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A clinical audit on diabetes care in two urban public primary care clinics in Malaysia

Introduction: The incidence of diabetes mellitus (DM) is increasing globally and it is associated with significant morbidity and mortality. The importance of a better quality of diabetes care is increasingly acknowledged. Objective: This clinical audit was conducted to assess the quality of care...

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Main Authors: Shariff Ghazali, Sazlina, Abu Hassan, Zailinawati, Ali, Zaiton, Ong, Ian
Format: Article
Language:English
Published: Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2010
Online Access:http://psasir.upm.edu.my/id/eprint/8542/1/Audit101-109%28edSP%29.pdf
http://psasir.upm.edu.my/id/eprint/8542/
http://www.medic.upm.edu.my/dokumen/FKUSK1_MJMHS_2010V06N1_OP07.pdf
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spelling my.upm.eprints.85422015-09-08T06:25:42Z http://psasir.upm.edu.my/id/eprint/8542/ A clinical audit on diabetes care in two urban public primary care clinics in Malaysia Shariff Ghazali, Sazlina Abu Hassan, Zailinawati Ali, Zaiton Ong, Ian Introduction: The incidence of diabetes mellitus (DM) is increasing globally and it is associated with significant morbidity and mortality. The importance of a better quality of diabetes care is increasingly acknowledged. Objective: This clinical audit was conducted to assess the quality of care given to type 2 DM patients in public primary care clinics. Methods: A clinical audit was conducted in two selected urban public primary care clinics, between April and June of 2005. The indicators and criteria of quality care were based on the current Malaysian clinical practice guidelines for type 2 DM. A structured pro forma was used to collect data. Results: A total of 396 medical records of patients with type 2 DM were included in this audit. Most of the patients had measurements of fasting blood glucose and blood pressure recorded in more than 90% of the visits over the previous one year. Twenty-seven percent of the patients had glycosylated haemoglobin (HbA1c) done every 6 months with a mean of 8.3%. Only 15.6% had HbA1c values less than 6.5 %. Fifty percent had blood pressure controlled at 130/80 mmHg and below; and 13.0% had low density lipoprotein cholesterol values of 2.6 mmol/L or less. The majority of the patients were overweight or obese. Conclusions: The quality of diabetes care in this study was found to be suboptimal. There is a gap between guidelines and clinical practice. Certain measures to improve the quality of diabetes care need to be implemented with more rigour. Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2010-01 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/8542/1/Audit101-109%28edSP%29.pdf Shariff Ghazali, Sazlina and Abu Hassan, Zailinawati and Ali, Zaiton and Ong, Ian (2010) A clinical audit on diabetes care in two urban public primary care clinics in Malaysia. Malaysian Journal of Medicine and Health Sciences, 6 (1). pp. 101-109. ISSN 1675-8544 http://www.medic.upm.edu.my/dokumen/FKUSK1_MJMHS_2010V06N1_OP07.pdf
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description Introduction: The incidence of diabetes mellitus (DM) is increasing globally and it is associated with significant morbidity and mortality. The importance of a better quality of diabetes care is increasingly acknowledged. Objective: This clinical audit was conducted to assess the quality of care given to type 2 DM patients in public primary care clinics. Methods: A clinical audit was conducted in two selected urban public primary care clinics, between April and June of 2005. The indicators and criteria of quality care were based on the current Malaysian clinical practice guidelines for type 2 DM. A structured pro forma was used to collect data. Results: A total of 396 medical records of patients with type 2 DM were included in this audit. Most of the patients had measurements of fasting blood glucose and blood pressure recorded in more than 90% of the visits over the previous one year. Twenty-seven percent of the patients had glycosylated haemoglobin (HbA1c) done every 6 months with a mean of 8.3%. Only 15.6% had HbA1c values less than 6.5 %. Fifty percent had blood pressure controlled at 130/80 mmHg and below; and 13.0% had low density lipoprotein cholesterol values of 2.6 mmol/L or less. The majority of the patients were overweight or obese. Conclusions: The quality of diabetes care in this study was found to be suboptimal. There is a gap between guidelines and clinical practice. Certain measures to improve the quality of diabetes care need to be implemented with more rigour.
format Article
author Shariff Ghazali, Sazlina
Abu Hassan, Zailinawati
Ali, Zaiton
Ong, Ian
spellingShingle Shariff Ghazali, Sazlina
Abu Hassan, Zailinawati
Ali, Zaiton
Ong, Ian
A clinical audit on diabetes care in two urban public primary care clinics in Malaysia
author_facet Shariff Ghazali, Sazlina
Abu Hassan, Zailinawati
Ali, Zaiton
Ong, Ian
author_sort Shariff Ghazali, Sazlina
title A clinical audit on diabetes care in two urban public primary care clinics in Malaysia
title_short A clinical audit on diabetes care in two urban public primary care clinics in Malaysia
title_full A clinical audit on diabetes care in two urban public primary care clinics in Malaysia
title_fullStr A clinical audit on diabetes care in two urban public primary care clinics in Malaysia
title_full_unstemmed A clinical audit on diabetes care in two urban public primary care clinics in Malaysia
title_sort clinical audit on diabetes care in two urban public primary care clinics in malaysia
publisher Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
publishDate 2010
url http://psasir.upm.edu.my/id/eprint/8542/1/Audit101-109%28edSP%29.pdf
http://psasir.upm.edu.my/id/eprint/8542/
http://www.medic.upm.edu.my/dokumen/FKUSK1_MJMHS_2010V06N1_OP07.pdf
_version_ 1643824049178017792
score 13.211869

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