  
Keyword(s):  
Medical Care ◽  
Resource Use ◽  
Methodological Approach ◽  
Use Of Resources ◽  
Quality Of Medical Care ◽  
Methodological Approaches ◽  
Performance Audit ◽  
Available Resources

The article reveals methodological approaches to evaluating the effectiveness of the use of resources of medi-cal organizations in order to improve the availability and quality of medical care based on the application of the methodology of performance audit; a methodological approach to the use of individual elements of the efficiency audit methodology for evaluating the performance of medical organizations and the effectiveness of the use of available resources is proposed.

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