Evidence mapPaperPMID 35762043Full record

ArticleEndocrinology, diabetes & metabolism2022

Assessment of quality of care provided to adults with type 2 diabetes mellitus at public hospitals in Gamo Gofa zone, Southern Ethiopia: Facility based Cross-Sectional study.

Teklu Teshome Russo, Mende Mensa Sorato, Akililu Ayele Mesfin, Tadiwos Hailu, Abayneh Tunje Tanga, Zebenay Bussa

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Article in Endocrinology, diabetes & metabolism, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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6citing papers in PubMed
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6 citing papers in PubMed.

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6 authors.

Teklu Teshome RussoDepartment of Biomedical Sciences, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Mende Mensa SoratoDepartment of Pharmacy, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.ORCID 0000-0002-6342-0980
Akililu Ayele MesfinDepartment of Pharmacy, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Tadiwos HailuSchool of Medicine, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Abayneh Tunje TangaSchool of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Zebenay BussaDepartment of Pharmacy, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeProactive management of type 2 diabetes is important for restoring beta-cell function and improving sustained blood glucose control. Evidence on quality of diabetes care in Ethiopia is inadequate.

methodFacility-based cross-sectional study was conducted to assess level of quality of care provided to adult type 2 diabetes patients at three public hospitals in Gamo Gofa Zone, Southern Ethiopia.

resultsA total of 210 adult type 2 diabetes patients were included. The mean age of patients was 44.1 ± 9.94 years. Fifty-one (24.3%) of patients adhered to prescribed medicines. Sixty-seven (31.9%) patients could benefit from neuropathy screening and referral. Diabetes-specific evidence-based guidelines, operational plan to reduce overweight and obesity were not available. There was no periodic lipid profile, renal function and glycated haemoglobin testing. Sixty-three (30%) patients achieved fasting blood glucose (FBG) level. Only 41 (19.5%) achieved the recommended target value for composite intermediate outcomes. All three sub-components of quality care structure, process and outcome (SPO) were below the agreed minimum score and the quality of care provided to adult type 2 diabetes was poor. Only 41 (19.5%) achieved agreed quality indicator targets for type 2 diabetes (fasting blood glucose blood pressure and low-density lipoprotein cholesterol).

conclusionThe quality of care provided to adult type 2 diabetes patients was poor particularly in areas such as availability of evidence-based guidelines, operational plan to reduce obesity, monitoring of lipid profile and glycaemic control. Therefore, developing strategies for addressing structure, process and outcome-related gaps by involving all stakeholders is critical for improving the quality of care provided to these patients.

Indexed as

Diabetes Mellitus, Type 2AdultBlood GlucoseCholesterol, LDLCross-Sectional StudiesEthiopiaHospitals, PublicHumansMiddle AgedObesityQuality of Health CareBlood GlucoseCholesterol, LDLquality of caresouthern Ethiopiatheory is Donabedian triad modeltype 2 diabetes mellitus

Identifiers

PMID35762043
PMCPMC9471586

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.