A comparison of the effectiveness in type 2 diabetes treatment at urban primary care unit between year 2018-2019 and 2022-2023
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Abstract
Background: Diabetes mellitus is a chronic illness that significantly affects populations worldwide, causing increased healthcare resources to be utilized each year. This study investigated the effectiveness of diabetic care by comparing the quality of care (QOC), process of care (POC), and target of care (TOC) in the same group of patients at the Siriraj Primary Care Unit between the periods of 2018-2019 and 2022-2023.
Methods: The study utilized data from the Diabetic Care Team at Siriraj Primary Care Unit, selecting patients who had consistent follow-up visits in both time frames. Statistical analyses were performed to compare the outcomes.
Results: Of 1,054 registered patients, 32.07% were female. The percentage of patients meeting all QOC criteria increased significantly from 3.78% to 31.98% (p < 0.05). There were notable improvements in POC aspects, including foot exams, HbA1c monitoring, eye examinations, and LDL-c testing. Improving TOC outcomes were seen in HbA1c and LDL-c levels, while blood pressure control deteriorated.
Conclusions: The study found that diabetic care effectiveness at the Siriraj Primary Care Unit improved significantly in most areas, except blood pressure control.
Keywords: diabetes care, primary care unit, quality of care, diabetes
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