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IJMDC. 2020; 4(9): 1342-1348


Assessment of follow-up quality among type 2 diabetes patients in Madinah, Saudi Arabia

Khalid Gaffer Mohamed, Rami Obaid Manyur Alharbi, Yazeed Khalid D. Aljoahni, Abdulmajeed Muslih Zaidan Alamri, Mohammed Abdullah A. Saeed, Anas Ali M. Alzhrani, Raief Fahad Ali Alfriedy.




Abstract

Background: Diabetes mellitus (DM) has a high incidence rate and is a major health concern with high morbidity and mortality. Glycemic control is a key factor in the prevention of diabetic complications. Adequate patient follow-up with a primary care doctor or an endocrinologist is necessary to achieve a good glycemic control. We aim to assess the quality of follow-up in diabetic patients.
Methodology: A retrospective, observational study was conducted among type 2 diabetes patients in Madinah, Saudi Arabia. The data were collected using an electronically designed self-administered questionnaire distributed through an online survey.
Results: A total of 600 type 2 DM patients responded to the questionnaire. Over 80% of the participants had elevated hemoglobin A1c (≥6.5%). Adherence to regular doctor follow-up was high (67%), and over half of the participants preferred to follow up at a diabetic center rather than primary healthcare centers. With regard to satisfaction with medical services, 44.5% rated the services very good (n = 267), 27.3% excellent (n = 164), 18.7% acceptable (n = 112), and 9.5% weak (n = 57). Participants with higher educational levels who followed up regularly at diabetes clinics had better glycemic control, lipid profiles, and kidney function tests. Participants living near diabetes clinics also had a better glycemic control. Most of the participants described themselves as a compliant. A minority described themselves as non-compliant and reported difficulty finding appointments as the main reason for their noncompliance.
Conclusion: The results showed that 84% of participants reported an inadequate glycemic control. An effort must be done to increase awareness among primary-care physicians on the importance of referring diabetic patients to appropriate specialists.

Key words: Diabetes mellitus, glycemic control, follow-up, diabetic clinic






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