"Damm Sokkor": Factors Associated With the Quality of Care of Patients With Diabetes: A study in primary care in Tunisia

Introduction: Musculoskeletal injuries affect up to 13% of adults annually. Despite this high incidence, quality of primary care, including analgesia, may be sub-optimal. The goal of this study is to describe the quality of primary care for ambulatory patients with isolated limb injury and to identify related factors. Methods: A cross sectional study was undertaken prospectively on 166 consecutive ambulatory adult patients with isolated limb injury who presented to orthopedics service in a Level one Trauma Centre. Quality of care was assessed by evaluating analgesia, walking aids, immobilization, and quality of referral diagnosis according to actual expert recommendations. Results: This study revealed low quality of primary care for 82 (53.2%) of injured patients. Seventy-three patients (50.3%) had pain level over 5/10 and 45 cases (28.5%) had insufficient/absent analgesia prescriptions. Fifty-one (32.3%) had unacceptable immobilization and 21/59 (35.6%) patients with a lower limb injury did not receive a walking aid prescription. A total of 61 patients (36.7%) had an absent or inadequate referral diagnosis. Factors associated with lower quality depended on the specific quality indicator and included: living further away from the hospital, younger age, initially consulting at another health care center, having a fracture, and being a smoker. Conclusion: The high frequency of low quality of care underlines the necessity for orthopedic surgeons to be involved in primary care education. Identifying factors associated with lower quality of care will orient efforts to improve medical care of patients with isolated traumatic injury.

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Erratum to: A qualitative study of perceived needs and factors associated with the quality of care for common mental disorders in patients with chronic diseases: the perspective of primary care clinicians and patients

BMC Family Practice ◽

10.1186/s12875-016-0564-2 ◽

2016 ◽

Vol 17 (1) ◽

Cited By ~ 2

Author(s):

Pasquale Roberge ◽

Catherine Hudon ◽

Alan Pavilanis ◽

Marie-Claude Beaulieu ◽

Annie Benoit ◽

...

Keyword(s):

Primary Care ◽

Quality Of Care ◽

Mental Disorders ◽

Qualitative Study ◽

Chronic Diseases ◽

Common Mental Disorders ◽

Perceived Needs ◽

Factors Associated ◽

Primary Care Clinicians

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Quality of care for patients with Diabetes Mellitus in the More Doctors Program, in a municipality in the metropolitan region of Recife (PE), Brazil

Saúde em Debate ◽

10.1590/0103-1104202012508i ◽

2020 ◽

Vol 44 (125) ◽

pp. 384-399

Author(s):

Maria da Penha Rodrigues dos Santos ◽

Maria do Socorro Veloso de Albuquerque ◽

Tereza Maciel Lyra ◽

Antonio da Cruz Gouveia Mendes ◽

Fabiana Letícia da Silva ◽

...

Keyword(s):

Diabetes Mellitus ◽

Primary Care ◽

Quality Of Care ◽

Assessment Tool ◽

Metropolitan Region ◽

Care Assessment ◽

Patients With Diabetes ◽

Primary Care Assessment Tool

RESUMO Avaliou-se a qualidade da atenção aos pacientes com diabetes nas equipes do Programa Mais Médicos. Tratou-se de um estudo quantitativo, transversal, realizado em Goiana, Pernambuco, entre novembro de 2016 e agosto de 2017. Utilizaram-se entrevistas estruturadas a partir do Primary Care Assessment Tool. Foram entrevistados 41 profissionais de Equipes de Saúde da Família ligadas ao Programa Mais Médicos e 437 usuários com Diabetes Mellitus acompanhados por essas equipes. Os achados demonstram que a presença regular dos médicos pode ter ocasionado bons resultados quanto à longitudinalidade (usuários: 7,1; profissionais: 8,2) e à utilização dos serviços (usuários: 8,5). A qualidade do componente sistema de informações (usuários: 7,6; profissionais: 9,2) indica preenchimento e disponibilidade de informações sobre pacientes. Deficiência estrutural do município pode ter contribuído para o baixo desempenho da acessibilidade (usuários: 3,6; profissionais: 3,9). Resultados insatisfatórios para orientação familiar (4,6) e comunitária (2,88), segundo usuários, reforçam a necessidade de fortalecimento desses atributos, peculiares à Estratégia Saúde da Família. Ademais, por tratar-se de um programa, existe a possibilidade de sua descontinuidade, sobretudo no cenário da Emenda Constitucional nº 95, de 2016, podendo comprometer o acesso e a continuidade dos cuidados, especialmente aos usuários com doenças crônicas que utilizam frequentemente o sistema de saúde.

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